Research Program

研究计划项目摘要 研究计划将解决将实施科学推进到 通过开发和开展癌症筛查和预防，改善服务不足人群的癌症筛查和预防 快速循环测试实施循证干预(EBI)的创新方法。这个 剑桥-C2中心的研究计划和实施实验室之间的伙伴关系将促进 并加快健全和相关的科学，以解决癌症筛查和预防方面的差异。至 要做到这一点，研究方案将设立一个执行研究股和一个方法股。 这些单位在执行科学研究和开发方面拥有广泛的专业知识 以及将新的混合方法应用于癌症筛查和预防问题，与 在初级保健方面。该中心还将在执行实验室进行四个初步试点，并使用 紧急发现，为未来的项目提供信息。我们选择了两个研究先导项目来研究 实施旨在提高(1)宫颈癌筛查(巴氏试验)和 后续护理和(2)提高戒烟支持。遵循类似的接触方式，两人 方法飞行员将评估如何精确设计和定制HIT工具和其他实施战略 一组不同的成员做法，这是执行实验室的高度优先事项。这些飞行员 由利益相关者组成的多学科团队参与产生的项目作为初始种子 从那里启动该中心并建立新的知识、方法和能力来改善癌症 社区卫生控制中心的筛查和预防。研究计划的多学科领导将建立 讨论数据和趋势的流程、新的期望和能力(包括视觉技术的使用 和故事，以确保对话并吸引广泛和不同的利益相关者群体)，并制定和 确定新项目想法的优先顺序，并迅速和广泛地传播结果。该中心有能力 设计考虑可持续发展的研究，开发和测试创新干预措施，以促进 维护EBI，以告知何时需要“助推器”，并最大限度地减少向平均值的回归，即 在实践中常见的变更和实施工作。研究计划基础设施旨在 确定、实施和传播初级保健环境中在改进方面最有效的战略 持续实施癌症筛查和预防EBIs，最终目标是减少健康 差距。

RESEARCH PROGRAM PROJECT SUMMARY The Research Program will address the grand challenge of advancing implementation science to improve cancer screening and prevention in underserved populations by developing and conducting rapid cycle testing of innovative approaches to implementing evidence-based interventions (EBIs). The partnership between the BRIDGE-C2 Center's Research Program and Implementation Laboratory will facilitate and accelerate robust and relevant science to address disparities in cancer screening and prevention. To accomplish this, the Research Program will establish an Implementation Studies Unit and a Methods Unit. These units build upon extensive expertise in conducting implementation science research and in developing and applying novel, mixed methods approaches to cancer screening and prevention issues in partnership with and in primary care. The Center will also conduct four initial pilots in the Implementation Laboratory and use emergent findings to inform future projects. We selected two research pilot projects to study the implementation of interventions designed to increase rates of (1) cervical cancer screening (Pap tests) and follow-up care and (2) improve tobacco cessation support. Following a similar engaged approach, the two Methods Pilots will assess how to precisely design and tailor HIT tools and other implementation strategies for a diverse group of member practices, which is a high priority for the Implementation Laboratory. These pilot projects that emerged from engagement of a multidisciplinary team of stakeholders serve as the initial seeds from which to launch the Center and to build new knowledge, methods, and capacity to improve cancer screening and prevention in CHCs. The multi-disciplinary leadership of the Research Program will establish processes, new expectations, and capacity for discussing data and trends (including use of visual techniques and stories to ensure conversation and engage a wide and varied group of stakeholders), and, develop and prioritize new project ideas, and rapidly and broadly disseminate findings. The Center has the capability to design studies with sustainability in mind, and develop and test innovative interventions that promote maintenance of an EBI to inform when `boosters' are needed, and minimize regression to the mean, which is common in practice change and implementation work. The Research Program infrastructure is designed to identify, implement, and disseminate strategies in primary care settings that are most effective in improving sustained implementation of cancer screening and prevention EBIs with the ultimate goal of reducing health disparities.