Research Program

研究计划

• 批准号: 10251165
• 负责人: Jennifer E DeVoe
• 金额: $ 81.89万
• 依托单位: OREGON HEALTH & SCIENCE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-09-19 至 2024-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10251165
• 关键词: Address; Adoption; Area; Cancer Control; Caring; Cervical Cancer Screening; Data; Development; Dissemination and Implementation; Ensure; Evidence based intervention; Feedback; Future; Generations; Goals; Infrastructure; Intervention; Knowledge; Laboratories; Leadership; Maintenance; Maps; Measures; Methods; Mind; Modeling; Monitor; Pap smear; Pilot Projects; Prevention; Primary Health Care; Process; Program Research Project Grants; Randomized; Research; Research Design; Research Personnel; Research Project Summaries; Science; Scientist; Screening for cancer; Seeds; Techniques; Testing; Tobacco Use Cessation; Underserved Population; Visual; Work; cancer health disparity; design; expectation; follow-up; health disparity; health information technology; implementation framework; implementation intervention; implementation science; implementation strategy; implementation study; improved; innovation; member; multidisciplinary; novel; primary care setting; programs; success; surveillance data; therapy design; tool; trend

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.

研究计划项目摘要 该研究计划将解决推进实施科学的巨大挑战 通过制定和实施，改善服务不足人群的癌症筛查和预防 对实施循证干预措施 (EBI) 的创新方法进行快速循环测试。这 BRIDGE-C2 中心的研究计划和实施实验室之间的合作将促进 并加速发展稳健且相关的科学，以解决癌症筛查和预防方面的差异。到 为了实现这一目标，研究计划将设立一个实施研究单位和一个方法单位。 这些单位建立在进行实施科学研究和开发方面的广泛专业知识之上 与以下机构合作，应用新颖的混合方法来解决癌症筛查和预防问题 和初级保健。该中心还将在实施实验室进行四项初步试点，并使用 为未来项目提供信息的新发现。我们选择了两个研究试点项目来研究 实施旨在提高 (1) 宫颈癌筛查（巴氏试验）率的干预措施，以及 后续护理和 (2) 改善戒烟支持。遵循类似的参与方式，两人 方法试点将评估如何精确设计和定制 HIT 工具以及其他实施策略 多元化的成员实践群体，这是实施实验室的高度优先事项。这些试点 由多学科利益相关者团队参与产生的项目是最初的种子 以此为基础启动该中心并建立新的知识、方法和能力来改善癌症 CHC 的筛查和预防。研究计划的多学科领导将建立 流程、新期望以及讨论数据和趋势的能力（包括视觉技术的使用） 和故事，以确保对话并吸引广泛且不同的利益相关者群体），并且，开发和 优先考虑新的项目想法，并快速、广泛地传播研究结果。该中心有能力 设计研究时要考虑到可持续性，并开发和测试创新的干预措施，以促进 维护 EBI 以通知何时需要“助推器”，并尽量减少均值回归，即 在实践变革和实施工作中常见。研究计划基础设施旨在 在初级保健机构中确定、实施和传播最有效改善的策略 持续实施癌症筛查和预防 EBI，最终目标是减少健康 差异。