Implications for Precision Accelerated Clinically Embedded Research (PACER): a novel technology-enabled approach to conducting minimal-risk research in outpatient community healthcare settings

Principal Investigator(s):  View help for Principal Investigator(s) Justin Starren, University of Arizona; Kelly Michaelson, Ann & Robert H. Lurie Children's Hospital of Chicago

Version:  View help for Version V1

Name File Type Size Last Modified
Data Definitions.docx application/vnd.openxmlformats-officedocument.wordprocessingml.document 21 KB 02/04/2025 02:01:PM
Exempt letter_for_STU00215847.pdf application/pdf 131.6 KB 01/20/2025 10:17:AM
Lurie exempt determination letter.pdf application/pdf 96.2 KB 09/27/2021 11:03:AM
PACER Consent Updated version 4 (1)--final.docx application/vnd.openxmlformats-officedocument.wordprocessingml.document 34.6 KB 01/20/2025 09:58:AM
PACER PLOS R2 Manuscript assembled.pdf application/pdf 752.4 KB 10/22/2024 01:25:PM
PACER Study Purpose and Design Doc ICPSR.docx application/vnd.openxmlformats-officedocument.wordprocessingml.document 273.2 KB 01/20/2025 01:39:PM
Pacer interview manuscript master codebook final.docx application/vnd.openxmlformats-officedocument.wordprocessingml.document 48.8 KB 02/04/2025 01:44:PM
S1 Interview Guide.pdf application/pdf 160.2 KB 01/17/2025 11:38:AM
Subject Demographics.docx application/vnd.openxmlformats-officedocument.wordprocessingml.document 24.6 KB 02/04/2025 01:55:PM
Transcript ID 11--SHARE.docx application/vnd.openxmlformats-officedocument.wordprocessingml.document 44.4 KB 10/22/2024 09:33:AM
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Project Citation: 

Starren, Justin, and Michaelson, Kelly. Implications for Precision Accelerated Clinically Embedded Research (PACER): a novel technology-enabled approach to conducting minimal-risk research in outpatient community healthcare settings. Ann Arbor, MI: Inter-university Consortium for Political and Social Research [distributor], 2025-02-14. https://doi.org/10.3886/E219461V1

Project Description

Summary:  View help for Summary
Barriers to effective, timely, and comprehensive clinical research include the slow pace at which studies progress from design to dissemination of results, challenges enrolling research participants, and lack of participant diversity. Recent advances in technology could help address these challenges, such as the Fast Health Interoperability Resources standards and Clinical Decision Support Hooks that support data acquisition, sharing, and expansion of research across organizations and disparate electronic health records. Precision Accelerated Clinically Embedded Research (PACER) is a theoretical approach that uses these technologies to enable scalable, efficient, and cost-effective clinical research by integrating very short, minimal-risk research activities into the clinical encounter. While PACER offers enormous potential, PACER also presents ethical, sociotechnical, and implementation challenges. The purpose of the current study was to obtain insights on the potential challenges presented by PACER. We conducted 47 qualitative semi-structured interviews with patients, clinicians, research experts (individuals involved in developing and conducting research), and bioethicists. We sought participants’ perspectives on the potential ethical, sociotechnical, and implementation issues raised by PACER. We identified five key domains: impact on clinical research, consent, compensation, impacts on people and organizations, and implementation.
Funding Sources:  View help for Funding Sources Greenwall Foundation

Scope of Project

Subject Terms:  View help for Subject Terms ethics; point of care research; information technology
Geographic Coverage:  View help for Geographic Coverage Illinois
Collection Date(s):  View help for Collection Date(s) 2/1/2022 – 8/1/2022
Data Type(s):  View help for Data Type(s) text


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