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Kidney puzzle being assembled with tweezersICD Pieces Pragmatic Clinical Trial Begins Enrollment

ICD Pieces is a pragmatic clinical trial demonstration project supported by the Collaboratory. The trial will implement a new technology platform (Pieces) to enable use of electronic health record data to improve care for patients with chronic kidney disease and other associated conditions. Congratulations to the ICD Pieces Team on this important milestone! Learn more about the ICD Pieces trial.

 

 

Doctor typing on a computerCollaboratory's Regulatory Ethics/Core Publishes Study on Doctors' viewpoints on Pragmatic Clinical Trials

The Collaboratory's Regulatory/Ethics Core found in a recent study that while doctors are generally willing to participate in pragmatic clinical trials, “their support is predicated on several factors including expected benefits, minimization of time and workflow burdens, and physician engagement.” Read the article abstract.

Reference:

Physicians' perspectives regarding pragmatic clinical trials. Topazian R, Bollinger J, Weinfurt KP, Dvoskin R, Mathews D, Brelsford K, DeCamp M, Sugarman J. J Comp Eff Res. 2016 Aug;5(5):499-506. doi: 10.2217/cer-2016-0024. Epub 2016 Jul 15.

 

Panelists discussing ethical and regulatory issues in pragmatic clinical trialsEthical & Regulatory Issues of Pragmatic Clinical Trials Workshop

If you missed the May 10 Workshop, now you can watch the proceedings at your leisure. Watch the archived videocast. See more information about the workshop in general. Read a brief blog post by Dr. Catherine Meyers of the NIH National Center for Complementary and Integrative Health (NCCIH) describing the workshop.

 

Image of emergency vehiclesProtocol Published for Collaboratory Pragmatic Clinical Trial to Improve Care for Patients with PTSD

Researchers conducting the Trauma Survivors Outcomes and Support (TSOS) pragmatic clinical trial recently published the protocol for their trial in the journal Implementation Science. The TSOS trial is supported by the Health Care Systems Research Collaboratory as a demonstration project. It will take place at 24 US Level I trauma centers, and is designed to test screening and intervention strategies for patients with posttraumatic stress disorder (PTSD) and other associated conditions. Read the article abstract. Learn more about the TSOS trial.

Reference:

An effectiveness-implementation hybrid trial study protocol targeting posttraumatic stress disorder and comorbidity. Zatzick DF, Russo J, Darnell D, Chambers DA, Palinkas L, Van Eaton E, Wang J, Ingraham LM, Guiney R, Heagerty P, Comstock B, Whiteside LK, Jurkovich G. Implement Sci. 2016 Apr 30;11(1):58.

 

Electron microscope image of Methicillin-resistant S. aureus (MRSA) bacteria. Image courtesy of the Centers for Disease Control and Prevention (CDC).Collaboratory Pragmatic Clinical Trial to Reduce Hospital Acquired Infections Completes its Intervention Phase

The Active Bathing to Eliminate (ABATE) Infection trial has completed its intervention phase - the part of the trial where patients are treated and data are collected. The large-scale trial was designed to assess an approach for reducing multidrug-resistant organisms and hospital-associated infections in nearly 200 non-critical care hospital units across the United States. Now the study team heads into the data cleaning and analysis phase. Read more about this major milestone for the ABATE trial.

Image at right: Electron microscope image of Methicillin-resistant S. aureus (MRSA) bacteria. Image courtesy of the Centers for Disease Control and Prevention (CDC).

 

Doctor typing on a computerCollaboratory Publications on Research Ethics

Members of the Collaboratory's Regulatory/Ethics core group recently published three articles in the American Journal of Bioethics. The articles address various questions related to research on medical practices including: shared medical decision making, patient viewpoints on research concerning medical practice, and the ethics of research conducted in usual health care settings. The second two publications are part of a special issue of the journal that broadly addresses the "Ethics of Research in Usual Care Settings."

References (Note: full text may require institutional access)

 

Caduceus with double-headed arrows

Health Care Systems Interactions Core Shares Lessons Learned & New Guidance

Two documents are now available describing lessons learned from the Pragmatic Clinical Trials (PCTs) supported by the Collaboratory and how training for PCTs differs from typical clinical research studies. Read a short description of and find links to the documents.

 

 

How Pragmatic Is It? Applying the PRECIS Rating System to 5 Collaboratory Pragmatic Clinical Trials

An article published in the journal Trials describes how the Pragmatic – Explanatory Continuum Indicator Summary, or PRECIS, rating system can be applied to clinical trial designs to see where a given study sits on the spectrum of typical explanatory trials versus pragmatic clinical trials. The authors apply the rating system to 5 of the pragmatic trial demonstration projects supported by the Collaboratory. Read a brief summary of the article in plain language. Watch the authors’ describe their work in an archived Pragmatic Clinical Trials Grand Rounds presentation.

Reference:

Use of PRECIS ratings in the National Institutes of Health (NIH) Health Care Systems Research Collaboratory. Johnson KE, Neta G, Dember LM, Coronado GD, Suls J, Chambers DA, Rundell S, Smith DH, Liu B, Taplin S, Stoney CM, Farrell MM, Glasgow RE. Trials: 17(1):32. January 16, 2016.

Figure 1 of "Use of PRECIS ratings in the National Institutes of Health (NIH) Health Care Systems Research Collaboratory."

