Description
Introduction: Despite progress made in delivering evidence-based interventions for heart, lung, blood, and/or sleep disorders or diseases (HLBS conditions), these conditions remain major causes of death and disability. The National Heart, Lung, and Blood Institute (NHLBI) convened management and clinicians from Community Health Centers (CHC); clinical pharmacists; HLBS specialists; community-based participatory researchers; leaders from schools of pharmacy; and Federal stakeholders, from National Institute for Nursing Research (NINR), Health Resources and Services Administration (HRSA), Centers for Disease and Control and Prevention (CDC), Centers for Medicare and Medicaid Services (CMS), National Cancer Institute (NCI). Community Health Centers, including Federally Qualified Health Centers (FQHC), are a healthcare safety net for low income and uninsured populations and provide outpatient care for one-out-of-every-twelve Americans. A better understanding of the barriers and facilitators for CHCs to deliver evidence-based prevention and control for HLBS disorders is needed. Recommendations from this workshop will provide NHLBI options to consider to advance late-stage translation research (T4TR) within the CHC setting.
Background: Many interventions can prevent and control HLBS conditions. However in many settings, we do not know how best to move this knowledge base into sustainable practice within diverse settings and across social ecologic levels. The workshop sought to 1) garner insights on contextual issues for delivering multi-level prevention and control interventions for HLBS conditions; 2) identify strategies for coalition building, developing culturally-informed partnerships, and providing training and technical support; 3) solicit methodological insights on how to use robust scientific methods, and, 4) identify key high-priority implementation research questions. In other words, we are seeking to move advancements from “bedside to curbside.”
Approach: Over the course of two days, experts provided their experience with successes, challenges, methodological approaches, gaps in our knowledge, and gave recommendations for an implementation research agenda for NHLBI to consider.