Table 3.
Integrate IR with respiratory, sleep, and critical care medicine research |
Identify priority research areas |
Work to adopt the nomenclature that is recognized by the field of IR |
Determine how existing research infrastructure or changes to such infrastructure will facilitate IR |
Design and conduct IR |
Identify relevant study designs beyond randomized clinical trials |
Define appropriate control groups for IR and establish whether “usual care” is acceptable |
Establish how to identify and engage stakeholders, including those who are not part of the health care “system” |
Define elements within IR that can be adapted to leverage technology to increase dissemination |
Establish how to measure adaptability |
Determine how to prepare funding organizations or monitoring boards to provide an informative review |
Consider methods to enhance staff participation and motivation to minimize turnover |
Measure outcomes in IR |
Identify appropriate outcomes for IR |
Define the metrics of success for IR |
Establish the appropriate time interval and methodology to measure sustainability |
Train investigators |
Build a collaboration to address training guidelines (establish a curriculum) for students or junior investigators who wish to become engaged in IR |
Create programs and opportunities for established lung researchers to learn about IR |
Scale up interventions across multiple settings |
Identify study champions at each setting |
Emphasize simplicity when proposing integration across multiple care settings |
Distinguish between evidence-based care and IR |
Implement and leverage supports for respiratory, critical care, and sleep IR |
Develop an ATS “home” for investigators and members to coordinate and maintain communication between various groups conducting IR |
Learn about the Center for Translation Research and Implementation Science (CTRIS) at NIH/NHLBI |
Definition of abbreviations: ATS = American Thoracic Society; IR = implementation research; NHLBI = National Heart, Lung, and Blood Institute; NIH = National Institutes of Health.