 

Figure 2 of "Lumbar Imaging With Reporting Of Epidemiology (LIRE)—Protocol for a pragmatic cluster randomized trial"Study Design of LIRE Pragmatic Trial Published

Dr. Jerry Jarvik and colleagues have published an article in Contemporary Clinical Trials describing the design of the Lumbar Imaging With Reporting of Epidemiology (LIRE) trial. The trial is being supported by the HCS Research Collaboratory as a demonstration project. Read a brief summary of the article in plain language. Read the original article abstract.

Reference:

Lumbar Imaging With Reporting Of Epidemiology (LIRE)-Protocol for a pragmatic cluster randomized trial. Jarvik JG, Comstock BA, James KT, Avins AL, Bresnahan BW, Deyo RA, Luetmer PH, Friedly JL, Meier EN, Cherkin DC, Gold LS, Rundell SD, Halabi SS, Kallmes DF, Tan KW, Turner JA, Kessler LG, Lavallee DC, Stephens KA, Heagerty PJ. Contemporary Clinical Trials. doi: 10.1016/j.cct.2015.10.003. [Epub ahead of print] October 19, 2015.

 

 

Findings from STOP CRC on Pragmatic Trial Recruitment

Drs. Coronado and Green, lead researchers of the Strategies and Opportunities to Stop Colorectal Cancer in Priority Populations (STOP CRC) pragmatic trial demonstration project, and colleagues have published an article in Clinical Trials describing the challenges of recruiting participants into large, multi-site pragmatic clinical trials—particularly at the health system level. Read a brief summary of the article in plain language. Read the original article abstract.

Reference:

Recruiting community health centers into pragmatic research: Findings from STOP CRC. Coronado GD, Retecki S, Schneider J, Taplin SH, Burdick T, Green BB. Clinical Trials. 2015 Sep 29. pii: 1740774515608122. [Epub ahead of print].

 

 

Video of Dr. Josephine Briggs Stakeholder Interview about the HCS Research CollaboratoryInterview with Dr. Josephine Briggs on the Impact of HCS Research Collaboratory

Click on the image at right to watch an interview with the Director of the NIH National Center for Complementary and Integrative Health (NCCIH) as she describes the impact of the HCS Research Collaboratory and its collaborators.

 

 

 

Collaboratory Researchers Find Poor Compliance with Clinical Trials Reporting Law

A new analysis of data from the ClinicalTrials.gov website shows that despite federal laws requiring the public reporting of results from clinical trials, most research sponsors fail to do so in a timely fashion — or, in many cases, at all. The study, published in the New England Journal of Medicine, was conducted by researchers supported by the NIH Collaboratory and the Clinical Trials Transformation Initiative (CTTI). A brief description of the findings is available in the Collaboratory's Living Textbook "Rethinking Clinical Trials." The original research article was published in The New England Journal of Medicine. The article abstract is freely available.

 

Ethical and Regulatory Challenges for Pragmatic Cluster Randomized Trials

A new report by researchers from the NIH Collaboratory explores some of the challenges facing physicians, scientists, and patient groups who are working to develop innovative methods for performing clinical trials. A brief description of the report is available in the Collaboratory's Living Textbook "Rethinking Clinical Trials."  The original research article was published in the journal Clinical Trials. The article abstract is freely available. 

 

"A guide to research partnerships for pragmatic clinical trials."

The HCS Research Collaboratory's Systems Interactions Core just published a paper that highlights multiple lessons about building strong research partnerships between health researchers and healthcare systems.

Read the full article in The BMJ.
Supplemental Material is available in the Collaboratory's Living Textbook

 

Groundbreaking Suicide Study

An HCS Research Collaboratory Demonstration Project will help researchers learn more about ways to treat people experiencing suicidal thoughts. Nearly 20,000 patients will be able to participate in a trial that draws from other successful interventions for depression and suicide. One of the treatments being tested was developed with the help of other patients.

Read the Science Update from the National Institute of Mental Health about the "Pragmatic Trial of Population-Based Programs to Prevent Suicide Attempt" Demonstration Project.
Get Detailed Information on the Demonstration Project from the HCS Research Collaboratory website. 

 

Large data networks important tools for public health and research needsLarge Data Networks to Support Public Health and Research

HCS Research Collaboratory grantee, Dr. Richard Platt, and his colleagues published an article in Health Affairs profiling four large health data networks. The networks are “examples of the first stage in the development of a shared national big-data resource that leverages the investments of many agencies and organizations for the benefit of multiple networks and users.” Read a summary of the article in plain language. Read the original article abstract (full text requires subscription).

Reference:

Four Health Data Networks Illustrate the Potential for a Shared National Multipurpose Big-Data Network. Curtis LH, Brown J, Platt R. Health Affairs. July 2014, vol. 33, no. 7, 1178-1186.

 

Kids Say the Darndest Things: Now They're Talking About Colon Cancer

STOP Colon Cancer Demonstration Project

This HCS Collaboratory Demonstration Project learned valuable lessons from a pilot study about promoting cancer screening among minority and low-income populations.

Read the National Public Radio "Shots Blog" post about the project.
Click on the image at right to watch a fun & educational video about the project.
Read the original research article in BMC Cancer.

 

Electronic Health Records and Pragmatic Clinical Trials

In a recent article in the Journal of the American Medical Informatics Association the HCS Research Collaboratory describes the challenges and opportunities faced in using electronic health records when conducting pragmatic clinical trials.

Read a brief description of the article from the HCS Collaboratory here.

 

Improving Medical Research Studies through Participant Feedback

HCS Research Collaboratory steering committee chairman Barry Coller, M.D., recently published an article in the New England Journal of Medicine on how medical research participants’ experiences could be used to improve the planning process for medical research studies.

Read a brief description of the article from the HCS Collaboratory here.

 

 

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