The TRI defines
translational science as that which transforms
scientific discoveries arising from laboratory, clinical, or population studies
into clinical applications to reduce disease incidence, morbidity, and
mortality. Translational research occurs on a bi-directional continuum of T1
through T4 research that addresses human health questions and creates human
health interventions.
T1 research jump-starts
the process of translation of bench research to the patient bedside,
generally in a limited fashion. This is where basic science discoveries
directly related to human health, case study/pilot clinical research, and
Phase 1 and 2 clinical trials usually occur.
T2 expands that sphere
of discovery to larger patient populations in Phase 3 and 4 clinical trials,
observational studies, or survey research in target populations. New
discoveries can result in need for more translational research in basic
sciences (T2T1)or influence T3
research (T2T3).
T3, the
practice-oriented stage of translational science, uses dissemination and
implementation research to answer such questions as: Is treatment X actually
being used in the community-at-large, and if not, why not? The
identification of new clinical questions, barriers, and gaps in care related
to treatment X is focused on at this stage.
If
T1T3 studies reach their goals and data indicate efficacious
practices or results, new policy or outcomes research is engendered in
T4. Do existing laws
or policies for insurance reimbursement allow equal access or implementation
of treatment X to target populations? Is treatment X more effective or of
equal effectiveness than other standard of care practices?
UAMS Translational Research Institute 4301 W. Markham #Slot 577, Little Rock, AR 72205, 501-614-2287