R.C. Brownson is Steven H. and Susan U. Lipstein Distinguished Professor of Public Health, Prevention Research Center, Brown School at Washington University in St. Louis, and Alvin J. Siteman Cancer Center and Division of Public Health Sciences, Department of Surgery, Washington University School of Medicine, Washington University in St. Louis, St. Louis, Missouri.
R.R. Jacob is research manager, Prevention Research Center, Brown School at Washington University in St. Louis, St. Louis, Missouri.
Acad Med. 2021 Jan 1;96(1):86-92. doi: 10.1097/ACM.0000000000003750.
Dissemination and implementation (D&I) science provides the tools needed to close the gap between known intervention strategies and their effective application. The authors report on the Mentored Training for Dissemination and Implementation Research in Cancer (MT-DIRC) program-a D&I training program for postdoctoral or early-career cancer prevention and control scholars.
MT-DIRC was a 2-year training institute in which fellows attended 2 annual Summer Institutes and other conferences and received didactic, group, and individual instruction; individualized mentoring; and other supports (e.g., pilot funding). A quasi-experimental design compared changes in 3 areas: mentoring, skills, and network composition. To evaluate mentoring and D&I skills, data from fellows on their mentors' mentoring competencies, their perspectives on the importance of and satisfaction with mentoring priority areas, and their self-rated skills in D&I competency domains were collected. Network composition data were collected from faculty and fellows for 3 core social network domains: contact, mentoring, and collaboration. Paired t tests (mentoring), linear mixed models (skills), and descriptive analyses (network composition) were performed.
Mentors were rated as highly competent across all mentoring competencies, and each mentoring priority area showed reductions in gaps between satisfaction and importance between the 6 and 18 months post-first Summer Institute. Fellows' self-rated skills in D&I competencies improved significantly in all domains over time (range: 42.5%-52.9% increase from baseline to 18 months post-first Summer Institute). Mentorship and collaboration networks grew over time, with the highest number of collaboration network ties for scholarly manuscripts (n = 199) in 2018 and for research projects (n = 160) in 2019.
Building on study findings and existing literature, mentored training of scholars is an important approach for building D&I skills and networks, and thus to better applying the vast amount of available intervention evidence to benefit cancer control.
传播和实施(D&I)科学提供了将已知干预策略与其有效应用之间的差距缩小所需的工具。作者报告了针对癌症传播和实施研究的指导培训计划(MT-DIRC),这是一个针对癌症预防和控制领域的博士后或早期职业学者的 D&I 培训计划。
MT-DIRC 是一个为期两年的培训计划,学员参加了两个年度暑期研讨会和其他会议,并接受了教学、小组和个人指导;个体化指导;和其他支持(例如,试点资金)。采用准实验设计比较了以下三个方面的变化:指导、技能和网络组成。为了评估指导和 D&I 技能,收集了学员关于导师指导能力的信息、他们对指导重点领域的重要性和满意度的看法以及他们对 D&I 能力领域的自我评估技能。从教员和学员那里收集了核心社会网络领域的网络组成数据:联系、指导和合作。进行了配对 t 检验(指导)、线性混合模型(技能)和描述性分析(网络组成)。
导师在所有指导能力方面都被评为非常有能力,并且在第一次暑期研讨会之后的 6 个月到 18 个月之间,每个指导重点领域的满意度和重要性之间的差距都有所缩小。学员在 D&I 能力领域的自我评估技能随着时间的推移显著提高(从基线到第一次暑期研讨会之后 18 个月,范围为 42.5%-52.9%的增长)。指导和合作网络随着时间的推移而增长,在 2018 年,学术论文(n = 199)和 2019 年研究项目(n = 160)的合作网络联系最多。
在研究结果和现有文献的基础上,对学者的指导培训是培养 D&I 技能和网络的重要方法,从而更好地将大量可用干预证据应用于癌症控制。