Enhancing Practiced-Based Research in OKPRN

描述(由申请者提供)：所请求的基础设施支持包括足够数量的个人数字助理(PDA)和培训，以确保所有成员实践都能够以电子方式收集和传输研究数据。一名掌上电脑培训员还将教授如何使用掌上电脑预防服务提醒系统的做法，这将有助于收集例行做法数据，并增加预防服务的交付和记录。一名网络协调员将与目前的美洲原住民成员实践、他们的部落委员会和印度健康服务机构合作，以提高我们将这些诊所纳入网络项目的能力。她/他还将制定一个组织更好的征聘和保留程序，将新做法的招聘目标对准为少数群体服务的做法和目前任职人数不足的更大的做法。所有申请的资金都将直接用于这些基础设施部分，因为大学放弃了对该项目这一部分的间接费用的要求。 拟议的探索性/试点项目包括对三种改善糖尿病患者管理的干预措施进行随机试验。它旨在测试使用我们开发的用于以实践为基础的研究网络的研究流程开发的最佳实践方法与基准比较的影响。它还将衡量实践增强助理(PEA)在将研究转化为实践方面的价值。从这项初步研究中获得的信息应该使我们有可能设计涉及更多网络的更大规模的研究。

DESCRIPTION (provided by applicant): The infrastructure support requested includes a sufficient number of (PDAs) and training to ensure that all member practices are able to collect and transmit research data electronically. A PDA trainer will also teach the practices to use the PDA Preventive Services Reminder System, which will facilitate collection of routine practice data and increase the delivery and documentation of preventive services. A network coordinator will work with the current Native American member practices, their tribal councils, and the Indian Health Service to improve our ability to include these clinics in network projects. She/he will also develop a better-organized recruitment and retention process, targeting new practice recruitment to practices serving minority populations and larger practices, which are currently underrepresented. All of the requested funds will go directly to these infrastructure elements since the University has waived its request for indirect costs for this portion of the project. The proposed exploratory/pilot project involves a randomized trial of three interventions for improving the management of diabetic patients. It is designed to test the impact of a best-practice method developed using a research process that we have developed for use in practice-based research networks compared to benchmarking. It will also measure the value of practice enhancement assistants (PEAs) for translating research into practice. Information learned from this pilot study should make it possible for us to design larger studies involving additional networks.