ASPO Abstracts

Using the Consolidated Framework for Implementation Research (CFIR) to guide the implementation planning for the mychoiceTM multi-site randomized trial

Authors: Linda Fleisher, PhD, MPH, Sarah Bass, PhD, MPH, Cassidy Kenny, BS, Jin Lu, BS

Category: Behavioral Science & Health Communication
Conference Year: 2020

Abstract Body:
The mychoiceTM web-enabled interactive intervention was designed based on extensive formative research and is designed to increase patient informed decision making about clinical trial participation. This hybrid 1 randomized trial has a primary aim to measure the effectiveness of this patient guided intervention with a secondary aim to identify implementation challenges within clinical care settings. The implementation evaluation aim and activities are based on the Consolidated Framework for Implementation Research (CFIR) and Stages of Implementation (Saldana). By identifying these implementation challenges now, we can create a more strategic implementation study in the next step of the research. The current study is being implemented in four cancer centers and although eligibility criteria and study design are comparable at all sites, recruitment is modified at each site to reflect institutional preferences and operations. An example of the “inner setting” domain is site preferences for recruitment procedures. In the smaller sites the health care team is identifying patients and our research team is recruiting directly in infusion, while the other larger sites, which have more complex work flows and multiple clinical teams, have requested more patient activated approaches such as recruitment tables in the waiting rooms. We developed a number of planning and tracking tools based on the five CFIR domains used throughout the study including pre-implementation meetings, implementation observations by the research team, debriefing and end of study survey/interview with recruitment staff and end of study debriefing with at each site. We will present the insights from the CFIR guided implementation evaluation across the stages of implementation and provide recommendations for implementation in oncology clinical settings.

Keywords: implementation oncology clinical s settings CFIR