Translating Clinical Decision Making into Systems of Care: A Mid-Career Mentor

将临床决策转化为护理系统：职业中期导师

• 批准号: 7185506
• 负责人: RANDALL SCOTT STAFFORD
• 金额: $ 12.12万
• 依托单位: STANFORD UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-04-01 至 2012-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7185506
• 关键词: Address; Adoption; Award; Basic Science; Behavior Therapy; Body Weight decreased; Cardiac; Cardiovascular system; Case Management; Classification; Clinical; Clinical Research; Clinical Trials; Clinical Trials Design; County; Decision Making; Depth; Disadvantaged; Doctor of Philosophy; Educational Materials; Ensure; Environment; Evidence based practice; Face; Funding; Grant; Guidelines; Health; Health Benefit; Healthcare Systems; Heart; Heart Diseases; Home environment; Incentives; Information Systems; Institute of Medicine (U.S.); Internet; Intervention; Investments; Knowledge; Manuscripts; Mentors; Methods; Modeling; Numbers; Oral; Outcome; Patients; Physicians; Population; Prevention; Prevention Research; Public Participation; Randomized Clinical Trials; Recommendation; Research; Research Personnel; Research Project Grants; Research Training; Risk; Risk Factors; Risk Reduction; Staging; Statistical Data Interpretation; Testing; Time; Training; Training Programs; Translating; Translations; Universities; Wages; Woman; Work; Writing; base; bone health; cardiovascular disorder risk; care systems; career; clinical application; dissemination research; effectiveness clinical trial; experience; improved; innovation; medical schools; osteoporosis with pathological fracture; patient oriented; patient oriented research; programs; research to practice; skills; socioeconomics; uptake

DESCRIPTION (provided by applicant): This grant will fund a mentee training program in the Program on Prevention Outcomes and Practices (PPOP) in the Stanford Prevention Research Center at the Stanford School of Medicine. The training program will be directed by Randall S. Stafford, MD, PhD, Director of the PPOP. Through the training program, Dr. Stafford will: 1) develop and apply a systematic approach to mentoring that supplements the traditional apprenticeship model with a variety of other educational and career building experiences. These skills are required for a career in patient-oriented research, but are often overlooked; 2) Through salary support and the availability of mentoring time, increase Dr. Stafford's capacity to provide a greater depth of mentoring to a larger number of mentees; 3) address current problems with the poor translation of scientific knowledge into widespread practice by involving mentees in research projects aimed at increasing the adoption of recommended heart disease guidelines in health care systems. Working closely with Dr. Stafford and PPOP research analysts, innovative educational and career building experiences for the mentees in this program will include: assisting in clinical trial design including recruitment strategies, statistical analysis of data, oral presentation of findings, writing research manuscripts, developing their portfolio of projects, developing strategies for the dissemination of research results, and strategic career planning. Trainees being mentored under this award will gain experience in patient-oriented research by training on four research projects: 1) The Stanford and San Mateo County Heart to Heart Project: This ongoing clinical trial will implement and evaluate a case-management approach to cardiac risk factors. 2) An Internet-based Cardiovascular Intervention for the Socioeconomically Disadvantaged: This project will develop and pilot test an internet-based intervention that incorporates educational material and behavioral interventions for cardiovascular disease risk reduction. 3) A Stage-tailored Online Intervention to Reduce Women's Risk for Osteoporotic Fractures: This project will develop and pilot test an Internet-based bone-health intervention. 4) Achieving Lasting Weight Loss through Case-Management and Environmental Support: This project will evaluate, through a randomized clinical trial, the effectiveness of a case- management approach to weight loss with and without a home-based "environmental support" component. In summary, our enormous investment in basic science research is jeopardized if we fail to develop strategies for bringing basic science knowledge to clinical application and then develop methods of ensuring that effective applications are incorporated into health care systems. This award will help address the second translational "bottleneck" through a systematic approach to training mentees in the conduct of patient-oriented research aimed at improving the adoption of evidence-based practices.

描述（由申请人提供）：该赠款将在斯坦福大学医学院斯坦福大学预防研究中心的预防成果和实践计划（PPOP）中为受训者培训计划提供资金。该培训计划将由PPOP主任Randall S. Stafford，医学博士指导。通过培训计划，斯塔福德博士将：1）开发并采用系统的方法来指导，以补充传统的学徒模型，并提供各种其他教育和职业建设经验。这些技能是从事以患者为导向的研究的职业所必需的，但经常被忽略。 2）通过薪水支持和指导时间的可用性，提高了斯塔福德博士为更多的受训者提供更深入的指导深度的能力； 3）解决了当前的问题，即通过参与旨在增加采用建议心脏病指南的研究项目，将科学知识转化为广泛实践的不良翻译为广泛的实践。与Stafford博士和PPOP研究分析师紧密合作，该计划中的受训者的创新教育和职业建设经验将包括：协助临床试验设计，包括招聘策略，数据统计分析，发现发现，撰写研究手稿，撰写研究手稿，开发其投资组合，开发其项目的投资组合，开发项目的策略，以制定研究成果和战略性计划和战略计划和战略计划。通过该奖项获得指导的学员将通过四个研究项目的培训来获得以患者为导向的研究的经验：1）斯坦福大学和圣马特奥县心脏的心脏项目：这项正在进行的临床试验将实施和评估对心脏风险因素的病例管理方法。 2）基于Internet的心血管干预措施，以处于社会经济处境不利：该项目将开发和试点测试基于Internet的干预措施，该干预措施纳入了降低心血管疾病风险的教育材料和行为干预措施。 3）一项阶段的在线干预措施，以降低妇女骨质疏松骨折的风险：该项目将开发并试点基于互联网的骨健康干预措施。 4）通过案例管理和环境支持来实现持久的体重减轻：该项目将通过随机临床试验来评估案例管理方法的有效性，可以在有或没有基于家庭的“环境支持”组件的情况下进行体重减轻。总而言之，如果我们未能制定将基础科学知识带入临床应用的策略，然后开发确保将有效的应用纳入医疗保健系统中，那么我们对基础科学研究的巨额投资将受到危害。该奖项将通过系统地培训受训者进行以患者为导向的研究，旨在改善采用基于证据的实践的研究，从而有助于解决第二个翻译“瓶颈”。