Methods Core

方法核心

• 批准号: 10621640
• 负责人: Michael David Pullmann
• 金额: $ 83.02万
• 依托单位: UNIVERSITY OF WASHINGTON
• 依托单位国家: 美国
• 财政年份: 2018
• 资助国家: 美国
• 起止时间: 2018-05-15 至 2028-03-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10621640
• 关键词: Address; Adherence; Adoption; Affect; Attitude; Catalogs; Client; Climate; Clinical; Collaborations; Communities; Consolidated Framework for Implementation Research; Consultations; Cost Analysis; Data; Data Analyses; Data Collection; Discover, Design, Build, and Test Framework; Evidence based intervention; Face; Funding; Future; Health Resources; Individual; Intention; Intervention; Intervention Studies; Leadership; Libraries; Medicine; Meta-Analysis; Methodology; Methods; Modification; Outcome; Output; Patient-Focused Outcomes; Phase; Pilot Projects; Population; Primary Care; Process; Progress Reports; Reporting; Research; Research Activity; Research Personnel; Research Project Grants; Research Support; Resources; Rest; Schools; Site-Directed Mutagenesis; Standardization; Structure; Supervision; Teacher Professional Development; Technology; Testing; Training; Typology; Universities; Update; Washington; Work; care recipients; community organizations; comparative; cost; design; effectiveness/implementation study; effectiveness/implementation trial; equity, diversity, and inclusion; evidence base; human centered design; implementation outcomes; implementation science; implementation strategy; improved; innovation; integrated care; iterative design; novel; prospective; psychosocial; research faculty; shared decision making; theories; usability

PROJECT SUMMARY. The UW ALACRITY Center Methods Core (MC) has made important contributions to overcome the challenges of implementing evidence-based clinical interventions (CI) in under-resourced health and school settings using implementation strategies (IS). Accomplishments over the last four years include integrating human-centered design and implementation science methods to develop the Discover, Design/Build, and Test (DDBT) framework; developing a Typology of CI/IS Modification Targets; developing a Library of Redesign Solutions; and evaluating the impact of redesign on capacity, usability, and quality. Under the direction of Drs. Munson and Pullmann, the next five years of UWAC funding will focus on the following aims and activities: (1) Identifying and catalog CI/IS modification targets to improve usability, engagement, and appropriateness in accessible nonspecialty settings; (2) Developing redesign solutions with local teams to address CI/IS modification targets; (3) Determining if redesign affects changes in usability, engagement, and appropriateness through changes in CI/IS modification targets. Modification targets and redesign solutions from the original, centralized DDBT approach from the first four years will be compared to those from the local DDBT approach proposed for the next five years via comparative qualitative analysis. The MC will accomplish these aims by supporting application of DDBT in localized settings (i.e., DDBT will be conducted by local project redesign teams) and synthesizing results from three R34 sized research projects, one R01 sized hybrid effectiveness- implementation study, and multiple pilot projects. Systematic, standardized mixed methods assessments across all studies will collect quantitative and qualitative data on adherence to the DDBT process, impacts on engagement, usability, and appropriateness of the CI/IS, and impacts on client functioning and outcomes. Cost data will be collected to determine the impact of the DDBT process on local resources. The MC will provide expert methodological and technical support to all projects, such as structured trainings and supports such as monthly consultations, templates, academic resources, worksheets, data collection portals, and mixed methods analyses. The MC will work to increase diversity, equity, and inclusion within research activities and faculty development. A strong dissemination plan will be implemented to ensure that products are available to the research community.

项目摘要。 UW Alacrity Center方法核心（MC）为 克服在资源不足的健康中实施基于证据的临床干预措施（CI）的挑战 以及使用实施策略（IS）的学校环境。过去四年的成就包括 集成以人为本的设计和实施科学方法来开发发现，设计/建造， 和测试（DDBT）框架；开发CI/IS修改靶标的类型；开发一个图书馆 重新设计解决方案；并评估重新设计对容量，可用性和质量的影响。在指导下 博士。芒森（Munson）和普尔曼（Pullmann），未来五年的UWAC资金将重点关注以下目标和活动： （1）识别和目录CI/是改善可用性，参与性和适当性的修改目标 可访问的非专业设置； （2）与本地团队一起开发重新设计解决方案，以解决CI/IS 修改目标； （3）确定重新设计是否影响可用性，参与度和适当性的变化 通过CI/IS修改目标的变化。修改目标和重新设计解决方案来自原始的解决方案 将最初四年的集中式DDBT方法与本地DDBT方法进行比较 通过比较定性分析提出了未来五年。 MC将通过 支持DDBT在本地化设置中的应用（即，DDBT将由本地项目重新设计进行 团队）并从三个R34大小的研究项目中综合结果，一个R01大小的混合有效性 - 实施研究和多个试点项目。跨系统的，标准化的混合方法评估 所有研究将收集有关遵守DDBT过程的定量和定性数据，对 CI/IS的参与度，可用性和适当性，以及对客户功能和结果的影响。成本 将收集数据以确定DDBT流程对本地资源的影响。 MC将提供 专家对所有项目的方法和技术支持，例如结构化培训和支持，例如 每月咨询，模板，学术资源，工作表，数据收集门户和混合方法 分析。 MC将努力增加研究活动和教师的多样性，公平性和包容性 发展。将实施强大的传播计划，以确保产品可用 研究社区。