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Implementing community-based provider participation in research: an empirical study.

Randall Teal1, Dawn M Bergmire, Matthew Johnston

  • 1Cecil G, Sheps Center for Health Services Research, University of North Carolina, Chapel Hill, NC, USA. rteal@schsr.unc.edu

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Community-based provider participation in research (CBPPR) implementation faces challenges due to inconsistent organizational readiness and limited resources. Successful CBPPR requires strong innovation-values fit and supportive external factors for sustained clinical practice integration.

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Area of Science:

  • Clinical research
  • Implementation science
  • Health services research

Background:

  • The U.S. National Institutes of Health (NIH) promotes collaborative research partnerships to integrate academic and community-based physicians.
  • Community-based provider participation in research (CBPPR) aims to accelerate research translation into clinical practice.
  • Few studies examine organizational factors influencing CBPPR implementation.

Purpose of the Study:

  • To explore organizational start-up and early implementation of CBPPR in community-based practice settings.
  • To identify facilitators and barriers to CBPPR implementation.

Main Methods:

  • Longitudinal case study research using an organizational model of innovation implementation.
  • Sample: Three community practice settings within the National Cancer Institute's (NCI) Community Clinical Oncology Program (CCOP).
  • Data collection: Site visits, telephone interviews, and archival documents (January 2008–May 2011).

Main Results:

  • The innovation implementation model effectively identified influencing organizational factors.
  • Organizations showed varied consistency in CBPPR and mixed readiness for change.
  • Limited hospital management support and resources initially, with improvements in one site.
  • Weak implementation climates resulted from weak internal policies and procedures.
  • Patient accrual concentrated among physicians with a strong innovation-values fit.
  • External factors influenced innovation use, enriching the intra-organizational model.

Conclusions:

  • Results contribute to the limited research on CBPPR implementation.
  • Findings inform policy on increasing and sustaining community clinician involvement in research.
  • The study expands organizational theory on implementation effectiveness determinants.