Research and Methods Core

项目摘要/摘要(研究和方法核心) 宾夕法尼亚大学远程健康研究的研究目标和方法核心 癌症护理中心(宾夕法尼亚TRC)是通过设计和推动该中心的研究计划 测试创新的远程医疗策略，以提高整个癌症护理的有效性和公平性 连续体。研究和方法核心将利用以下方面的见解开发新的方法方法 传播学和行为经济学，采用创新的混合方法和快速循环 促进最佳远程医疗服务提供的证据基础的方法。本文的研究与方法 CORE将解决三个主要问题：1)我们如何利用传播科学和 行为经济学将高质量的远程医疗有效地整合到癌症护理服务中？2)我们如何 使用多层次、混合方法了解成功提供远程医疗服务的机制 允许在未来的项目中改进和更精确地应用成功的干预措施 超越我们的医疗保健系统？；以及3)我们如何将卫生公平纳入我们中心的研究中， 关于框架、干预设计、监测、方法和措施，以确保远程保健 减少而不是加剧持续存在的健康和数字不平等？研究的具体目的 和方法核心是：1)应用传播学、行为学、 设计和测试同步远程保健的经济学、快速周期方法和统计方法 在非同步因素的支持下，提高癌症护理的有效性和公平性的战略；2) 使用先进的混合方法方法来阐明多层次的个体和背景 有助于远程医疗策略有效性的机制；3)设计、实施和评估 比较同步远程保健有效性的务实试验和两个试点项目的结果 改善肺癌护理的战略；以及4)支持广泛的沟通和传播 将结果传递给不同的利益攸关方，以推进全国最佳远程医疗服务提供的整合，并 综合评估中心的研究进展和传播实施的成功 活动。实现研究和方法的核心目标将是确保宾夕法尼亚TRC实现的核心 其目标是产生关于远程医疗的新的基础知识，并有可能改变癌症护理 为数百万美国人提供服务、公平和结果。

PROJECT SUMMARY/ABSTRACT (RESEARCH AND METHODS CORE) The objective of the Research and Methods Core of the University of Pennsylvania Telehealth Research Center in Cancer Care (Penn TRC) is to advance the research program of the Center through the design and testing of innovative telehealth strategies to improve effectiveness and equity across the cancer care continuum. The Research and Methods Core will develop new methodological approaches using insights from communication science and behavioral economics and employ innovative mixed methods and rapid-cycle approaches to advance the evidence base for optimal telehealth care delivery. The Research and Methods Core will address three major questions: 1) How can we employ insights from communication science and behavioral economics to effectively integrate high-quality telehealth into cancer care delivery?; 2) How can we understand mechanisms of successful telehealth care delivery using multilevel, mixed methods approaches to allow for refinement and more precise application of successful interventions in future projects within and beyond our health care system?; and 3) How can we integrate health equity into our Center’s research, with respect to frameworks, intervention design, monitoring, methods, and measures, to ensure that telehealth reduces, rather than exacerbates, persistent health and digital inequities? The specific aims of the Research and Methods Core are to: 1) Apply insights and innovations from communication science, behavioral economics, rapid-cycle approaches, and statistical methods to design and test synchronous telehealth strategies, supported by asynchronous elements, to improve the effectiveness and equity of cancer care; 2) Employ advanced mixed methods approaches to elucidate the multilevel individual and contextual mechanisms that contribute to the effectiveness of telehealth strategies; 3) Design, conduct, and evaluate findings from a pragmatic trial and two pilot projects to compare the effectiveness of synchronous telehealth strategies to improve lung cancer care; and 4) Support widespread communication and dissemination of results to diverse stakeholders to advance integration of optimal telehealth care delivery nationally and to evaluate comprehensively the Center’s research progress and success of dissemination and implementation activities. Achieving the Research and Methods Core aims will be central to ensuring the Penn TRC achieves its goal of producing new fundamental knowledge on telehealth with the potential to transform cancer care delivery, equity, and outcomes for millions of Americans.