QUERI Adaptation Training Hub

我们建议在2015年建立一个以适应为重点的实施科学培训中心。 San弗朗西斯科VA（SFVA）.我们的适应培训计划将提供VA研究人员，临床医生， 和项目办公室领导人，具备成功适应环境所需的知识基础， 在日常实践中实施循证干预措施，以改善退伍军人的护理， 解决当地的障碍和需求。拟议的培训中心将编制课程， 关于适应的教学和实践教育，作为更大范围内的一项执行战略， 实施科学的背景。我们的建议将实现以下目标： 1.创建和提供互动的实施科学课程，特别关注 调整和实施循证干预措施，以适应当地需要 2.为学员提供从设计到实施的结构化纵向指导， 评估其ImS项目 SFVA ImS适应培训中心将提供全面的课程，包括 制定对成功实施至关重要的循证干预措施的关键步骤。这些 干预措施可能带来额外的挑战，必须在当地文化的背景下进行， 经验、资源和优先事项。学员将学习评估证据的方法 支持一项新的干预措施，根据当地需要调整外围组件，并进行严格的 评估适应性干预措施。 我们的教师在适应ImS培训中心参与了广泛的实施 科学项目。我们将从我们的测量科学QUERI中借鉴具体的例子 调查员和研究，包括心脏病学、睡眠医学、胃肠病学和皮肤病学。 我们还将利用在实施科学方面的成熟计划和专业知识， SFVA医疗保健系统和加州旧金山弗朗西斯科（UCSF）支持 制定一个严格和有用的课程，提供了一个广泛的理解ImS在真实的 世界临床实践，以改善医疗保健服务。

We propose to create an Implementation Science (ImS) Training Hub focused on Adaptation at the San Francisco VA (SFVA). Our Adaptation Training Program will provide VA researchers, clinicians, and program office leaders with the foundation of knowledge necessary to successfully adapt and implement evidence-based interventions into routine practice to improve the care of Veterans while addressing local barriers and needs. The proposed training hub will develop a curriculum to provide didactic and hands-on education on adaptation as an implementation strategy within the larger context of Implementation Science. Our proposal will accomplish the following aims: 1. Create and deliver an interactive Implementation Science curriculum with a special focus on adaptation and implementation of evidence-based interventions to fit local needs 2. Provide trainees with structured, longitudinal mentorship from design to implementation to evaluation of their ImS projects The SFVA ImS Training Hub in Adaptation will provide a comprehensive curriculum that includes the key steps of tailoring evidence-based interventions critical to successful implementation. These interventions can provide additional challenges and must be done in the context of local culture, experience, resources, and priorities. Trainees will learn the methods to assess the evidence supporting a new intervention, tailor peripheral components to local needs, and conduct rigorous evaluation of the adapted intervention. Our faculty for the ImS Training Hub in Adaptation are involved in a broad range of implementation science projects. We will draw on specific examples from our Measurement Science QUERI investigators and research including cardiology, sleep medicine, gastroenterology, and dermatology. We will also leverage well-established programs and expertise in implementation science at both the SFVA Health Care System and the University of California San Francisco (UCSF) to support the development of a rigorous and useful curriculum that provides a broad understanding of ImS in real world clinical practice to improve healthcare delivery.