From ‘intuitive’ pragmatic interventions to a systematic approach – Using implementation science to improve childhood cancer survival in low-income settings: The CANCaRe Africa experience

Trijn Israels , Barnabas Atwiine , Caitlyn Duffy , Junious Sichali , Glenn Afungchwi , Kathy Pritchard-Jones , Deborah Nyirenda , Victor Mwapasa
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Abstract

Implementation science is a relatively young field of study and is the science of delivering evidence-based interventions into routine health care. RE-AIM (Reach, Effectiveness, Adoption, Implementation, and Maintenance) is an evaluation-type implementation science framework. CANCaRe Africa is preparing a project to assess the implementation and effectiveness of a cash incentive intervention to support families with out-of-pocket costs to prevent treatment abandonment and increase childhood cancer survival in sub-Saharan Africa. Our strategy is to enhance the dissemination of our research findings to local policymakers who can support the scale-up of evidence-based clinical interventions and locally effective implementation strategies. It can be done best by embedding implementation science into our clinical research approaches.

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从 "直觉 "实用干预到系统方法--利用实施科学提高低收入环境中的儿童癌症生存率:非洲癌症网络(CANCaRe Africa)的经验
实施科学是一个相对年轻的研究领域,是将循证干预措施应用于常规医疗保健的科学。RE-AIM(覆盖、效果、采纳、实施和维护)是一个评估型实施科学框架。非洲癌症研究中心(CANCaRe Africa)正在筹备一个项目,以评估现金激励干预措施的实施情况和效果,该措施旨在支持家庭自付费用,防止放弃治疗,提高撒哈拉以南非洲地区儿童癌症患者的存活率。我们的战略是加强向当地政策制定者宣传我们的研究成果,使他们能够支持推广循证临床干预措施和当地有效的实施策略。将实施科学纳入我们的临床研究方法是实现这一目标的最佳途径。
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