Methods Core

方法核心

• 批准号: 10621640
• 负责人: Michael David Pullmann
• 金额: $ 83.02万
• 依托单位: UNIVERSITY OF WASHINGTON
• 依托单位国家: 美国
• 财政年份: 2018
• 资助国家: 美国
• 起止时间: 2018-05-15 至 2028-03-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10621640
• 关键词: Address; Adherence; Adoption; Affect; Attitude; Catalogs; Client; Climate; Clinical; Collaborations; Communities; Consolidated Framework for Implementation Research; Consultations; Cost Analysis; Data; Data Analyses; Data Collection; Discover, Design, Build, and Test Framework; Evidence based intervention; Face; Funding; Future; Health Resources; Individual; Intention; Intervention; Intervention Studies; Leadership; Libraries; Medicine; Meta-Analysis; Methodology; Methods; Modification; Outcome; Output; Patient-Focused Outcomes; Phase; Pilot Projects; Population; Primary Care; Process; Progress Reports; Reporting; Research; Research Activity; Research Personnel; Research Project Grants; Research Support; Resources; Rest; Schools; Site-Directed Mutagenesis; Standardization; Structure; Supervision; Teacher Professional Development; Technology; Testing; Training; Typology; Universities; Update; Washington; Work; care recipients; community organizations; comparative; cost; design; effectiveness/implementation study; effectiveness/implementation trial; equity, diversity, and inclusion; evidence base; human centered design; implementation outcomes; implementation science; implementation strategy; improved; innovation; integrated care; iterative design; novel; prospective; psychosocial; research faculty; shared decision making; theories; usability

PROJECT SUMMARY. The UW ALACRITY Center Methods Core (MC) has made important contributions to overcome the challenges of implementing evidence-based clinical interventions (CI) in under-resourced health and school settings using implementation strategies (IS). Accomplishments over the last four years include integrating human-centered design and implementation science methods to develop the Discover, Design/Build, and Test (DDBT) framework; developing a Typology of CI/IS Modification Targets; developing a Library of Redesign Solutions; and evaluating the impact of redesign on capacity, usability, and quality. Under the direction of Drs. Munson and Pullmann, the next five years of UWAC funding will focus on the following aims and activities: (1) Identifying and catalog CI/IS modification targets to improve usability, engagement, and appropriateness in accessible nonspecialty settings; (2) Developing redesign solutions with local teams to address CI/IS modification targets; (3) Determining if redesign affects changes in usability, engagement, and appropriateness through changes in CI/IS modification targets. Modification targets and redesign solutions from the original, centralized DDBT approach from the first four years will be compared to those from the local DDBT approach proposed for the next five years via comparative qualitative analysis. The MC will accomplish these aims by supporting application of DDBT in localized settings (i.e., DDBT will be conducted by local project redesign teams) and synthesizing results from three R34 sized research projects, one R01 sized hybrid effectiveness- implementation study, and multiple pilot projects. Systematic, standardized mixed methods assessments across all studies will collect quantitative and qualitative data on adherence to the DDBT process, impacts on engagement, usability, and appropriateness of the CI/IS, and impacts on client functioning and outcomes. Cost data will be collected to determine the impact of the DDBT process on local resources. The MC will provide expert methodological and technical support to all projects, such as structured trainings and supports such as monthly consultations, templates, academic resources, worksheets, data collection portals, and mixed methods analyses. The MC will work to increase diversity, equity, and inclusion within research activities and faculty development. A strong dissemination plan will be implemented to ensure that products are available to the research community.

项目摘要。UW ALACRITY中心方法核心（MC）为以下方面做出了重要贡献： 克服在资源不足的卫生领域实施循证临床干预（CI）的挑战 和学校设置使用实施战略（IS）。过去四年的成就包括： 整合以人为本的设计和实施科学方法，开发发现，设计/建造， 和测试（DDBT）框架;开发CI/IS修改目标的类型学;开发 重新设计解决方案;评估重新设计对容量、可用性和质量的影响。指导下 根据曼森博士和普尔曼博士的建议，UWAC未来五年的资金将集中在以下目标和活动上： (1)识别并分类CI/IS修改目标，以提高可用性、参与度和适当性， 无障碍非专业环境;（2）与当地团队一起开发重新设计解决方案以解决CI/IS问题 修改目标;（3）确定重新设计是否影响可用性、参与度和适当性的变化 通过CI/IS修改目标的变化。从原来的修改目标和重新设计的解决方案， 将前四年的集中DDBT方法与当地DDBT方法进行比较 通过比较定性分析，为今后五年提出建议。管委会将通过以下方式实现这些目标： 支持DDBT在本地化环境中的应用（即，DDBT将通过本地项目重新设计进行 团队），并综合了三个R34规模的研究项目，一个R 01规模的混合有效性- 实施研究和多个试点项目。系统化、标准化的混合方法评估 所有研究都将收集有关遵守DDBT过程的定量和定性数据， CI/IS的参与度、可用性和适当性，以及对客户功能和结果的影响。成本 将收集数据，以确定DDBT过程对当地资源的影响。MC将提供 为所有项目提供专家方法和技术支持，如结构化培训和支持， 每月咨询、模板、学术资源、数据库、数据收集门户和混合方法 分析。MC将致力于提高研究活动和教师的多样性，公平性和包容性 发展将实施一项强有力的传播计划，以确保向 研究社区。