Research Program

研究项目总结 该研究计划将解决推进实施科学的重大挑战， 通过制定和开展以下活动，改善服务不足人群的癌症筛查和预防 对实施循证干预措施的创新方法进行快速周期测试。的 BRIDGE-C2中心的研究计划和实施实验室之间的伙伴关系将促进 并加速强大和相关的科学，以解决癌症筛查和预防方面的差距。到 为了实现这一目标，研究计划将设立一个实施研究股和一个方法股。 这些单位在开展执行科学研究和发展 并将新的混合方法应用于癌症筛查和预防问题， 和初级保健。该中心还将在实施实验室进行四个初步试点， 紧急调查结果，为未来项目提供信息。我们挑选了两个研究先导计划， 实施旨在提高（1）宫颈癌筛查（巴氏试验）率的干预措施， （2）加强戒烟支持。按照类似的参与方式， 方法试点将评估如何精确设计和定制HIT工具和其他实施战略， 一个多样化的成员实践组，这是实施实验室的一个高度优先事项。这些试点 由利益相关者组成的多学科团队参与的项目是最初的种子 以此启动该中心，并建立新的知识，方法和能力，以改善癌症 社区卫生中心的筛查和预防。研究计划的多学科领导将建立 流程、新期望以及讨论数据和趋势的能力（包括使用可视化技术 和故事，以确保对话和参与广泛和不同的利益相关者群体），并制定和 优先考虑新的项目想法，并迅速和广泛地传播研究结果。该中心有能力 在设计研究时考虑到可持续性，并制定和测试创新干预措施， 维持EBI，以告知何时需要“助推器”，并尽量减少对平均值的回归， 在实践中常见的变化和实施工作。研究计划基础设施旨在 在初级保健环境中确定、实施和传播最有效的战略， 持续实施癌症筛查和预防EBI，最终目标是减少健康 差距。

RESEARCH PROGRAM PROJECT SUMMARY The Research Program will address the grand challenge of advancing implementation science to improve cancer screening and prevention in underserved populations by developing and conducting rapid cycle testing of innovative approaches to implementing evidence-based interventions (EBIs). The partnership between the BRIDGE-C2 Center's Research Program and Implementation Laboratory will facilitate and accelerate robust and relevant science to address disparities in cancer screening and prevention. To accomplish this, the Research Program will establish an Implementation Studies Unit and a Methods Unit. These units build upon extensive expertise in conducting implementation science research and in developing and applying novel, mixed methods approaches to cancer screening and prevention issues in partnership with and in primary care. The Center will also conduct four initial pilots in the Implementation Laboratory and use emergent findings to inform future projects. We selected two research pilot projects to study the implementation of interventions designed to increase rates of (1) cervical cancer screening (Pap tests) and follow-up care and (2) improve tobacco cessation support. Following a similar engaged approach, the two Methods Pilots will assess how to precisely design and tailor HIT tools and other implementation strategies for a diverse group of member practices, which is a high priority for the Implementation Laboratory. These pilot projects that emerged from engagement of a multidisciplinary team of stakeholders serve as the initial seeds from which to launch the Center and to build new knowledge, methods, and capacity to improve cancer screening and prevention in CHCs. The multi-disciplinary leadership of the Research Program will establish processes, new expectations, and capacity for discussing data and trends (including use of visual techniques and stories to ensure conversation and engage a wide and varied group of stakeholders), and, develop and prioritize new project ideas, and rapidly and broadly disseminate findings. The Center has the capability to design studies with sustainability in mind, and develop and test innovative interventions that promote maintenance of an EBI to inform when `boosters' are needed, and minimize regression to the mean, which is common in practice change and implementation work. The Research Program infrastructure is designed to identify, implement, and disseminate strategies in primary care settings that are most effective in improving sustained implementation of cancer screening and prevention EBIs with the ultimate goal of reducing health disparities.