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：
10942883
负责人：
RUSSELL E GLASGOW
金额：
$ 12.5万
依托单位：
UNIVERSITY OF COLORADO DENVER
依托单位国家：
美国
项目类别：
财政年份：
2023
资助国家：
美国
起止时间：
2023-09-01 至 2024-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10942883
关键词：
Adherence Administrative Supplement Adult Advisory Committees Arizona Budgets Cancer Center Cancer Control Certification Characteristics Child Clinical Collaborations Colorado Communication Communities Competence Cost Analysis Data Development Educational workshop Ensure Environment Evaluation Evidence based program Expenditure Funding Goals Health Human Resources Infrastructure Institutional Review Boards Interruption Intervention Leadership Measures Mentors Methods Mission Modeling Monitor NCI-Designated Cancer Center New Mexico Outcome Outcomes Research Patients Phase Policies Population Population Sciences Practical Robust Implementation and Sustainability Model Primary Care Printing Program Development Progress Reports Provider Reach, Effectiveness, Adoption, Implementation, and Maintenance Research Research Methodology Research Personnel Resources Rural Safety Science Series Strategic Planning Structure Surveys Testing Universities Utah cancer prevention career certificate program contextual factors cost expectation health equity human subject implementation science implementation study innovation interest lung cancer screening meetings member organizational structure outreach pilot test pragmatic implementation preference pressure primary care setting programs research and development rural area shared decision making smoking cessation success timeline underserved area

Adherence Administrative Supplement Adult Advisory Committees Arizona Budgets Cancer Center Cancer Control Certification Characteristics Child Clinical Collaborations Colorado Communication Communities Competence Cost Analysis Data Development Educational workshop Ensure Environment Evaluation Evidence based program Expenditure Funding Goals Health Human Resources Infrastructure Institutional Review Boards Interruption Intervention Leadership Measures Mentors Methods Mission Modeling Monitor NCI-Designated Cancer Center New Mexico Outcome Outcomes Research Patients Phase Policies Population Population Sciences Practical Robust Implementation and Sustainability Model Primary Care Printing Program Development Progress Reports Provider Reach, Effectiveness, Adoption, Implementation, and Maintenance Research Research Methodology Research Personnel Resources Rural Safety Science Series Strategic Planning Structure Surveys Testing Universities Utah cancer prevention career certificate program contextual factors cost expectation health equity human subject implementation science implementation study innovation interest lung cancer screening meetings member organizational structure outreach pilot test pragmatic implementation preference pressure primary care setting programs research and development rural area shared decision making smoking cessation success timeline underserved area

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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 - 行政核心我们提出的实施科学中心的主题是“务实的实施科学方法，以评估和增强基本保健中癌症预防和控制的价值。”我们将应用和提高与成本，福利和价值相关的措施以及严格的成本，福利和价值相关的措施，但在农村初级保健环境中也可以推广，这些机构通常会在资源低下和高需求人群中挣扎。这些模型和方法将用于指导和实施基于证据的预防癌症预防和控制计划（CPC）。我们最初将专注于在科罗拉多州的粗糙初级保健环境中进行肺癌筛查，然后在全国范围内与建立成熟的初级保健网络（即国家研究网络）合作。我们的总体框架将是我们增强的Re-Aim/Prism模型，这是延伸的范围，有效性，采用，实施和维护框架，并增加了上下文因素（例如，干预特征，实施和可持续性基础架构）。从不同的利益相关者的角度来看，它将作为制定和测试成本，收益和价值的创新评估的基础，以了解和指导实施。我们将意味着完全参与并包括患者的观点，我们的试点实施研究将使用利益相关者参与的方法来适应，实施和评估策略，以指导与肺癌筛查相关的共同决策和戒烟的实施。我们的方法单位将从患者，提供者和送货人员的角度来确定我们的实用成本评估方法，以确定实施/复制成本，然后开发和试点测试简短的调查措施，以衡量有关不同重新iam结果相对收益的偏好。然后，我们将评估Re-Aim结果偏好和选择不同CPC计划之间的关系。最后，我们的外展和网络部门将参与a）针对初级和中级研究人员和从业人员的外展活动，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； c）合作活动，旨在利用多个渠道促进CPC和实施科学的合作伙伴关系，包括开发共享的务实D＆I测量和数据。