Research Program

研究计划

• 批准号: 10251165
• 负责人: Jennifer E DeVoe
• 金额: $ 81.89万
• 依托单位: OREGON HEALTH & SCIENCE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-09-19 至 2024-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10251165
• 关键词: Address; Adoption; Area; Cancer Control; Caring; Cervical Cancer Screening; Data; Development; Dissemination and Implementation; Ensure; Evidence based intervention; Feedback; Future; Generations; Goals; Infrastructure; Intervention; Knowledge; Laboratories; Leadership; Maintenance; Maps; Measures; Methods; Mind; Modeling; Monitor; Pap smear; Pilot Projects; Prevention; Primary Health Care; Process; Program Research Project Grants; Randomized; Research; Research Design; Research Personnel; Research Project Summaries; Science; Scientist; Screening for cancer; Seeds; Techniques; Testing; Tobacco Use Cessation; Underserved Population; Visual; Work; cancer health disparity; design; expectation; follow-up; health disparity; health information technology; implementation framework; implementation intervention; implementation science; implementation strategy; implementation study; improved; innovation; member; multidisciplinary; novel; primary care setting; programs; success; surveillance data; therapy design; tool; trend

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.

研究计划项目摘要 该研究计划将解决将实施科学推进到的巨大挑战 通过发展和进行，改善服务不足人群的癌症筛查和预防 实施基于证据的干预措施（EBIS）的创新方法的快速周期测试。这 Bridge-C2中心研究计划与实施实验室之间的伙伴关系将有助于 并加速了鲁棒和相关的科学，以解决癌症筛查和预防方面的差异。到 这样做，研究计划将建立一个实施研究单元和方法单位。 这些单位基于进行实施科学研究和发展的广泛专业知识 并采用新颖的，混合的方法来与 并在初级保健中。该中心还将在实施实验室中进行四名初始飞行员，并使用 紧急发现，以告知未来的项目。我们选择了两个研究试点项目来研究 实施旨在提高（1）宫颈癌筛查（PAP测试）和的干预措施 后续护理和（2）改善烟草戒烟支持。遵循类似的订婚方法，两者 方法飞行员将评估如何精确设计和量身定制命中工具以及其他实施策略 多样化的成员实践，这是实施实验室的高度优先事项。这些飞行员 由多学科的利益相关者团队参与的项目作为初始种子 从中启动中心并建立新知识，方法和能力来改善癌症 CHC中的筛查和预防。研究计划的多学科领导将建立 讨论数据和趋势的过程，新期望以及能力（包括使用视觉技术 和故事，以确保对话并参与广泛而多样的利益相关者），并，发展和发展和 优先考虑新的项目思想，并快速，广泛地传播发现。该中心具有 考虑可持续性的设计研究，并开发和测试促进的创新干预措施 维护EBI以告知何时需要“助推器”，并最大程度地减少对均值的回归，即 在实践中常见改变和实施工作。研究计划基础设施旨在 在最有效的改进的初级保健环境中识别，实施和传播策略 持续实施癌症筛查和预防EBI，其最终目标是降低健康 差异。