Protocol for the implementation evaluation of an integrated paediatric and primary care model: Strengthening Care for Children (SC4C)
Introduction Implementation evaluations provide insight into how interventions are delivered across varying contexts and why interventions work in some contexts and not in others. This manuscript outlines a detailed protocol of an implementation evaluation embedded in a stepped-wedge cluster randomi...
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BMJ Publishing Group
2022-09-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/12/9/e063450.full |
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| author | Yvonne Zurynski Susan Woolfenden Peter D Hibbert Harriet Hiscock Raghu Lingam Karen Wheeler Michael Hodgins Jade Burley Rachel Pelly Jane Le Sonia Khano Tammy Meyers Morris Stephanie Germano |
| author_facet | Yvonne Zurynski Susan Woolfenden Peter D Hibbert Harriet Hiscock Raghu Lingam Karen Wheeler Michael Hodgins Jade Burley Rachel Pelly Jane Le Sonia Khano Tammy Meyers Morris Stephanie Germano |
| author_sort | Yvonne Zurynski |
| collection | DOAJ |
| description | Introduction Implementation evaluations provide insight into how interventions are delivered across varying contexts and why interventions work in some contexts and not in others. This manuscript outlines a detailed protocol of an implementation evaluation embedded in a stepped-wedge cluster randomised controlled trial of a model of care, Strengthening Care for Children (SC4C), that integrates paediatric care in general practice. The purpose of this manuscript is to describe the pragmatic methods that will be used to capture implementation evaluation process and outcome data within this trial.Methods and analysis Our implementation evaluation will use a mixed methods design, with data collected in the intervention arm of the SC4C trial guided by a logic model developed using the Consolidated Framework for Implementation Research (CFIR) and Proctor and colleague’s taxonomy of implementation outcomes. Data collection will be via questionnaires and semistructured interviews with general practitioners, paediatricians, general practice administrative staff and children and families. Each of the 21 general practices recruited into the study will be described in terms of staffing, patient throughput and location, in addition to the nuanced inner and outer contexts, use of the intervention and its acceptability. We will quantify implementation effectiveness in each general practice clinic using the CFIR validated scoring system. Importantly, we have embedded data collection post intervention to enable assessment of the sustainable adoption of the intervention. An inductive approach to the analysis of qualitative data will identify additional emerging themes that may not be covered by the formal frameworks underpinning our analysis.Ethics and dissemination Ethical approval was granted by the Royal Children’s Hospital Ethics Committee in August 2020 (HREC: 65955). Results will be submitted for publication in peer-reviewed journals and presented at relevant conferences.Trial registration number Australia New Zealand Clinical Trials Registry 12620001299998 on 1 December 2020. |
| format | Article |
| id | doaj-art-9ada219ca45c4959bbaa11253f5e28b8 |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2022-09-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-9ada219ca45c4959bbaa11253f5e28b82025-02-07T01:05:10ZengBMJ Publishing GroupBMJ Open2044-60552022-09-0112910.1136/bmjopen-2022-063450Protocol for the implementation evaluation of an integrated paediatric and primary care model: Strengthening Care for Children (SC4C)Yvonne Zurynski0Susan Woolfenden1Peter D Hibbert2Harriet Hiscock3Raghu Lingam4Karen Wheeler5Michael Hodgins6Jade Burley7Rachel Pelly8Jane Le9Sonia Khano10Tammy Meyers Morris11Stephanie Germano12Centre for Healthcare Resilience and Implementation Science, Australian Institute of Health Innovation, Macquarie University, Sydney, 2109, AustraliaPopulation Child Health, School of Womens and Childrens Health, Faculty of Medicine, University of New South Wales, Sydney, New South Wales, AustraliaAustralian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, AustraliaThe Royal Children’s Hospital, Parkville, Victoria, AustraliaPopulation Child Health Research Group, School of Clinical Medicine, University of New South Wales, Sydney, New South Wales, AustraliaDepartment of Urology, University of Texas Health San Antonio, San Antonio, Texas, USA1 Population Child Health Research Group, University of New South Wales, Sydney, NSW, AustraliaCentre of Excellence for The Digital Child, The University of Wollongong, Wollongong, New South Wales, Australia1 Health Services Research Unit, The Royal Children`s Hospital Melbourne, Parkville, Victoria, Australia3 Murdoch Children`s Research Institute Health Services Group, Parkville, Victoria, Australia4 Health Services, Murdoch Children`s Research Institute, Parkville, Victoria, Australia1 Population Child Health Research Group, University of New South Wales, Sydney, NSW, Australia6 North Western Melbourne Primary Health Network, Parkville, Victoria, AustraliaIntroduction Implementation evaluations provide insight into how interventions are delivered across varying contexts and why interventions work in some contexts and not in others. This manuscript outlines a detailed protocol of an implementation evaluation embedded in a stepped-wedge cluster randomised controlled trial of a model of care, Strengthening Care for Children (SC4C), that integrates paediatric care in general practice. The purpose of this manuscript is to describe the pragmatic methods that will be used to capture implementation evaluation process and outcome data within this trial.Methods and analysis Our implementation evaluation will use a mixed methods design, with data collected in the intervention arm of the SC4C trial guided by a logic model developed using the Consolidated Framework for Implementation Research (CFIR) and Proctor and colleague’s taxonomy of implementation outcomes. Data collection will be via questionnaires and semistructured interviews with general practitioners, paediatricians, general practice administrative staff and children and families. Each of the 21 general practices recruited into the study will be described in terms of staffing, patient throughput and location, in addition to the nuanced inner and outer contexts, use of the intervention and its acceptability. We will quantify implementation effectiveness in each general practice clinic using the CFIR validated scoring system. Importantly, we have embedded data collection post intervention to enable assessment of the sustainable adoption of the intervention. An inductive approach to the analysis of qualitative data will identify additional emerging themes that may not be covered by the formal frameworks underpinning our analysis.Ethics and dissemination Ethical approval was granted by the Royal Children’s Hospital Ethics Committee in August 2020 (HREC: 65955). Results will be submitted for publication in peer-reviewed journals and presented at relevant conferences.Trial registration number Australia New Zealand Clinical Trials Registry 12620001299998 on 1 December 2020.https://bmjopen.bmj.com/content/12/9/e063450.full |
| spellingShingle | Yvonne Zurynski Susan Woolfenden Peter D Hibbert Harriet Hiscock Raghu Lingam Karen Wheeler Michael Hodgins Jade Burley Rachel Pelly Jane Le Sonia Khano Tammy Meyers Morris Stephanie Germano Protocol for the implementation evaluation of an integrated paediatric and primary care model: Strengthening Care for Children (SC4C) BMJ Open |
| title | Protocol for the implementation evaluation of an integrated paediatric and primary care model: Strengthening Care for Children (SC4C) |
| title_full | Protocol for the implementation evaluation of an integrated paediatric and primary care model: Strengthening Care for Children (SC4C) |
| title_fullStr | Protocol for the implementation evaluation of an integrated paediatric and primary care model: Strengthening Care for Children (SC4C) |
| title_full_unstemmed | Protocol for the implementation evaluation of an integrated paediatric and primary care model: Strengthening Care for Children (SC4C) |
| title_short | Protocol for the implementation evaluation of an integrated paediatric and primary care model: Strengthening Care for Children (SC4C) |
| title_sort | protocol for the implementation evaluation of an integrated paediatric and primary care model strengthening care for children sc4c |
| url | https://bmjopen.bmj.com/content/12/9/e063450.full |
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