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Implementation and Health Systems Integration Core

实施和卫生系统集成核心

基本信息

批准号：
8934502
负责人：
MICHAEL C FIORE
金额：
$ 121.81万
依托单位：
UNIVERSITY OF WISCONSIN-MADISON
依托单位国家：
美国
项目类别：
财政年份：
资助国家：
美国
起止时间：
至
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/8934502
关键词：
Achievement Address Chronic Care Clinic Computer software Data Collection Data Quality Databases Development Documentation Electronic Health Record Ensure Evaluation Goals Health Health Care Visit Health Services Research Health system Healthcare Healthcare Systems Individual Internist Intervention Intervention Studies Link Modification Monitor Motivation Participant Phase Primary Health Care Procedures Protocols documentation Recording of previous events Recovery Recruitment Activity Relapse Research Research Activity Research Methodology Research Personnel Research Project Grants Research Training Resources Role Secure Smoker Smoking Smoking Status Support System System Systems Integration Testing Training United States National Institutes of Health Visit Withholding Treatment Work base comparative effectiveness computerized design effectiveness research evidence base experience improved meetings prevent programs quality assurance research study smoking cessation smoking intervention success treatment as usual

项目摘要

This Program Project aims to develop a comprehensive treatment approach that engages all smokers visiting healthcare settings in treatment that efficiently and effectively helps them stop smoking. This will be achieved by: 1) developing a smoker recruitment strategy to be used in real-world primary care clinics that is based on enhancements to the electronic health record (EHR), and 2) by developing a chronic care treatment for smoking that is effective across all phases of smoking treatment: enhancing quitting motivation, aiding cessation, preventing relapse, and aiding relapse recovery. The proposed research will use powerful research methods that call for testing multiple intervention components in multiple linked experiments. Thus, the proposed research requires implementation strategies that support effective modification of the EHR, the conduct of studies in healthcare settings, and the accurate delivery and evaluation of multiple intervention components with smokers at different phases of smoking treatment. The Implementation and Health Systems Integration Core will support the four proposed research projects by achieving four specific aims: 1) To support the development and implementation of an EHR enhanced to increase the documentation of smoking status and referral to smoking treatment for smokers visiting real-world primary care clinics. 2) To adapt, implement, and maintain a computerized database to prompt and track interventions and to ensure that research staff administer the appropriate study interventions and assessments for all four projects described in this Program Project application; 3) To train all research staff to conduct all study interventions and assessments and to monitor competency and fidelity to study protocols; and 4) To support an integrated recruitment strategy to meet the recruitment goals for Projects 2-4 (N=1712 from 18 primary care clinics in three healthcare systems over 24 months). The achievement of these aims will be enhanced by the extensive prior experience of the Core investigators and staff in modifying EHRs, conducting research in healthcare settings, and conducting ambitious comparative effectiveness research on smoking treatments. This Core will ensure that the proposed work is conducted in a highly effective and timely manner.

该计划项目旨在开发一种综合治疗方法，使所有访问医疗机构的吸烟者都能有效地帮助他们戒烟。这将通过以下方式实现：1）制定一个吸烟者招募策略，用于现实世界的初级保健诊所，该策略基于电子健康记录（EHR）的增强，以及2）通过开发一种在吸烟治疗的所有阶段都有效的吸烟慢性护理治疗：增强戒烟动机，帮助戒烟，预防复发，并帮助复发恢复。拟议的研究将使用强大的研究方法，要求在多个相关实验中测试多个干预成分。因此，拟议的研究需要实施策略，支持有效修改EHR，在医疗保健环境中进行研究，以及在吸烟治疗的不同阶段准确提供和评估吸烟者的多种干预成分。实施和卫生系统整合核心将通过实现四个具体目标来支持四个拟议的研究项目：1）支持EHR的开发和实施，以增加吸烟状况的记录，并为访问真实世界初级保健诊所的吸烟者提供吸烟治疗。2)调整、实施和维护计算机化数据库，以提示和跟踪干预措施，并确保研究人员对本计划项目申请中描述的所有四个项目进行适当的研究干预和评估; 3）培训所有研究人员进行所有研究干预和评估，并监测研究方案的能力和忠诚度;和4）支持综合招聘战略，以实现项目2-4的招聘目标（N=1712，来自三个医疗保健系统的18个初级保健诊所，为期24个月）。这些目标的实现将通过核心研究者和工作人员在修改EHR、在医疗保健环境中进行研究以及对吸烟治疗进行雄心勃勃的比较有效性研究方面的丰富经验得到加强。该核心将确保以高效和及时的方式开展拟议的工作。