Shelton Rachel C, Dolor Rowena J, Tobin Jonathan, Baumann Ana, Rohweder Catherine, Patel Sapana, Baldwin Laura-Mae
Columbia University Mailman School of Public Health and Columbia's Irving Institute for Clinical and Translational Research, New York, NY, USA.
Division of General Internal Medicine, Department of Medicine, Duke Clinical and Translational Science Institute, Duke University, Durham, NC.
J Clin Transl Sci. 2022 Apr 22;6(1):e41. doi: 10.1017/cts.2022.377. eCollection 2022.
Clinical and Translational Science Award (CTSA) Program hubs are well-positioned to advance dissemination and implementation (D&I) research and training capacity nationally, though little is known about what D&I research support and services CTSAs provide. To address this gap, the CTSA Dissemination, Implementation, and Knowledge Transfer Working Group conducted an environmental scan of CTSAs (2017-2018).
Of 67 CTSA institutions, we contacted 43 that previously reported delivering D&I research services. D&I experts from these institutions were emailed a survey assessing D&I resources, services, training, and scientific projects. Responses were categorized and double-coded by study authors using a content analysis approach.
Thirty-five of the 43 D&I experts (81.4%) responded. Challenges to CTSAs in developing and supporting D&I science activities were related to inadequate D&I science workforce (45.7%) and lack of understanding of D&I science (25.7%). Services provided included consultation/mentoring programs (68%), pilot funding/grants (50%), and workshops/seminars/conferences (46%). Training and workforce development in D&I were frequently identified as future priorities. Recommendations included increase training to meet demand (68.6%), accessible D&I tools/resources (34.3%), greater visibility/awareness of D&I methods (34.3%), consultation services (22.9%), and expand D&I science workforce (22.9%).
CTSAs have tremendous potential to support the advancement and impact of D&I science across the translational continuum. Despite the growing presence of D&I science in CTSAs, continued commitment and prioritization are needed from CTSA and institutional leadership to raise awareness of D&I science and its value, meet training demands, and develop necessary infrastructure for conducting D&I science.
临床与转化科学奖（CTSA）项目中心在全国范围内具备推进传播与实施（D&I）研究及培训能力的良好条件，不过对于CTSA提供哪些D&I研究支持和服务却知之甚少。为填补这一空白，CTSA传播、实施与知识转移工作组对CTSA进行了环境扫描（2017 - 2018年）。
在67个CTSA机构中，我们联系了43个此前报告提供D&I研究服务的机构。向这些机构的D&I专家发送了一份调查问卷，评估D&I资源、服务、培训和科研项目。研究作者采用内容分析方法对回复进行分类和双重编码。
43位D&I专家中有35位（81.4%）做出了回复。CTSA在开展和支持D&I科学活动方面面临的挑战与D&I科学工作队伍不足（45.7%）以及对D&I科学缺乏了解（25.7%）有关。提供的服务包括咨询/指导项目（68%）、试点资金/资助（50%）以及研讨会/专题讨论会/会议（46%）。D&I方面的培训和劳动力发展经常被确定为未来的优先事项。建议包括增加培训以满足需求（68.6%）、提供易于获取的D&I工具/资源（34.3%）、提高对D&I方法的可见度/认知度（34.3%）、提供咨询服务（22.9%）以及扩大D&I科学工作队伍（22.9%）。
CTSA在支持D&I科学在整个转化连续体中的推进和影响方面具有巨大潜力。尽管D&I科学在CTSA中的地位日益重要，但CTSA和机构领导层仍需持续投入并将其列为优先事项，以提高对D&I科学及其价值的认识，满足培训需求，并为开展D&I科学建立必要的基础设施。
