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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.

项目总体总结