Grant Details
Grant Number: |
3P50CA244690-02S1 Interpret this number |
Primary Investigator: |
Beidas, Rinad |
Organization: |
University Of Pennsylvania |
Project Title: |
Advancing the Quality of Cancer Care Through Behavioral Economics and Implementation Science |
Fiscal Year: |
2021 |
Abstract
The grand challenge addressed by the Penn Implementation Science Center in Cancer Control
(Penn ISC3) is to apply insights from behavioral economics to accelerate the pace at which
evidence-based practices for cancer care are deployed to improve outcomes and equity for
individuals with cancer. Penn offers a unique environment in which to conduct this paradigm-
shifting work, given our expertise in implementation science, behavioral economics, and
innovative cancer care delivery. The complementary and multi-disciplinary expertise of the three
MPIs (Beidas, Bekelman, Schnoll), coupled with existing Penn resources represent a unique
opportunity to advance the quality of cancer care. Our partnership with Columbia University and
Dr. Rachel Shelton will allow us to address critical questions regarding health equity. The
Administrative Core will ensure that the activities of Penn ISC3 are coordinated, synergistic, and
congruent with timelines. The Implementation Laboratory represents a diverse ecosystem that
includes five hospitals and linked clinical sites, with over 200 oncologists that serve over 15,000
unique new patients annually. Our Research Program will oversee the development and testing
of implementation strategies that target patients and clinicians within our Implementation Lab and
are centered on the idea of `nudging' for optimal implementation and effectiveness outcomes. The
Research Program includes investigators with expertise in implementation science, behavioral
economics, cancer care delivery research, healthcare innovation, health equity, measurement,
and mixed methods. In the first two years, we propose two Signature Pilot Projects and three
Methods Projects. Signature Pilot Project 1 tests patient- and clinician-directed implementation
strategies to increase referral to tobacco cessation programs among cancer patients. Signature
Pilot Project 2 tests patient- and clinician-directed implementation strategies to increase serious
illness conversations. Common methods and measures are linked to allow for pooling of data and
to accomplish our objectives of testing multi-level implementation strategies and mechanisms
across contexts. Three methods projects, in support of the Projects, will advance the science of
implementation methods. Methods Project 1 will support the application of rapid cycle
approaches; Methods Project 2 will use qualitative comparative analysis to characterize multilevel
contextual variation. Methods Project 3 will provide methodological and theoretical support in
incorporating a health equity lens to the methods, measures, frameworks, and strategies ap-plied
across the SPPs. The Penn ISC3 has the potential to identify novel, disseminable, and scalable
ways to advance the quality and equity of cancer care.
Publications
None. See parent grant details.