Academic Journal
Using qualitative and participatory methods to refine implementation strategies: universal family psychosocial screening in pediatric cancer
| العنوان: | Using qualitative and participatory methods to refine implementation strategies: universal family psychosocial screening in pediatric cancer |
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| المؤلفون: | Deatrick, Janet A., Kazak, Anne E., Madden, Rebecca E., McDonnell, Glynnis A., Okonak, Katherine, Scialla, Michele A., Barakat, Lamia P. |
| المساهمون: | American Cancer Society, Center for Mental Health Services, Nemours Foundation, Children's Hosptial of Philadelphia |
| المصدر: | Implementation Science Communications ; volume 2, issue 1 ; ISSN 2662-2211 |
| بيانات النشر: | Springer Science and Business Media LLC |
| سنة النشر: | 2021 |
| الوصف: | Background Children with cancer and their families are at risk for short- and long-term psychosocial difficulties. Screening for psychosocial risk remains inconsistent, leading to inequitable access to psychosocial services. The Psychosocial Assessment Tool (PAT) is an evidence-based caregiver report screener of family psychosocial risk ready for implementation in a nationwide cluster randomized trial that will test two implementation strategies across 18 pediatric cancer centers. The current study, conducted in preparation for the trial, solicited the perspectives of key stakeholders about two proposed implementation strategies identified during previous research which focus on health equity and screening of all families (universal screening). Results were used to refine the implementation strategies for testing in the subsequent trial. Methods Semi-structured interviews with 19 key stakeholders (parents, health care providers, pediatric oncology organizations, and pediatric healthcare leaders) were conducted regarding the two implementation strategies. Strategy I is a training webinar; Strategy II is training + implementation enhanced resources, which includes a champion at each site and monthly peer support consultation calls. Data were analyzed using directed content analysis with deductively derived codes based on the Interactive Systems Framework and inductive codes based on emerging data. Results Stakeholder interviews provided rich data to rigorously modify the proposed implementation strategies. Implementation strategies were modified in consistent with these recommendations: engaging providers by framing family psychosocial screening as an opportunity for more efficient and effective practice; setting clear expectations about the importance of screening 100% of children and their families to achieve the goal of universal screening, equity of care, and reduction of disparities; and adapting successful strategies for systematic implementation of screening to ensure optimal engagement with ... |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| DOI: | 10.1186/s43058-021-00163-4 |
| DOI: | 10.1186/s43058-021-00163-4.pdf |
| DOI: | 10.1186/s43058-021-00163-4/fulltext.html |
| الاتاحة: | http://dx.doi.org/10.1186/s43058-021-00163-4 https://link.springer.com/content/pdf/10.1186/s43058-021-00163-4.pdf https://link.springer.com/article/10.1186/s43058-021-00163-4/fulltext.html |
| Rights: | https://creativecommons.org/licenses/by/4.0 ; https://creativecommons.org/licenses/by/4.0 |
| رقم الانضمام: | edsbas.BBAB52A7 |
| قاعدة البيانات: | BASE |
| DOI: | 10.1186/s43058-021-00163-4 |
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