Home

Comparison of implementation strategies to influence adherence to the clinical pathway for screening, assessment and management of anxiety and depression in adult cancer patients (ADAPT CP): study protocol of a cluster randomised controlled trial

Show simple item record

dc.contributor.author Butow, Phyllis
dc.contributor.author Shaw, Joanne
dc.contributor.author Shepherd, Heather L
dc.contributor.author Price, Melanie
dc.contributor.author Masya, Lindy
dc.contributor.author Kelly, Brian
dc.contributor.author Rankin, Nicole M
dc.contributor.author Girgis, Afaf
dc.contributor.author Hack, Thomas F
dc.contributor.author Beale, Philip
dc.contributor.author Viney, Rosalie
dc.contributor.author Dhillon, Haryana M
dc.contributor.author Coll, Joseph
dc.contributor.author Kelly, Patrick
dc.contributor.author Lovell, Melanie
dc.contributor.author Grimison, Peter
dc.contributor.author Shaw, Tim
dc.contributor.author Luckett, Tim
dc.contributor.author Cuddy, Jessica
dc.contributor.author White, Fiona
dc.date.accessioned 2018-12-01T04:59:20Z
dc.date.issued 2018-11-07
dc.identifier.citation BMC Cancer. 2018 Nov 07;18(1):1077
dc.identifier.uri https://doi.org/10.1186/s12885-018-4962-9
dc.identifier.uri http://hdl.handle.net/1993/33575
dc.description.abstract Abstract Background Health service change is difficult to achieve. One strategy to facilitate such change is the clinical pathway, a guide for clinicians containing a defined set of evidence-based interventions for a specific condition. However, optimal strategies for implementing clinical pathways are not well understood. Building on a strong evidence-base, the Psycho-Oncology Co-operative Research Group (PoCoG) in Australia developed an evidence and consensus-based clinical pathway for screening, assessing and managing cancer-related anxiety and depression (ADAPT CP) and web-based resources to support it - staff training, patient education, cognitive-behavioural therapy and a management system (ADAPT Portal). The ADAPT Portal manages patient screening and prompts staff to follow the recommendations of the ADAPT CP. This study compares the clinical and cost effectiveness of two implementation strategies (varying in resource intensiveness), designed to encourage adherence to the ADAPT CP over a 12-month period. Methods This cluster randomised controlled trial will recruit 12 cancer service sites, stratified by size (large versus small), and randomised at site level to a standard (Core) versus supported (Enhanced) implementation strategy. After a 3-month period of site engagement, staff training and site tailoring of the ADAPT CP and Portal, each site will “Go-live”, implementing the ADAPT CP for 12 months. During the implementation phase, all eligible patients will be introduced to the ADAPT CP as routine care. Patient participants will be registered on the ADAPT Portal to complete screening for anxiety and depression. Staff will be responsible for responding to prompts to follow the ADAPT CP. The primary outcome will be adherence to the ADAPT CP. Secondary outcomes include staff attitudes to and experiences of following the ADAPT CP, using the ADAPT Portal and being exposed to ADAPT implementation strategies, collected using quantitative and qualitative methods. Data will be collected at T0 (baseline, after site engagement), T1 (6 months post Go-live) and T2 (12 months post Go-live). Discussion This will be the first cluster randomised trial to establish optimal levels of implementation effort and associated costs to achieve successful uptake of a clinical pathway within cancer care. Trial registration The study was registered prospectively with the ANZCTR on 22/3/2017. Trial ID ACTRN12617000411347
dc.rights info:eu-repo/semantics/openAccess
dc.title Comparison of implementation strategies to influence adherence to the clinical pathway for screening, assessment and management of anxiety and depression in adult cancer patients (ADAPT CP): study protocol of a cluster randomised controlled trial
dc.type Journal Article
dc.type info:eu-repo/semantics/article
dc.language.rfc3066 en
dc.rights.holder The Author(s).
dc.date.updated 2018-12-01T04:59:20Z


Files in this item

This item appears in the following Collection(s)

Show simple item record

View Statistics