Measuring Readiness to Translate Research into Practice

描述(由申请人提供)：开展高质量的研究和将研究成果转化为实践是以实践为基础的研究网络(PBRN)成功的重要衡量标准。我们有兴趣进行探索性研究，以了解初级保健实践的组织特征如何影响他们参与研究及其翻译的准备。科罗拉多州研究网络(CareNet)是一个由AHRQ资助的PBRN，致力于开展研究，以改善不同患者群体的健康和保健。作为CareNet进一步增长和发展的重要组成部分，它有兴趣收集信息，以了解和改进研究如何在其网络实践中进行和转化。CareNet建议与科罗拉多大学健康科学中心的科罗拉多州健康结果计划(COHO)合作，测试和改进衡量初级保健办公室组织准备情况的方法。COHO将在AHRQ资助的小型会议期间进行的概念和方法讨论的基础上再接再厉，该会议将于6月份举行，题为“评估卫生保健设置的组织特征以提高质量”。这项拟议研究的第一个目的是开发和测试一个概念模型，说明PBRN实践的组织特征如何影响他们进行研究的准备情况，并将研究成果转化为实践。这一拟议的R21(第二类支持)将有助于确定用于表征PBRN实践层面的变化准备情况的拟议方法的可靠性，并确定实践层面的准备情况及其随时间的变化对PBRN实践进行研究并将研究转化为实践的能力的预测程度。这项拟议研究的第二个目标是试验为实践提供有用的反馈的方法，这些反馈关于他们的准备情况和潜在的“干预”。这项拟议的研究将在CareNet的20家初级保健诊所内进行。通过使用自我报告调查来衡量实践水平的准备情况，以及使用简短访谈和次要数据来衡量每个实践的研究和翻译工作，我们将提高我们对影响实践如何适应和管理在进行和将研究成果转化为实践过程中涉及的变化的因素的理解。

DESCRIPTION (provided by applicant): Both conducting high quality research and translating research findings into practice are important measures of success for practice-based research networks (PBRNs). We are interested in conducting exploratory research to understand how the organizational features of primary care practices affect their readiness to engage in research and its translation. The Colorado Research Network (CaReNet) is an AHRQ-funded PBRN dedicated to conducting research to improve the health and health care of diverse patient populations. As an important part of CaReNet's further growth and development, it is interested in collecting information to understand and improve how research is conducted and translated in its network practices. CaReNet proposes to collaborate with the Colorado Health Outcomes Program (COHO) at the University of Colorado Health Sciences Center to test and refine methods for measuring the organizational readiness of primary care offices. COHO will build on the conceptual and methodological discussions that will occur during an AHRQ-funded small conference they will host in June titled "Assessing Organizational Features of Health Care Settings to Improve Quality." The first aim of this proposed study is to develop and test a conceptual model of how organizational features of PBRN practices affect their readiness to conduct research and to translate research findings into practice. This proposed R21 (Category II Support) will help to determine the reliability of proposed methods for characterizing PBRN practice-level readiness to change, and to determine how well practice-level readiness and its change over time predict PBRN practices' ability to conduct research and to translate research into practice. The second objective of this proposed study is to pilot methods for providing useful feedback to practices about their readiness and potential "interventions." The proposed research will be conducted within 20 primary care practices in CaReNet. Through the use of self-report surveys to measure practice-level readiness, and brief interviews and secondary data to measure each practice's research and translation efforts, we will improve our understanding of factors that affect how well practices adapt to and manage changes involved in conducting and translating research findings into practice.