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

基本信息

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
项目类别：
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

项目摘要

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.

总体项目摘要在实施和传播方面的建筑研究，以缩小差距并实现癌症的公平性控制（Bridge-C2）中心将面临将实施科学推进到的巨大挑战改善服务不足人群的癌症筛查和预防。迫切需要这项工作因为在提供循证的癌症筛查和预防差异方面存在干预措施（EBIS）。改善EBI在初级保健社区健康中实施EBI的有效策略可以消除这些差异的中心（CHC）尚不清楚或不了解。执行科学可以贡献新知识，这将改变CHC为国家最脆弱的能力人群。 Bridge-C2中心将：1）创建一个可持续的基础设施，用于开发，进行，进行和不断评估实施策略，以增强初级保健的公平交付能力对所有人的循证癌症筛查和预防干预措施，强调缩小护理差距对于弱势群体； 2）建立能力和培训机会，并参与一个多学科团队实施科学和方法专家，以促进相关的创新方法的发展面对我们的巨大挑战； 3）确定改善癌症筛查的实施的策略和预防初级保健中的EBI，并进行研究 /开发务实的方法来量身定制，增强和支持这些策略的采用和可持续性。我们将建立在建立良好的伙伴关系的基础上 OHSU骑士癌症研究所的俄勒冈健康与科学研究人员（OHSU）的研究人员，以及Ochin实施实验室（建立完善的国家网络> 500个CHC，共享通过基于Ochin实践的研究网络的电子健康记录）。桥C2中心将进行试点研究，以开发和测试策略以改善EBIS的实施，快速扩展成功进行大规模务实试验的飞行员，并广泛传播有效的创新照顾服务不足人群的初级保健实践。在这些活动中编织将是中心专注于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。该中心的行政核心将充当核心桥接研究计划和实施实验室，为研究活动提供支持，领导力，治理，调查员发展，传播，评估以及与国家的联系 ISCCC网络。我们的前两名研究飞行员旨在改善宫颈癌筛查和随访护理以及烟草戒烟。我们的前两种方法飞行员将创建新颖的功能来预测所需的实施基于提供商和实践特征的支持。我们将传播我们的发现并创建机制为了将我们的发现和创新传播给科学，专业和社区网络增加癌症筛查和预防EBI的实施，并减少健康差异。