Implementation Science Frameworks Facilitate Evaluation
Implementation Science frameworks can be utilized to identify how and what to assess. For example, Manalili and colleagues (2020) used the Reach, Effectiveness, Adoption, Implementation, and Maintenance/Sustainability framework (RE-AIM) to create a quantitative data collection and evaluation plan. Learn more>>
Stover and colleagues (2020) compared the evaluation of four case studies of implementation of patient-reported measures in routine care settings. They provide example measures of acceptability, appropriateness, feasibility, adoption, reach/penetration, fidelity, cost, and sustainability.
Evaluation Case Studies
- The Implementing Patient-Reported Outcome Measures in Clinical Practice: A Companion Guide to the ISOQOL User’s Guide describes the formal and informal evaluation of the value of patient-reported outcome assessment used in 10 healthcare systems (see Section 9). Learn more>>
- Sisodia and colleagues (2020) conducted an evaluation of implementation across a large healthcare system.
- In a 2018 review, Anatchkova and colleagues utilized the 2015 ISOQOL User’s Guide for Implementing Patient-Reported Outcomes Assessment in Clinical Practice to create a framework for evaluating publications on the implementation of PROs in oncology clinical practice. In their systematic literature review, they reviewed 36 publications, most of which (n=29, 81%) were reports on intervention or feasibility research. Only three studies described ongoing routine PRO assessment to manage patient care outside of the scope of a research study. Aims for PRO collection were varied including improving symptom monitoring, patient-provider communication, patient-centeredness of care, and quality of care. Only about half of the studies reported intervention results on patient outcomes. The authors also reported a need for guidelines for interpreting PRO scores and for strategies to address concerning PRO scores “…particularly when the identified needs of patients extend beyond the expertise or training found in a routine oncology clinical practice such as depression or lack of social support.” Learn more>>
- An example of metrics with data definitions that can be used for monitoring implementation is available through the ePROs in Clinical Care website. See ePRO Sample Implementation Monitoring Plan.