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Research ready: Strategies for successful implementation of research in clinical settings
Clinical Trials ; 18(SUPPL 5):65-66, 2021.
Article in English | EMBASE | ID: covidwho-1582556
ABSTRACT
Through our experience implementing pragmatic studies, the Louisiana Public Health Institute recognized clinic support staff as unique stakeholders in clinicbased research whose role in study implementation is often overlooked. Our project, Research Ready, aimed to find innovative ways to engage staff in the design and implementation of research studies. Specifically, the project team designed, piloted, and disseminated materials to improve clinic staff capacity to partner in research. During this pandemic, reliance on clinical staff for study adherence is critical. COVID-related research has been rapidly implemented, which relies upon having well-prepared staff to handle the rapid implementation of new protocols. The team developed and piloted two tools for improving staff engagement in research activities a training for clinic support staff and a guide for researchers. The staff training was developed to inform clinic staff, such as medical assistants and nurses, about basic research principles and considerations for supporting the implementation of research in a clinical setting. The training is available in three formats e-learning, facilitated session, and self-guided workbook. The researcher guide was created to share insights and best practices for engaging and partnering with clinic staff to successfully implement pragmatic research. Both resources are available on Louisiana Public Health Institute's website. The Research Ready resources were informed by interviews conducted with clinic support staff and researchers (including principal investigators, study managers, and clinical research coordinators) who had implemented studies in outpatient settings. Clinic staff from a variety of settings were interviewed, including Federally Qualified Health Centers, private healthcare systems, and academic medical centers. Research staff were either affiliated with academic institutions or clinical research firms. Major themes identified in the key-informant interviews include (1) clinic staff play key roles in implementing research they are gatekeepers of clinic workflow and brokers of patient trust;(2) clinic staff lack knowledge about research and the research process, which is a barrier to implementing studies in clinic settings;(3) communication and relationship-building are important facilitators for researchers seeking to work with clinical staff;(4) clinic staff prioritize the care and wellbeing of their patients, which can be both a barrier and a facilitator of clinic-based research. The training was piloted in three sites with a total of 52 participants. Participants were surveyed after completing the training. Survey results showed that participants thought the training was easy to understand and increased their knowledge about research. Results also showed that participants felt the information from their training was applicable to their jobs. As more research is conducted in clinic settings, researchers and clinic staff will benefit from best practices to assure a mutual understanding of research objectives and processes. Identifying strategies for successful implementation of research in clinical settings will enhance the conduct of pragmatic research and allow it to equitably reach patients in diverse outpatient care settings. Using the Research Ready materials, researchers can ensure that clinic staff have adequate understanding of research principles and that staff concerns about time and competing priorities are addressed and accounted for in study workflows.
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Full text: Available Collection: Databases of international organizations Database: EMBASE Type of study: Prognostic study Language: English Journal: Clinical Trials Year: 2021 Document Type: Article

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Full text: Available Collection: Databases of international organizations Database: EMBASE Type of study: Prognostic study Language: English Journal: Clinical Trials Year: 2021 Document Type: Article