Building Research in Implementation and Dissemination to close Gaps and achieve Equity in Cancer Control (BRIDGE-C2) Center

建立实施和传播研究以缩小差距并实现癌症控制公平 (BRIDGE-C2) 中心

• 批准号: 10684775
• 负责人: Jennifer E DeVoe
• 金额: $ 143.13万
• 依托单位: OREGON HEALTH & SCIENCE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-09-19 至 2024-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10684775
• 关键词: Acceleration; Address; Adoption; Area; Cancer Control; Caring; Cell Nucleus; Cervical Cancer Screening; Characteristics; Collaborations; Community Networks; Development; Disparity; Dissemination and Implementation; Electronic Health Record; Equity; Evaluation; Evidence based intervention; Health; Health Services; Infrastructure; Knowledge; Laboratories; Leadership; Link; Low income; Malignant Neoplasms; Mentors; Methodology; Methods; Modeling; Neighborhood Health Center; Oregon; Patients; Persons; Pilot Projects; Population; Prevention; Prevention Research; Preventive healthcare; Primary Care; Primary Health Care; Process; Provider; Reduce health disparities; Research; Research Activity; Research Personnel; Research Project Grants; Research Support; Rural; Science; Scientist; Screening for cancer; Sexual and Gender Minorities; Testing; Tobacco Use Cessation; Training; Underserved Population; Uninsured; Universities; Vulnerable Populations; Work; cancer care; cancer prevention; career; career networking; cost; design; disparity elimination; disparity gap; disparity reduction; ethnic minority; evidence base; experience; follow-up; implementation evaluation; implementation framework; implementation science; implementation strategy; improved; innovation; multidisciplinary; novel; practice-based research network; pragmatic trial; preventive intervention; primary care practice; primary care provider; primary care setting; primary care team; programs; racial minority; scale up; surveillance data; traditional care; training opportunity

OVERALL PROJECT SUMMARY The Building Research in Implementation and Dissemination to close Gaps and achieve Equity in Cancer Control (BRIDGE-C2) Center will take on the grand challenge of advancing implementation science to improve cancer screening and prevention in underserved populations. This work is urgently needed because cancer screening and prevention disparities exist with regard to delivery of evidence-based interventions (EBIs). Effective strategies to improve implementation of EBIs in primary care community health centers (CHCs) that can eliminate these disparities are not known or poorly understood. Implementation science can contribute new knowledge that will transform CHCs' ability to serve the nation's most vulnerable populations. The BRIDGE-C2 Center will: 1) create a sustainable infrastructure for developing, conducting, and continuously evaluating implementation strategies that enhance primary care's ability to equitably deliver evidence-based cancer screening and prevention interventions to all people, emphasizing closing care gaps for vulnerable populations; 2) build capacity and training opportunities, and engage a multi-disciplinary team of implementation science and methods experts, to facilitate the development of innovative approaches relevant to our grand challenge; and 3) identify strategies to improve implementation of cancer screening and prevention EBIs in primary care, and conduct research / develop pragmatic methods to tailor, enhance, and support the adoption and sustainability of these strategies. We will build on the strong established partnerships between researchers at Oregon Health & Science (OHSU) primary care, the OHSU Knight Cancer Institute, and the OCHIN Implementation Laboratory (a well-established national network of >500 CHCs that share an electronic health record through the OCHIN Practice-Based Research Network). The BRIDGE-C2 Center will conduct pilot studies that develop and test strategies to improve implementation of EBIs, rapidly scale up successful pilots to conduct large scale pragmatic trials, and widely disseminate effective innovations to primary care practices caring for underserved populations. Woven throughout these activities will be the Center's focus on mentoring and training early career implementation scientists and leveraging collaborations to increase implementation science capacity. The Center's Administrative Core will serve as the nucleus that bridges the Research Program and Implementation Laboratory, providing support for research activities, leadership, governance, investigator development, dissemination, evaluation, and a connection to the national ISCCC network. Our first two research pilots aim to improve cervical cancer screening and follow-up care and tobacco cessation. Our first two methods pilots will create novel capabilities to predict needed implementation support based on provider and practice characteristics. We will spread our discoveries and create mechanisms for widely disseminating our findings and innovations to scientific, professional, and community networks to increase implementation of cancer screening and prevention EBIs and decrease health disparities.

整体项目总结 在实施和传播中建立研究，以缩小差距，实现癌症公平 控制(桥-C2)中心将承担将实施科学推进到 改善服务不足人群的癌症筛查和预防。这项工作是当务之急 因为在提供循证证据方面，癌症筛查和预防方面存在差异 干预措施(EBI)。改善基层保健社区卫生中EBIS实施的有效策略 可以消除这些差异的中心(CHC)既不为人所知，也不为人所知。实施 科学可以贡献新的知识，这将改变社区卫生保健机构为国家最弱势群体服务的能力 人口。桥-C2中心将：1)创建可持续的基础设施，用于开发、实施和 持续评估加强初级保健公平提供能力的实施战略 面向所有人的循证癌症筛查和预防干预措施，强调缩小护理差距 针对弱势群体；2)建设能力和培训机会，并建立一个多学科团队 实施科学和方法专家，以促进制定相关的创新办法 应对我们的重大挑战；以及3)确定战略，以改进癌症筛查和 初级保健中的预防EBI，并进行研究/开发实用方法，以量身定制、增强和 支持这些战略的采纳和可持续性。我们将在已建立的牢固伙伴关系的基础上再接再厉 俄勒冈州健康与科学(OHSU)初级保健的研究人员，OHSU奈特癌症研究所， 和OCHIN实施实验室(一个由500个CHC组成的完善的国家网络，共享 通过人道协调厅以实践为基础的研究网络提供电子健康记录)。桥-C2中心将 进行试点研究，制定和测试战略，以改进EBI的实施，迅速扩大规模 成功试点开展大规模务实试验，广泛传播有效创新成果 初级保健做法照顾服务不足的人群。贯穿这些活动的将是 中心的重点是指导和培训早期职业实施科学家，并利用合作 提高实施科学能力。中心的行政核心将作为核心， 为研究计划和实施实验室搭建桥梁，为研究活动提供支持； 领导、治理、调查员发展、传播、评价以及与国家的联系 ISCCC网络。我们的前两项研究试点旨在改善宫颈癌筛查和后续护理以及 戒烟。我们的前两个方法试点将创建预测所需实施的新功能 根据提供商和实践特点提供支持。我们将传播我们的发现并创造机制 向科学、专业和社区网络广泛传播我们的发现和创新，以 加大癌症筛查和预防EBI的实施力度，缩小健康差距。