临床和转化科学奖（CTSA）联盟中的传播与实施科学活动：CTSA领导者调查的报告
Dissemination and implementation science activities across the Clinical Translational Science Award (CTSA) Consortium: Report from a survey of CTSA leaders.
作者信息
Dolor Rowena J, Proctor Enola, Stevens Kathleen R, Boone Leslie R, Meissner Paul, Baldwin Laura-Mae
机构信息
Department of Medicine, Division of General Internal Medicine, Duke University, Durham, NC, USA.
Brown School, Washington University in St. Louis, St. Louis, MO, USA.
出版信息
J Clin Transl Sci. 2019 Sep 25;4(3):188-194. doi: 10.1017/cts.2019.422.
INTRODUCTION
Dissemination and implementation (D&I) science is not a formal element of the Clinical Translational Science Award (CTSA) Program, and D&I science activities across the CTSA Consortium are largely unknown.
METHODS
The CTSA Dissemination, Implementation, and Knowledge Translation Working Group surveyed CTSA leaders to explore D&I science-related activities, barriers, and needed supports, then conducted univariate and qualitative analyses of the data.
RESULTS
Out of 67 CTSA leaders, 55.2% responded. CTSAs reported D&I programs (54.1%), training (51.4%), and projects (59.5%). (e.g., promoted by CTSA without direct funding) for D&I activities was higher - programs (70.3%), training (64.9%), and projects (54.1%). Top barriers included funding (39.4%), limited D&I science faculty (30.3%), and lack of D&I science understanding (27.3%). Respondents (63.4%) noted the importance of D&I training and recommended coordination of D&I activities across CTSAs hubs (33.3%).
CONCLUSION
These findings should guide CTSA leadership in efforts to raise awareness and advance the role of D&I science in improving population health.
引言
传播与实施（D&I）科学并非临床转化科学奖（CTSA）项目的正式组成部分，而且CTSA联盟内的D&I科学活动在很大程度上尚不为人所知。
方法
CTSA传播、实施与知识转化工作组对CTSA负责人进行了调查，以探究与D&I科学相关的活动、障碍及所需支持，随后对数据进行了单变量分析和定性分析。
结果
67位CTSA负责人中，55.2%做出了回应。CTSA机构报告开展了D&I项目（54.1%）、培训（51.4%）和项目（59.5%）。CTSA机构（如在无直接资金支持的情况下由CTSA推动）开展D&I活动的情况比例更高——项目（70.3%）、培训（64.9%）和项目（54.1%）。主要障碍包括资金（39.4%）、D&I科学领域师资有限（30.3%）以及对D&I科学缺乏了解（27.3%）。受访者（63.4%）指出了D&I培训的重要性，并建议在各CTSA中心之间协调D&I活动（33.3%）。
结论
这些发现应指导CTSA负责人努力提高认识，并推进D&I科学在改善人群健康方面的作用。
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