Pragmatic Implementation Science Approaches to Assess and Enhance Value of Cancer Prevention and Control in Rural Primary Care

务实实施科学方法评估和提高农村初级保健癌症预防和控制的价值

基本信息

批准号：
10693851
负责人：
RUSSELL E GLASGOW
金额：
$ 13.89万
依托单位：
UNIVERSITY OF COLORADO DENVER
依托单位国家：
美国
项目类别：
财政年份：
2019
资助国家：
美国
起止时间：
2019-09-20 至 2024-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10693851
关键词：
Accountability Address Age Cancer Center Cancer Control Cancer Control Research Cancer Survivor Caring Certification Characteristics Clinical Collaborations Colorado Communication Communities Community Practice Cost Analysis Costs and Benefits Data Death Rate Development Diagnosis Dissemination and Implementation E-learning Evidence based practice Evidence based program Family Future Guidelines Health Status Healthcare Infrastructure Intervention Laboratories Malignant Neoplasms Measures Mentors Methods Modeling Outcome Patients Population Practical Robust Implementation and Sustainability Model Primary Care Provider Reach, Effectiveness, Adoption, Implementation, and Maintenance Recommendation Reporting Research Research Personnel Resources Rural Surveys Testing Translating Translational Research Work cancer prevention career certificate program community engagement comorbidity contextual factors cost design dissemination science flexibility health care availability health care service implementation measures implementation science implementation study innovation interest lung cancer screening member mortality outreach pilot test practice-based research network pragmatic implementation preference primary care practice primary care setting programs psychological distress rural area shared decision making skills smoking cessation urban area user-friendly

项目摘要

Summary/Abstract – Implementation Laboratory The theme of our proposed Implementation Science Center is “Pragmatic implementation science approaches to assess and enhance the value of cancer prevention and control in rural primary care.” We will apply and advance frameworks, pragmatic methods, and measures related to cost, benefits, and value that are rigorous, but also generalizable across rural primary care settings that are often struggling with low resources, and a high need population. These models and methods will be used to guide selection and implementation of evidence-based programs for cancer prevention and control (CPC). We will initially focus on lung cancer screening in rural primary care settings, first in Colorado and then nationally through collaboration with a well- established primary care network (i.e., National Research Network). Our overarching framework will be our enhanced RE-AIM/PRISM model, which is an extension of the broadly used Reach, Effectiveness, Adoption, Implementation, and Maintenance framework with the addition of contextual factors (e.g., Intervention characteristics, implementation and sustainability infrastructure). It will serve as the basis to develop and test innovative assessments of costs, benefits, and value from the perspective of different stakeholders to understand and guide implementation. We will meaningfully engage with and include the perspectives of patients, providers, and staff stakeholders in all our studies. Our pilot Implementation Study will adapt, implement, and evaluate strategies using stakeholder-engaged approaches to value to guide the implementation of shared decision-making and smoking cessation related to lung cancer screening. Our Methods Unit will refine and evaluate our pragmatic cost assessment methods to determine implementation/replication costs from the perspective(s) of patients, providers, and delivery staff and then develop and pilot test brief survey measures of preferences regarding the relative benefit of different RE-AIM outcomes. We will then assess relationships among RE-AIM outcomes preferences and selection of different CPC programs. Finally, our Outreach and Network Unit will engage in a) outreach activities targeted at junior and mid-career investigators and practitioners including online professional development (e.g., graduate certificate program, micro-certification) and tailored mentoring and technical assistance approaches; b) dissemination activities to support the packaging and communication of research findings; and c) collaboration activities to facilitate partnerships on CPC and implementation science using multiple channels and including development of shared pragmatic D&I measures and data.

摘要/摘要 - 实施实验室我们拟议的实施科学中心的主题是“务实的实施科学方法评估和增强农村初级保健中癌症预防和控制的价值。”我们将申请高级框架，务实方法以及与严格的成本，收益和价值相关的措施，但也可以在经常在资源低的地方挣扎的粗糙初级保健环境中推广，并且高需求人口。这些模型和方法将用于指导选择和实施基于证据的预防和控制计划（CPC）。我们最初将专注于肺癌在粗糙的初级保健环境中进行筛查，首先在科罗拉多州，然后在全国范围内与一个良好的合作建立的初级保健网络（即国家研究网络）。我们的总体框架将是我们增强的Re-Aim/Prism模型，这是广泛的延伸添加上下文因素（例如，干预特征，实施和可持续性基础设施）。会作为制定和测试对成本，收益和价值的创新评估的基础不同利益相关者了解和指导实施的观点。我们将有意义地参与在我们的所有研究中，并包括并包括患者，提供者和员工利益相关者的观点。我们的飞行员实施研究将使用利益相关者参与的方法适应，实施和评估策略重视指导与肺癌有关的共同决策和戒烟的实施筛选。我们的方法单元将完善并评估我们的务实成本评估方法，以确定从患者，提供者和送货员的角度来实施/复制费用，然后开发和飞行员测试简要调查对不同re-aim相对利益的偏好措施结果。然后，我们将评估Re-Aim结果偏好之间的关系和选择不同 CPC程序。最后，我们的外展和网络部门将参与a）针对初中的外展活动和中级研究人员和从业人员，包括在线专业发展（例如，研究生证书计划，微观认证）以及量身定制的心理和技术援助方法； b）传播活动以支持研究结果的包装和交流；和c）合作活动，以促进使用多个渠道的CPC和实施科学的合作伙伴关系包括开发共享的务实D＆I措施和数据。