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：
10021637
负责人：
RUSSELL E GLASGOW
金额：
$ 21.44万
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/10021637
关键词：
Adherence Adoption Adult Advisory Committees Area Arizona Budgets Cancer Center Cancer Control Certification Characteristics Child Clinical Collaborations Colorado Communication Communication Research Communities Competence Cost Analysis Costs and Benefits Data Development Educational workshop Effectiveness Ensure Environment Evaluation Evidence based program Expenditure Funding Goals Health Human Resources Infrastructure Institutional Review Boards Interruption Intervention Leadership Maintenance Measures Mentors Methods Mission Modeling Monitor NCI-Designated Cancer Center New Mexico Outcome Outcomes Research Patients Policies Population Population Sciences Primary Health Care Program Development Progress Reports Provider Research Research Methodology Research Personnel Resources Rural Safety Science Series Strategic Planning Structure Surveys Testing TimeLine Universities Utah cancer prevention career certificate program cohesion contextual factors cost expectation human subject implementation science innovation interest lung cancer screening meetings member organizational structure outreach preference pressure primary care setting programs research and development rural area rural underserved shared decision making smoking cessation success

项目摘要

Project Summary/Abstract – Administrative Core 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.

项目摘要/摘要 – 行政核心我们提议的实施科学中心的主题是“务实的实施科学方法评估和提高农村初级保健中癌症预防和控制的价值。” 严格的与成本、效益和价值相关的框架、务实的推进方法和措施，但也适用于经常因资源匮乏而苦苦挣扎的农村初级保健机构，这些模型和方法将用于指导高需求人群的选择和实施。我们最初将重点关注肺癌的循证癌症预防和控制计划。在农村初级保健机构进行筛查，首先在科罗拉多州，然后通过与良好的合作在全国范围内进行。建立初级保健网络（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，它是广泛的使用了覆盖范围、有效性、采用、实施和维护框架，并添加了背景因素（例如干预特征、实施和可持续性基础设施）。作为开发和测试成本、收益和价值的创新评估的基础我们将有意义地参与不同利益相关者的观点，以理解和指导实施。在我们的所有研究中纳入并纳入患者、提供者和员工利益相关者的观点。实施研究将使用利益相关者参与的方法来调整、实施和评估战略价值指导肺癌相关共同决策和戒烟的实施筛选。我们的方法部门将完善和评估我们的务实成本评估方法，以确定从患者、提供者和交付人员的角度来看实施/复制成本，然后制定并试点测试有关不同 RE-AIM 效益的偏好的简要调查措施然后，我们将评估 RE-AIM 结果偏好和不同选择之间的关系。最后，我们的外展和网络部门将从事 a) 针对青少年的外展活动。以及职业生涯中期的调查员和从业者，包括在线专业发展（例如，研究生 b) 支持研究成果的包装和传播的传播活动；以及 c) 合作活动，利用多种渠道促进 CPC 和实施科学方面的伙伴关系包括开发共享的务实 D&I 措施和数据。