iDAPT: Implementation and Informatics - Developing Adaptable Processes and Technologies for Cancer Control

iDAPT：实施和信息学 - 开发癌症控制的适应性流程和技术

• 批准号: 10020354
• 负责人: Sarah LeLeiko Cutrona
• 金额: $ 77.69万
• 依托单位: WAKE FOREST UNIVERSITY HEALTH SCIENCES
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-09-18 至 2024-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10020354
• 关键词: Address; Appalachian Region; Baptist Church; Behavioral Sciences; Biometry; Breast Cancer survivor; Cancer Control; Caring; Clinic; Clinical; Clinical Informatics; Collaborations; Communication; Communities; Community Clinical Oncology Program; Comprehensive Cancer Center; Computers; Consultations; Development; Doctor of Philosophy; Electronic Mail; Engineering; Ensure; Epidemiologic Methods; Evaluation; Faculty; Family; Fostering; Geographic Locations; Grant; Health; Health Services Research; Informatics; Infrastructure; Intervention; Laboratories; Lead; Leadership; Malignant Neoplasms; Massachusetts; Measures; Medical; Mentors; Methods; Mission; Monitor; Natural Language Processing; North Carolina; Office of Administrative Management; Oncology; Outcome; Patients; Pattern; Persons; Pilot Projects; Population; Population Sciences; Primary Health Care; Process; Public Health Informatics; Qualitative Methods; Research; Research Personnel; Science; Scientist; Site; Structure; Technology; Testing; Time; Training; Underrepresented Groups; Underrepresented Minority; United States; United States Department of Veterans Affairs; Universities; Work; base; cancer health disparity; cancer prevention; computer science; data management; design; experience; forest; implementation science; improved; innovation; medical schools; member; multidisciplinary; patient population; peer learning; professor; programs; research study; shared decision making; socioeconomics; support network; survivorship; synergism

PROJECT SUMMARY iDAPT Implementation and Informatics - Developing Adaptable Processes and Technologies for Cancer Control is a developing center with an emerging theme on the use of technologies to support rapid cycle and real time deployment and testing of implementation processes and adaptations within cancer control. The Administrative Core will manage the Center, ensure that iDAPT is engaged with “real world” clinical partners, patients, and families, is well-networked with the Implementation Science Centers in Cancer Control consortium, and engage in a comprehensive evaluation of Center activities and milestones. The Research Program will include an Implementation Studies Unit with an initial 2-year pilot study using adaptable technology to enhance shared decision-making in survivorship care planning for survivors of breast cancer. The Research Program also includes a Methods Unit with an initial innovation pilot study to test the feasibility of natural language processing to measure communication patterns pre-implementation and to monitor implementation fidelity of programs designed to enhance within-team and clinical team-to-patient electronic communication. The Research Program is expected to complete 8 to 10 pilot studies. In order to foster research aligned with iDAPT’s theme, we will build and sustain iDAPT’s Implementation Laboratory which incorporates capacity building and infrastructure for testing the use of technologies to support rapid cycle and real time deployment of implementation processes and adaptations within cancer control. The laboratory includes primary care and oncology clinics in our local “Hubs” in southern Appalachia (North Carolina) and the northeast (Massachusetts) and “Spokes” including over 900 community-based oncology clinics in the NCIs National Community Oncology Research Program and nationwide Veteran’s Administration clinics. iDAPTs leadership is a multi-disciplinary team of experts with extensive experience in cancer-focused implementation science, behavioral science, computer engineering and computer science, clinical informatics, formative qualitative methods, epidemiology, and biostatistics. The iDAPT Developing Center will be considered successful if we achieve the following outcomes: (1) a robust, collaborative Implementation Laboratory with partners who are knowledgeable and experienced with implementation science in cancer control; (2) completion of 8 to 10 pilot projects related to iDAPTs emerging theme; (3) pilot grantees and lab partners are prepared to lead investigator initiated studies as a result of capacity building and pilot grant experiences; (4) junior faculty and underrepresented persons are engaged in all Center activities; (5) The field of implementation science in cancer control is advanced aligned within iDAPT’s emerging theme; and (6) iDAPT is part of a new network of ISCCCs who collectively build the field of implementation science in cancer control.

项目概要 iDAPT 实施和信息学 - 开发针对癌症的适应性流程和技术 Control 是一个发展中心，其新兴主题是使用技术来支持快速循环和 实时部署和测试癌症控制内的实施流程和调整。这 行政核心将管理该中心，确保 iDAPT 与“现实世界”的临床合作伙伴合作， 患者和家属与癌症控制实施科学中心建立了良好的网络 联盟，并对中心活动和里程碑进行全面评估。研究 计划将包括一个实施研究单位，该单位将使用适应性强的方法进行为期 2 年的初步试点研究 增强乳腺癌幸存者生存护理规划中的共同决策的技术。 该研究计划还包括一个方法单元，进行初步创新试点研究以测试可行性 自然语言处理来测量实施前的通信模式并进行监控 旨在增强团队内部和临床团队与患者之间的电子化的计划的实施保真度 沟通。该研究计划预计将完成 8 至 10 项试点研究。为了培养 与 iDAPT 主题一致的研究，我们将建立和维持 iDAPT 的实施实验室， 纳入能力建设和基础设施，用于测试技术的使用，以支持快速周期和 癌症控制内实施流程和调整的实时部署。实验室 包括阿巴拉契亚南部（北卡罗来纳州）当地“中心”的初级保健和肿瘤诊所以及 东北部（马萨诸塞州）和“Spokes”，包括 NCI 中 900 多个社区肿瘤诊所 国家社区肿瘤学研究计划和全国退伍军人管理局诊所。 iDAPT 领导层是一个多学科专家团队，在以癌症为重点的实施方面拥有丰富的经验 科学、行为科学、计算机工程和计算机科学、临床信息学、形成性 定性方法、流行病学和生物统计学。将考虑建立iDAPT开发中心 如果我们实现以下成果，我们就成功了：(1) 一个强大的协作实施实验室， 在癌症控制实施科学方面知识渊博、经验丰富的合作伙伴； (2) 完成 8 至 10 个与 iDAPT 新兴主题相关的试点项目； (3) 试点受资助者和实验室合作伙伴是 由于能力建设和试点拨款经验，准备领导研究者发起的研究； (4) 初级教员和代表性不足的人员参与中心的所有活动； (5)领域 癌症控制中的实施科学与 iDAPT 的新兴主题保持一致； (6) iDAPT 是 ISCCC 新网络的一部分，该网络共同构建癌症控制实施科学领域。