The Implementation Science Center for Cancer Control Equity - Implementation Lab

癌症控制公平实施科学中心 - 实施实验室

• 批准号: 10252864
• 负责人: Elsie Mireya Taveras Benavidez
• 金额: $ 73万
• 依托单位: HARVARD SCHOOL OF PUBLIC HEALTH
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-09-20 至 2024-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10252864
• 关键词: Adoption; Biometry; Cancer Center; Cancer Control; Cancer Prevention Intervention; Caring; Clinical; Communication; Communities; Community Health; Country; Data; Data Collection; Data Reporting; Development; Dissemination and Implementation; Early Diagnosis; Ecosystem; Elements; Environment; Evaluation; Evidence based intervention; Future; Goals; Health; Interactive Systems Framework; Knowledge; Laboratories; Low income; Malignant Neoplasms; Massachusetts; Monitor; Neighborhood Health Center; Outcome; Patients; Persons; Pilot Projects; Population; Positioning Attribute; Preventive; Primary Health Care; Readiness; Research; Research Design; Research Personnel; Resources; Site; System; Testing; Time; Translating; Vulnerable Populations; cancer care; cancer prevention; care delivery; clinical practice; community setting; data management; data sharing; data visualization; evidence base; experience; health disparity; health disparity populations; health equity; implementation research; implementation science; implementation study; improved; innovation; interoperability; learning community; member; point of care; prevent; socioeconomics; virtual

Evidence-based interventions for cancer control could prevent more than half of cancers in the U.S. if scaled nationally, yet there remains a substantial gap in the adoption of these strategies across clinical and community settings, particularly in settings that serve socioeconomically vulnerable populations. We propose to develop an implementation laboratory (I-Lab) of community health centers (CHCs) across Massachusetts (MA) to increase implementation science in community health settings, enable a range of studies on the adoption and implementation of cancer prevention and control strategies, and allow for rapid-cycle testing of innovative approaches in settings that serve health disparities populations. We propose to partner with the Massachusetts League of Community Health Centers, a robust primary care association in MA, and 31 Mass League member CHCs that all use an interoperable, comprehensive data reporting platform, the Data Reporting and Visualization System (DRVS), to inform and evaluate implementation and quality improvement activities. We will develop a three-tiered Implementation Laboratory (I-Lab) that builds capacity and implementation readiness among MA CHCs and provides support for pilot implementation and evaluation of evidence-based interventions among a subset of CHCs that are ready to undertake implementation activities. The I-Lab will include 5 CHCs as active pilot sites, 10 CHCs in the learning community, and up to 16 in the early engagement tier across years 1-5. The I-Lab will offer a range of implementation supporting elements to its members, informed by the Interactive Systems Framework for Dissemination and Implementation (ISF), including a virtual and in-person learning community to enhance organizational capacity, an implementation support team to guide integration of evidence-informed strategies into clinical practice, an implementation practitioner to provide ongoing technical assistance to I-Lab pilot sites, and financial resources to support CHC participation in a variety of innovative and priority pilot implementation studies. The I-Lab, its members, and our ISCCCE investigators will be supported by a Data Management Unit to coordinate data collection, data sharing, and data-related communication across I-Lab members and ISCCCE investigators. We will also establish a Practice Surveillance Unit to monitor ongoing implementation activities, track outcomes of the rapid-cycle pilot studies, inform the development of future pilot studies, and assess for unintended negative impacts on other health disparities initiatives across the CHCs. To achieve the aims of the I-Lab, we have assembled a research, implementation, clinical, and community health team with extensive experience in cancer prevention interventions, cancer care equity, implementation science, community health improvement, research design and biostatistics. Our ultimate goals are to advance implementation science in cancer control and to create an implementation science ecosystem in CHCs across MA that engages health centers in deploying evidence-based strategies for cancer prevention and control and increases health equity.

如果扩大规模，基于证据的癌症控制干预措施可以预防美国一半以上的癌症 然而，在全国范围内，在临床和医疗领域采用这些策略仍然存在很大差距 社区环境，特别是在服务于社会经济弱势群体的环境中。我们建议 在马萨诸塞州建立社区卫生中心(CHC)的实施实验室(I-Lab) (Ma)在社区卫生环境中增加执行科学，使一系列关于 通过和实施癌症预防和控制战略，并允许对 在服务于健康差距人群的环境中采取创新方法。我们建议与 马萨诸塞州社区卫生中心联盟，马萨诸塞州一个强大的初级保健协会，以及31马萨诸塞州 团员CHC都使用可互操作的综合数据报告平台Data 报告和可视化系统(DRV)，以告知和评估实施情况和质量改进 活动。我们将建立一个三级实施实验室(i-Lab)，以建设能力和 在MA CHC之间为实施准备就绪，并为试点实施和评估提供支持 在准备开展执行活动的部分初级卫生保健机构中采取循证干预措施。 I-Lab将包括5个CHC作为积极的试点站点，10个CHC在学习社区中，最多16个在 跨1-5年间的早期参与层。I-Lab将提供一系列实施支持元素，以 其成员由互动系统传播和实施框架(ISF)提供信息， 包括虚拟和面对面学习社区，以增强组织能力，实施 支持团队指导将循证战略整合到临床实践中，实施 实践者为i-Lab试验点提供持续的技术援助，并提供财政资源支持CHC 参与各种创新和优先的试点实施研究。I-Lab、其成员和我们的 ISCCCE调查员将由一个数据管理股提供支助，以协调数据收集、数据 I-Lab成员和ISCCCE调查人员之间的共享和数据相关交流。我们还将 设立一个做法监督股，以监测正在进行的执行活动，跟踪 快速循环试点研究，为未来试点研究的发展提供信息，并评估意外的负面影响 对各社区卫生保健中心的其他健康差距倡议的影响。为了达到i-Lab的目标，我们已经 组建了一支研究、实施、临床和社区卫生团队，拥有丰富的 癌症预防干预措施、癌症护理公平、实施科学、改善社区卫生、 研究设计和生物统计学。我们的最终目标是推进癌症控制的实施科学 并在跨MA的CHC中创建实施科学生态系统，使卫生中心参与到 部署以证据为基础的癌症预防和控制战略，增加卫生公平。