Health Extension Rural Office: Translating Reserch Into Localities (HERO TRalLS)

健康推广农村办公室：将研究成果转化为当地 (HERO TRalLS)

• 批准号: 8643215
• 负责人: Robert L. Rhyne
• 金额: $ 27.44万
• 依托单位: UNIVERSITY OF NEW MEXICO HEALTH SCIS CTR
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-04-01 至 2015-02-28
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8643215
• 关键词: Health; Extension; Rural; Office; Translating

DESCRIPTION (provided by the applicant): Traditional methods for translating EB information into clinical practice have not worked well, especially in underserved, multiethnic (vulnerable) communities. There is a scarcity of studies on effective dissemination methods in rural, frontier and impoverished areas. The concept of using health extension agents, patterned after the 100-year experience of the Agricultural Extension Service, which transformed farming in this country, has been suggested as a model for translating evidence-based information into primary care, but few studies of this model have been conducted. The long term goal of this proposal is for Health Extension Rural Office: Translating Research into Localities (HERO TRalLs) to build an efficient, sustainable infrastructure that can adapt deliver and evaluate methodology for translating evidence-based information into rural primary care practices serving rural, underserved, multiethnic populations. Three specific aims will be addressed: 1) To establish a sustainable HERO TRalLs infrastructure to rapidly develop and conduct dissemination interventions predicated on existing evidence-based tools, 2) To conduct a mixed-method, comparative effectiveness (CE) trial of two interventions for disseminating an evidence-based toolkit for treating chronic non-cancer pain (CNCP), in two rural Federally Qualified Health Center (FQHC) primary care practice systems in New Mexico, 3) To adapt and produce two dissemination manuals: a) health extension agent policies and procedures and b) an evidence-based CNCP treatment toolkit. A sustainable infrastructure will be molded by leveraging existing strengths and expanding the missions of three academic organizations: 1) the Health Extension Rural Offices (HEROs) based on the Agricultural Extension Service concept, 2) a state-wide practice-based research network, the Research Involving Outpatient Settings Network (RIOS Net), and 3) a community-oriented Clinical and Translational Science Center (CTSC). A Community Stakeholder Advisory Board will build research capacity with representatives from public health, a Medicaid managed care organization, a parent FQHC association, a Quality Improvement Organization, the Board of Pharmacy, and a community coalition. We will test the health exchange, practice detailing intervention in a CE trial using an adapted state-of-the-art EB toolkit for treating of CNCP.

描述（由申请人提供）：将EB信息转化为临床实践的传统方法效果不佳，特别是在服务不足的多种族（弱势）社区。关于农村、边疆和贫困地区有效传播方法的研究很少。根据农业推广服务100年的经验，使用健康推广代理人的概念改变了这个国家的农业，被认为是将循证信息转化为初级保健的模式，但很少对这种模式进行研究。该提案的长期目标是为健康推广农村办公室：将研究转化为地方（HERO TRalls），以建立一个有效的，可持续的基础设施，可以调整提供和评估方法，将循证信息转化为农村初级保健实践，为农村，服务不足，多民族人口服务。将处理三个具体目标：1）建立可持续的HERO TRalls基础设施，以快速开发和实施基于现有循证工具的传播干预措施，2）进行两种干预措施的混合方法，比较有效性（CE）试验，以传播治疗慢性非癌症疼痛（CNCP）的循证工具包，在新墨西哥州的两个农村联邦合格卫生中心（CNHC）初级保健实践系统中，3）改编并制作两本传播手册：a）健康推广代理政策和程序和B）基于证据的CNCP治疗工具包。可持续的基础设施将通过利用现有的优势和扩大三个学术组织的使命来塑造：1）基于农业推广服务概念的健康推广农村办事处（HERO），2）全州范围内基于实践的研究网络，研究涉及门诊设置网络（RIOS Net），以及3）面向社区的临床和转化科学中心（CTSC）。一个社区利益相关者咨询委员会将与来自公共卫生、医疗补助管理的医疗机构、父母医疗保健协会、质量改进组织、药房委员会和社区联盟的代表建立研究能力。我们将测试健康交换，在CE试验中使用 采用最先进的EB工具包治疗CNCP。