Constructs and definitions applied for this study | Questions addressed | Data sources used (# aligns with the # for each question addressed) | Timepoint |
---|---|---|---|
Reach | 1. What is the number and proportion of patients in clinic | 1. Clinical audit log completed over a 3-month period | Baseline (pre-implementation) |
The number, proportion and representativeness of people who attend lung cancer clinic | (a) with internet/mobile phone access at home | ||
(b) capable of completing assessment in English vs other native language | |||
(c) who require assistance to complete assessments | |||
(d) who prefer to complete PROs on paper vs electronic device? | |||
2. What is the number and proportion of patients completing assessment screening including the number and proportion of those systemically missed and why? | 2. Oncology Information System (OIS)—MOSAIQ records | At first assessment timepoint in clinic | |
Effectiveness | Compared to a historical control cohort: | 1. Electronic medical records (eMR) | Historical control and throughout implementation period |
The effectiveness of ePROs in improving lung cancer care | 1. What is the impact of ePROs on the number of admissions to hospital due to ED presentations? | ||
2. What is the impact of ePROs on the use of the cancer assessment unit? | |||
3. What is the impact of ePROs on care coordinator referral rates? | 2 and 3. OIS (MOSAIQ) records | ||
Adoption | 1. What is the extent to which the new model of care and implementation strategies are considered feasible and appropriate among HCPs, given the different needs and resources of each hospital? | 1 and 2. Organizational readiness for implementing change (ORIC) survey | Baseline and at 5-months |
The development of organizational support to deliver ePROs | |||
2. What is the number, proportion and representation of HCP (change agents) implementing ePROs? | 1 and 2. ePROM HCP Survey | Baseline and at 5-months | |
3. What is the number and proportion of all cancer services staff completing ePROM orientation? | 1. Field notes and recordings of HCP feedback during MDT meetings and workshops | Throughout implementation period | |
2 and 3. Orientation attendance logs | |||
Implementation | 1. What is the number and proportion of patients screened at each hospital? | 1 and 2. OIS (MOSAIQ) records | Throughout implementation period |
The extent of ePROM implementation at each hospital. i.e. the degree to which each hospital receives the planned implementation strategies, and success of implementation processes | |||
2. What is the number and proportion of clinical alerts actioned or followed up by HCP? | |||
3. What is number of HCPs receiving orientation and implementation resources? | 3. Orientation attendance logs | ||
3. PROMs website views | |||
Maintenance | 1. What is the number and proportion of staff who maintain ePROM engagement over a 5-month implementation? | 1. HCP survey (baseline and follow-up) | Baseline and follow-up |
Incorporating ePROs in routine care to ensure sustainability over time | |||
2. What is staff feedback on ePROs implementation in routine clinical practice? | 1. OIS (MOSAIQ) records | Throughout implementation period | |
2. Interviews with HCP and field notes | Post-implementation |