QUERI Adaptation Training Hub

我们建议创建一个实施科学(IMS)培训中心，重点是在 旧金山弗吉尼亚州(SFVA)。我们的适应培训计划将为退伍军人管理局的研究人员、临床医生、 和计划办公室领导，具备成功适应和 在常规实践中实施循证干预，以改善对退伍军人的护理 解决当地的障碍和需求。拟议的培训中心将制定课程，以提供 将适应教育作为更大范围内的一项实施战略 实施科学的背景。我们的建议将会达到以下目标： 1.创建并提供交互式实施科学课程，特别关注 调整和实施循证干预措施，以适应当地需求 2.为学员提供从设计到实施的结构化、纵向指导 对其IMS项目的评估 SFVA IMS适应培训中心将提供全面的课程，其中包括 调整循证干预措施的关键步骤对成功实施至关重要。这些 干预措施可能带来额外的挑战，必须在当地文化的背景下进行， 经验、资源和优先事项。学员将学习评估证据的方法 支持新的干预，根据本地需求定制外围组件，并严格执行 对适应性干预措施的评价。 我们的IMS适应培训中心的教员参与了广泛的实施 科学项目。我们将从我们的测量科学查询中引用具体的例子 研究人员和研究包括心脏病学、睡眠医学、胃肠病学和皮肤病学。 我们还将利用在实施科学方面的成熟计划和专业知识 SFVA医疗保健系统和加州大学旧金山分校(UCSF)支持 开发一门严谨实用的课程，让学生对IMS有更广泛的了解 世界临床实践，以改善医疗保健服务。

We propose to create an Implementation Science (ImS) Training Hub focused on Adaptation at the San Francisco VA (SFVA). Our Adaptation Training Program will provide VA researchers, clinicians, and program office leaders with the foundation of knowledge necessary to successfully adapt and implement evidence-based interventions into routine practice to improve the care of Veterans while addressing local barriers and needs. The proposed training hub will develop a curriculum to provide didactic and hands-on education on adaptation as an implementation strategy within the larger context of Implementation Science. Our proposal will accomplish the following aims: 1. Create and deliver an interactive Implementation Science curriculum with a special focus on adaptation and implementation of evidence-based interventions to fit local needs 2. Provide trainees with structured, longitudinal mentorship from design to implementation to evaluation of their ImS projects The SFVA ImS Training Hub in Adaptation will provide a comprehensive curriculum that includes the key steps of tailoring evidence-based interventions critical to successful implementation. These interventions can provide additional challenges and must be done in the context of local culture, experience, resources, and priorities. Trainees will learn the methods to assess the evidence supporting a new intervention, tailor peripheral components to local needs, and conduct rigorous evaluation of the adapted intervention. Our faculty for the ImS Training Hub in Adaptation are involved in a broad range of implementation science projects. We will draw on specific examples from our Measurement Science QUERI investigators and research including cardiology, sleep medicine, gastroenterology, and dermatology. We will also leverage well-established programs and expertise in implementation science at both the SFVA Health Care System and the University of California San Francisco (UCSF) to support the development of a rigorous and useful curriculum that provides a broad understanding of ImS in real world clinical practice to improve healthcare delivery.