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      Facilitative Components of Collaborative Learning: A Review of Nine Health Research Networks Translated title: Éléments facilitant l'apprentissage collaboratif: revue de neuf réseaux de recherche en santé

      research-article
      , MBA, PhD , , MBA, MPP, , PhD, , MPH, , DrPH
      Healthcare Policy
      Longwoods Publishing

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          Abstract

          Objective:

          Collaborative research networks are increasingly used as an effective mechanism for accelerating knowledge transfer into policy and practice. This paper explored the characteristics and collaborative learning approaches of nine health research networks.

          Data sources/study setting:

          Semi-structured interviews with representatives from eight diverse US health services research networks conducted between November 2012 and January 2013 and program evaluation data from a ninth.

          Study design:

          The qualitative analysis assessed each network's purpose, duration, funding sources, governance structure, methods used to foster collaboration, and barriers and facilitators to collaborative learning.

          Data collection:

          The authors reviewed detailed notes from the interviews to distill salient themes. Principal findings: Face-to-face meetings, intentional facilitation and communication, shared vision, trust among members and willingness to work together were key facilitators of collaborative learning. Competing priorities for members, limited funding and lack of long-term support and geographic dispersion were the main barriers to coordination and collaboration across research network members.

          Conclusion:

          The findings illustrate the importance of collaborative learning in research networks and the challenges to evaluating the success of research network functionality. Conducting readiness assessments and developing process and outcome evaluation metrics will advance the design and show the impact of collaborative research networks.

          Translated abstract

          Objectif:

          Les réseaux de recherche collaborative sont de plus en plus utilisés comme mécanisme efficace pour accélérer la transposition des connaissances dans la pratique et les politiques. Cet article explore les caractéristiques et les démarches d'apprentissage collaboratif de neuf réseaux de recherche en santé.

          Sources de données/paramètres de l'étude:

          Des entrevues semi-dirigées ont été menées, entre novembre 2012 et janvier 2013, auprès des représentants de huit réseaux de recherche sur les services de santé aux États-Unis; et les données d'évaluation du programme d'un neuvième réseau ont été utilisées.

          Conception de l'étude:

          L'analyse qualitative a permis d'évaluer, pour chacun des réseaux, la raison-d'être, la durée, les sources de financement, la structure de gouvernance, les méthodes pour favoriser la collaboration ainsi que les obstacles ou éléments facilitant l'apprentissage collaboratif.

          Collecte de données:

          Les auteurs ont étudié en détail les notes des entrevues afin d'en extraire les thèmes prédominants.

          Principaux résultats:

          Les principaux éléments facilitant l'apprentissage collaboratif sont les rencontres en personne, la facilitation et la communication intentionnelle, une vision partagée, la confiance entre les membres et la volonté de travailler ensemble. Les principaux obstacles de la coordination et de la collaboration entre les membres des réseaux de recherche sont les priorités concurrentes, le financement limité, le manque de soutien à long terme et la dispersion géographique.

          Conclusion:

          Les résultats soulignent l'importance de l'apprentissage collaboratif dans les réseaux de recherche ainsi que les défis liés à l'évaluation de leur bon fonctionnement. Les évaluations de l'état de préparation ainsi que la mise au point de paramètres pour évaluer les processus et les résultats permettront d'améliorer la conception des réseaux de recherche collaborative ainsi que leur impact.

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          Most cited references25

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          Launching PCORnet, a national patient-centered clinical research network

          The Patient-Centered Outcomes Research Institute (PCORI) has launched PCORnet, a major initiative to support an effective, sustainable national research infrastructure that will advance the use of electronic health data in comparative effectiveness research (CER) and other types of research. In December 2013, PCORI's board of governors funded 11 clinical data research networks (CDRNs) and 18 patient-powered research networks (PPRNs) for a period of 18 months. CDRNs are based on the electronic health records and other electronic sources of very large populations receiving healthcare within integrated or networked delivery systems. PPRNs are built primarily by communities of motivated patients, forming partnerships with researchers. These patients intend to participate in clinical research, by generating questions, sharing data, volunteering for interventional trials, and interpreting and disseminating results. Rapidly building a new national resource to facilitate a large-scale, patient-centered CER is associated with a number of technical, regulatory, and organizational challenges, which are described here.
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            Conceptualization and measurement of organizational readiness for change: a review of the literature in health services research and other fields.

            Health care practitioners and change experts contend that organizational readiness for change is a critical precursor to successful change implementation. This article assesses how organizational readiness for change has been defined and measured in health services research and other fields. Analysis of 106 peer-reviewed articles reveals conceptual ambiguities and disagreements in current thinking and writing about organizational readiness for change. Inspection of 43 instruments for measuring organizational readiness for change reveals limited evidence of reliability or validity for most publicly available measures. Several conceptual and methodological issues that need to be addressed to generate knowledge useful for practice are identified and discussed.
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              The science of team science: overview of the field and introduction to the supplement.

              The science of team science encompasses an amalgam of conceptual and methodologic strategies aimed at understanding and enhancing the outcomes of large-scale collaborative research and training programs. This field has emerged rapidly in recent years, largely in response to growing concerns about the cost effectiveness of public- and private-sector investments in team-based science and training initiatives. The distinctive boundaries and substantive concerns of this field, however, have remained difficult to discern. An important challenge for the field is to characterize the science of team science more clearly in terms of its major theoretical, methodologic, and translational concerns. The articles in this supplement address this challenge, especially in the context of designing, implementing, and evaluating cross-disciplinary research initiatives. This introductory article summarizes the major goals and organizing themes of the supplement, draws links between the constituent articles, and identifies new areas of study within the science of team science.
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                Author and article information

                Contributors
                Journal
                Healthc Policy
                Healthc Policy
                LP-HPL
                Healthcare Policy
                Longwoods Publishing
                1715-6572
                February 2017
                1 February 2018
                : 12
                : 3
                : 19-33
                Affiliations
                US Health Division, Abt Associates, Cambridge, MA
                US Health Division, Abt Associates, Cambridge, MA
                MacColl Center for Health Care Innovation, Group Health Research Institute, Seattle, WA
                US Health Division, Abt Associates, Cambridge, MA
                Center for Evidence & Practice Improvement, Agency for Healthcare Research and Quality, Rockville, MD
                Author notes
                Correspondence may be directed to: Lisa LeRoy, MBA, PhD; US Health Division, Abt Associates, 55 Wheeler StreetCambridge, MA 02138617-349-2723 lisa_leroy@ 123456abtassoc.com
                Article
                5344361
                28277202
                6aa24ea4-ee06-482c-b1fb-a920ea3fe5e4
                Copyright © 2017 Longwoods Publishing

                This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial 4.0 License, which permits rights to copy and redistribute the work for non-commercial purposes only, provided the original work is given proper attribution.

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