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Pragmatic Implementation Science Approaches to Assess and Enhance Value of Cancer Prevention and Control in Rural Primary Care

务实实施科学方法评估和提高农村初级保健癌症预防和控制的价值

基本信息

批准号：
10021633
负责人：
RUSSELL E GLASGOW
金额：
$ 76.22万
依托单位：
UNIVERSITY OF COLORADO DENVER
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：
2019-09-20 至 2024-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10021633
关键词：
Acute Address Adoption Affect Cancer Center Cancer Control Certification Characteristics Clinic Clinical Collaborations Colorado Communication Research Communities Competence Cost Analysis Costs and Benefits Data Development Effectiveness Evidence based program Guidelines Human Papilloma Virus Vaccination Infrastructure Intervention Laboratories Maintenance Malignant Neoplasms Measures Mentors Methods Modeling Outcome Patients Pilot Projects Population Prevention program Primary Health Care Provider Reporting Research Research Personnel Resources Risk Factors Rural Rural Community Sampling Site Standardization Surveys Testing Training Translating Update Work cancer prevention cancer risk cancer therapy career certificate program contextual factors cost design dissemination research evidence base implementation research implementation science innovation intervention program lung cancer screening outreach patient oriented practical application practice setting preference primary care setting programs rural area rural setting screening program shared decision making smoking cessation

项目摘要

Project Summary/Abstract – Overall The theme of our proposed Implementation Science Center is “Pragmatic implementation science approaches to assess and enhance the value of cancer prevention and control in rural primary care.” We will apply and advance frameworks, pragmatic methods, and measures related to cost, benefits, and value that are rigorous, but also generalizable across rural primary care settings that are often struggling with low resources, and a high need population. These models and methods will be used to guide selection and implementation of evidence-based programs for cancer prevention and control (CPC). We will initially focus on lung cancer screening in rural primary care settings, first in Colorado and then nationally through collaboration with a well- established primary care network (i.e., National Research Network). Our overarching framework will be our enhanced RE-AIM/PRISM model, which is an extension of the broadly used Reach, Effectiveness, Adoption, Implementation, and Maintenance framework with the addition of contextual factors (e.g., Intervention characteristics, implementation and sustainability infrastructure). It will serve as the basis to develop and test innovative assessments of costs, benefits, and value from the perspective of different stakeholders to understand and guide implementation. We will meaningfully engage with and include the perspectives of patients, providers, and staff stakeholders in all our studies. Our pilot Implementation Study will adapt, implement, and evaluate strategies using stakeholder-engaged approaches to value to guide the implementation of shared decision-making and smoking cessation related to lung cancer screening. Our Methods Unit will refine and evaluate our pragmatic cost assessment methods to determine implementation/replication costs from the perspective(s) of patients, providers, and delivery staff and then develop and pilot test brief survey measures of preferences regarding the relative benefit of different RE-AIM outcomes. We will then assess relationships among RE-AIM outcomes preferences and selection of different CPC programs. Finally, our Outreach and Network Unit will engage in a) outreach activities targeted at junior and mid-career investigators and practitioners including online professional development (e.g., graduate certificate program, micro-certification) and tailored mentoring and technical assistance approaches; b) dissemination activities to support the packaging and communication of research findings; and c) collaboration activities to facilitate partnerships on CPC and implementation science using multiple channels and including development of shared pragmatic D&I measures and data.

项目摘要/摘要--总体我们建议的实施科学中心的主题是“务实的实施科学方法” 评估和提升癌症防控在农村初级保健中的价值。我们将申请和超前的框架，务实的方法，严谨的成本效益和价值措施，但也可以在农村初级保健环境中推广，这些环境往往在资源不足的情况下苦苦挣扎，高需求人群。这些模型和方法将用于指导选择和实施癌症预防和控制的循证计划(CPC)。我们将首先关注肺癌在农村初级保健环境中进行筛查，首先在科罗拉多州，然后通过与一家水井合作在全国范围内- 建立初级保健网络(即国家研究网络)。我们的总体框架将是增强的RE-AIM/PRISM模型，它是广泛的使用REACH、有效性、采用、实施和维护框架，并添加背景因素(例如干预特点、执行情况和可持续性基础设施)。会的作为开发和测试创新的成本、收益和价值评估的基础从不同利益攸关方的角度理解和指导实施。我们将有意义地参与将患者、提供者和员工利益相关者的观点纳入我们所有的研究中。我们的飞行员实施研究将使用利益相关者参与的方法调整、实施和评估战略对肺癌患者共同决策和戒烟实施的指导价值放映。我们的方法股将改进和评估我们的实用成本评估方法，以确定从患者、提供商和交付人员的角度(S)了解实施/复制成本，然后针对不同RE-AIM的相对收益制定和试行简短的偏好调查措施结果。然后我们将评估RE-AIM结果、偏好和不同选择之间的关系 CPC计划。最后，我们的外联和网络股将开展a)针对青少年的外联活动以及职业生涯中期的调查人员和从业者，包括在线专业发展(例如，毕业生证书方案、微型认证)和量身定做的指导和技术援助办法；b) 开展传播活动，以支持研究成果的包装和传播；以及c) 开展协作活动，利用多种渠道促进方案协调会和执行科学方面的伙伴关系并包括开发共享的务实的D&I措施和数据。