iDAPT: Implementation and Informatics - Developing Adaptable Processes and Technologies for Cancer Control

iDAPT：实施和信息学 - 开发癌症控制的适应性流程和技术

• 批准号: 10477064
• 负责人: Thomas K Houston
• 金额: $ 60.98万
• 依托单位: WAKE FOREST UNIVERSITY HEALTH SCIENCES
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-09-18 至 2024-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10477064
• 关键词: Address; American; Automation; Cancer Control; Caring; Clinic; Clinical; Collaborations; Communication; Computers; Development; Dissemination and Implementation; Doctor of Philosophy; Ensure; Evaluation; Extramural Activities; Faculty; Feedback; Funding; Grant; Informatics; Intelligence; Knowledge; Laboratories; Lead; Leadership; Malignant Neoplasms; Manuals; Measurement; Medical Informatics; Mentors; Methods; Monitor; Natural Language Processing; Oncology; Patients; Pattern; Pilot Projects; Postdoctoral Fellow; Process; Public Health Informatics; Publishing; Reference Standards; Research; Research Personnel; Research Project Summaries; Research Proposals; Role; Running; Science; Scientist; Secure; Series; Smoking Cessation Intervention; Students; System; Technology; Testing; Time; Training; Underrepresented Populations; United States National Institutes of Health; Visit; Work; design; eHealth; experience; feasibility testing; implementation evaluation; implementation facilitation; implementation process; implementation research; implementation science; implementation study; improved; innovation; medical schools; member; population health; professor; program dissemination; programs; prototype; response; shared decision making; skills; sound; survivorship

PROJECT SUMMARY The Research Program will use three strategies to inform iDAPT’s emerging theme to use technologies that support rapid cycle and real time deployment and testing of implementation processes and adaptations within cancer control. First, the Research Program will advance the science of technology-supported implementation science in cancer control through a series of proposed pilot projects conducted in the Implementation Lab. Second, it will advance the methods and measurement for implementation science using technology via methods pilot projects and support of the Implementation Studies Unit. Third, the Research Program will identify and nurture nascent ideas for new cancer-focused Implementation Science proposals with high potential for extramural funding, with an emphasis on assisting students, junior faculty, and underrepresented populations. The Research Program will lead with two pilot studies aligned with our emerging theme of technology-facilitated implementation science. The first is a highly innovative implementation pilot study that will address a gap in survivorship care. Using a stepped-wedge design in 10 oncology clinics, we will test an electronic referral mechanism and computer-tailored communication and intelligent automation to facilitate shared decision making and survivorship care planning in-between clinical visits. The methods study will advance the field of implementation science in cancer control by testing the feasibility of using an automated communication pattern monitoring and feedback system to facilitate implementation programs designed to improve communication between clinical teams and between clinical teams and patient. This study will create manually annotated reference standard for natural language processing (NLP), train and validate the NLP system, test the system among patients undergoing smoking cessation treatment, and then build and test a prototype system to monitor communication extracted from secure messages over time. Both of these iDAPT vanguard pilot studies are led by junior faculty. The Research Program will seek additional pilot research through a defined process for soliciting, reviewing and selecting promising studies using a validated approach for evaluating implementation research proposals for a total of 8-10 pilot studies. The Research Program depends upon a high degree of collaboration across the cores to ensure that the selection of pilot studies reflects laboratory member needs (Administrative Core Evaluation Unit), that laboratory members are engaged and have knowledge and skills to serve as equal partners in the research process (Implementation laboratory), and that the knowledge gained from the pilot studies builds the field of implementation science in cancer control aligned with iDAPT’s emerging theme of technology-facilitated implementation science (Administrative Core Network Unit). The Research Program is led by Dr. Thomas Houston (MPI) who is Professor and Chief, Health Informatics and Implementation Science Division at UMMS and is an elected fellow in the American College of Medical Informatics.

项目摘要 该研究计划将使用三种策略来告知IDAPT的新兴主题，以使用这些技术 支持快速周期和实时部署以及实施过程的测试和改编 癌症控制。首先，研究计划将推进技术支持的实施科学 通过在实施实验室进行的一系列建议的试点项目中，癌症控制科学。 其次，它将通过方法使用技术来推进实施科学的方法和测量 试点项目和实施研究部门的支持。第三，研究计划将确定并 护士对新的以癌症为中心的实施科学提案的新兴想法具有很高的潜力 校外资金，重点是协助学生，初级教职员工和代表性不足的人群。 该研究计划将领导两项与我们新兴技术的主题相符的试点研究 实施科学。第一个是一项高度创新的实施试点研究，将解决差距 生存护理。使用10个肿瘤学诊所中的跨斜边设计，我们将测试电子推荐 机制和计算机限制的通信和智能自动化，以促进共享决策 以及临床访问之间的生存护理计划。方法研究将推进 通过测试使用自动通信模式的可行性，在癌症控制中实施科学 监视和反馈系统，旨在改善沟通的托管实施计划 在临床团队之间以及临床团队和患者之间。这项研究将创建手动注释 自然语言处理的参考标准（NLP），训练和验证NLP系统，测试系统 在接受戒烟治疗的患者中，然后建立和测试原型系统以监测 随着时间的推移从安全消息中提取的通信。这两个IDAPT先锋试验研究均领先 少年教师。该研究计划将通过定义的过程寻求其他试点研究 使用经过验证的方法来评估实施的方法，征求，审查和选择有前途的研究 总共8-10项试点研究的研究建议。研究计划取决于高度 跨核心的合作，以确保选择试点研究反映实验室成员需求 （行政核心评估单位），实验室成员参与并具有知识和技能 在研究过程（实施实验室）中充当平等合作伙伴，并获得了知识 从试点研究中，建立了癌症控制中实施科学领域，与Idapt的新兴 技术实施科学的主题（行政核心网络单位）。研究 计划由托马斯·休斯顿（MPI）博士领导，他是健康信息学教授兼酋长 UMMS科学部门，是美国医学信息学院的当选研究员。