An implementation science primer for psycho-oncology: translating robust evidence into practice

Rankin, Nicole; Butow, Phyllis; Hack, Thomas F.; Shaw, Joanne; Shepherd, Heather L.; Ugalde, Anna; Sales, Anne

doi:10.1097/or9.0000000000000014

Cited by 36 publications

(61 citation statements)

References 108 publications

(147 reference statements)

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“…Identifying barriers to previous attempts at implementation or reasons underlying failed or slow implementation is a core component of implementation science, as barriers can both contribute to the evidence‐practice gap and be determinants of change 37 . By purposefully designing interventions and strategies to address previous barriers, then, our researchers are aiming to improve care (ie, quality and availability) for parents, adolescents, and siblings, and reduce the practice gaps.…”

Section: Discussionmentioning

confidence: 99%

Pediatric Psychosocial Standards of Care in action: Research that bridges the gap from need to implementation

et al. 2020

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Objective: To describe innovative models of psychosocial care delivery that align with published Standards of Psychosocial Care of Children with Cancer and their Families, in efforts to bridge the divide between research and practice. Methods: The Mattie Miracle Cancer Foundation, in partnership with the American Psychosocial Oncology Society reviewed 22 letters of intent and 13 full grants and awarded small grants to researchers with high quality projects that aimed to implement any of the published 15 Standards of Care. For three of the highest rated funded research projects, we describe the Standard implemented, the novel research design and implementation strategies, and how the research findings might inform the development, implementation, and dissemination of effective solutions for bridging Standard-to-practice gaps. Results: The first study presented is an innovative eHealth intervention for parents of children with cancer designed to improve family functioning and decrease symptoms of acute distress, anxiety, and posttraumatic stress. The second study addresses the acceptability and feasibility of using daily text message assessments of oral chemotherapy adherence in adolescents and young adults with leukemia, and the third creates a blueprint for providing psychosocial services to siblings, including ways to overcome common implementation barriers. Conclusions: Several themes emerged from the studies presented, including (1) attention to barriers to previous attempts at implementation; (2) technology's role in delivering care; (3) the need for stakeholder involvement; and (4) consideration for multi-pronged solutions that address heterogeneity in care settings. Next steps for integrating the Standards of Psychosocial Care into clinical practice are discussed.

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Section: Discussionmentioning

confidence: 99%

Pediatric Psychosocial Standards of Care in action: Research that bridges the gap from need to implementation

et al. 2020

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“…As external change agents, we did not only want to apply the CFIR as a framework for data-collection at the postimplementation stage as it has typically been used [2]. Like others, we wanted to engage stakeholders in the implementation process to optimize planning and implementation success [22,[27][28][29][30]. Like others, we established and worked with implementation teams [31][32][33][34].…”

Section: Discussionmentioning

confidence: 99%

The CFIR Card Game: a new approach for working with implementation teams to identify challenges and strategies

Piat

Wainwright

Sofouli

et al. 2021

Implement Sci Commun

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Background The Consolidated Framework for Implementation Research (CFIR) and the ERIC compilation of implementation strategies are key resources for identifying implementation barriers and strategies. However, their respective density and complexity make their application to implementation planning outside of academia challenging. We developed the CFIR Card Game as a way of working with multi-stakeholder implementation teams that were implementing mental health recovery into their services, to identify barriers and strategies to overcome them. The aim of this descriptive evaluation is to describe how the game was prepared, played, used and received by teams and researchers and their perception of the clarity of the CFIR constructs. Methods We used the new CFIR-ERIC Matching Tool v.1 to design the game. We produced a deck of cards with each of the CFIR-ERIC Matching Tool barrier narratives representing all 39 CFIR constructs. Teams played the game at the pre-implementation stage at a time when they were actively engaged in a planning process for implementing their selected recovery-oriented innovation. The teams placed each card in either the YES or NO column of the board in response to whether they anticipated experiencing this barrier in their setting. Teams were also asked about the clarity of the barrier narratives and were provided with plain language versions if unclear. Researchers completed a reflection form following the game, and participants completed an open-added questionnaire that included questions specific to the CFIR Card Game. We applied a descriptive coding approach to analysis. Results Four descriptive themes emerged from this analysis: (1) the CFIR Card Game as a useful and engaging process, (2) difficulties understanding CFIR construct barrier narratives, (3) strengths of the game’s design and structure and room for improvement and (4) mediating factors: facilitator preparation and multi-stakeholder dynamics. Quantitative findings regarding the clarity of the barrier narratives were integrated with qualitative data under theme 2. Only seven of the 39 original barrier narratives were judged to be clear by all teams. Conclusions The CFIR Card Game can be used to enhance implementation planning. Plain language versions of CFIR construct barrier narratives are needed. Our plain language versions require further testing and refining.

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“…This study on bereavement risk screening utilized stakeholder feedback, which is a key step to the successful implementation of psychosocial assessments in oncology 22 . Pre‐ and post‐loss family members generally supported the use of bereavement risk screening and provided integral feedback on when and how it should be approached.…”

Section: Discussionmentioning

confidence: 99%

Bereavement risk screening: A pathway to psychosocial oncology care

et al. 2020

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Objective: This qualitative study sought to obtain feedback from stakeholder cancer caregivers and bereaved family members on the implementation of bereavement risk screening in oncology. Methods: Semi-structured interviews were conducted with 38 family members of patients with advanced cancer (n = 12) and bereaved family members (n = 26) on when and how to effectively implement bereavement risk screening. Data were analyzed using thematic analysis. Results: Many participants indicated that they would be open to completing a selfreport screening measure before and after the patient's death. Several suggested screening at multiple timepoints and the importance of follow-up. Participants viewed screening as an opportunity to connect to psychosocial support.

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An implementation science primer for psycho-oncology: translating robust evidence into practice

Cited by 36 publications

References 108 publications

Pediatric Psychosocial Standards of Care in action: Research that bridges the gap from need to implementation

Pediatric Psychosocial Standards of Care in action: Research that bridges the gap from need to implementation

The CFIR Card Game: a new approach for working with implementation teams to identify challenges and strategies

Bereavement risk screening: A pathway to psychosocial oncology care

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