SAMENVATTING
METHODS FOR
CARE
INNOVATION
,
,Inhoudstopgave
Making research findings more powerful for clinical use 1
The problem........................................................................................................................................................ 1
Research waste 1 ........................................................................................................................................... 1
Research waste 2 ........................................................................................................................................... 1
Some numbers of research waste.................................................................................................................. 2
The poten/al solu/on ......................................................................................................................................... 2
Basel Heptagon of implementa/on science........................................................................................................ 5
Implementa8on science phases .................................................................................................................... 5
Contextual analysis ........................................................................................................................................ 7
Stakeholder involvement ............................................................................................................................... 7
Implementa8on strategies ............................................................................................................................. 8
Implementa8on and effec8veness outcomes and process evalua8on .......................................................... 9
Hybrid desings ............................................................................................................................................... 9
SMILe-project.................................................................................................................................................... 11
Fase A: mixed method design ...................................................................................................................... 12
Fase B: evalua8efase .................................................................................................................................... 12
Conclusion ........................................................................................................................................................ 13
Methods for pa8ent and public involvemens (PPI) in implemena8on science 14
Benefits of PPI in research ................................................................................................................................ 14
Posi/oning PPI in the Basel Heptagon of IS ...................................................................................................... 14
Link between PPI en implementa8on strategies ......................................................................................... 15
Role of pa/ent and public involvement in research .......................................................................................... 15
Issues in PPI ...................................................................................................................................................... 15
Definiëren van stakeholders en stakeholderbetrokkenheid .............................................................................. 16
Defini8on ..................................................................................................................................................... 16
What are examples of stakeholder groups in healthcare?........................................................................... 16
Stakeholder engagement.................................................................................................................................. 18
Principles of stakeholder engagement......................................................................................................... 18
Stakeholder involvement along the research cycle ........................................................................................... 19
Spectrum of engagement ................................................................................................................................. 21
The 7 principal steps of stakeholder analysis .................................................................................................... 22
RAND report 2019 Recommenda8ons for PPI ............................................................................................. 24
Outcomes of stakeholder involvement ............................................................................................................. 25
Evalua/on of PPI in research ............................................................................................................................ 25
Benefits of PPI ................................................................................................................................................... 26
Challenges of PPI .............................................................................................................................................. 26
Conclusions ....................................................................................................................................................... 26
Contextual analysis in implementa8on science: Making sense of complexity 27
Why bothering about context in care innova/on? ........................................................................................... 27
Contextual analysis in the Basel Heptagon of IS .......................................................................................... 27
Why does context maUer?........................................................................................................................... 27
Basics of context in implementa/on science: Available evidence to help us forward....................................... 28
Defini8ons of context .................................................................................................................................. 28
, Concept of context....................................................................................................................................... 29
Methodological guidance for contextual analysis: BANANA ............................................................................ 31
Example: the SMILe study............................................................................................................................ 37
Conclusions ....................................................................................................................................................... 37
Development and adapta8on of complex interven8ons: Crea8ng “The Thing” 37
Interven/on development ................................................................................................................................ 40
Frameworks VS Approaches ........................................................................................................................ 40
The INTERCARE nurse-led care model .............................................................................................................. 40
MRC framework................................................................................................................................................ 41
Behavior Change Wheel Approach ................................................................................................................... 43
Example: SMILe – Development process ..................................................................................................... 46
Ways to communicate a complex interven8on: Making the black box visible ............................................ 46
Interven/on adap/on ....................................................................................................................................... 48
Why adap8ng a complex interven8on? ....................................................................................................... 49
FRAME ......................................................................................................................................................... 50
SMILe: voorbeeld van interven/e-adapta/e .................................................................................................... 51
Conclusions ....................................................................................................................................................... 51
GeLng your interven8on implemented in the real world: state of science of implementa8on strategies ‘The
stuff’ 52
Interven/on VS implementa/on strategy ......................................................................................................... 52
CICI Framework............................................................................................................................................ 53
Implementa8on strategies ........................................................................................................................... 54
Different Taxonomies Implementa/on Strategies ............................................................................................ 54
Choice of implementa/on strategies ................................................................................................................ 59
Assessment of implementa8on determinants............................................................................................. 60
Effec/veness of implementa/on strategies ...................................................................................................... 60
Importance for describing, tracking, and repor/ng of implementa/on strategies .......................................... 61
Proctor Model: Improve Descrip8on, Tracking, and Repor8ng of Implementa8on Strategies .................... 61
AACTT: Ac8on, actor, context, target, 8me framework ............................................................................... 62
FRAME-IS ..................................................................................................................................................... 62
Time-driven ac8vity- based cos8ng (TDABC) linked to Proctor model ........................................................ 62
Research agenda for enhancing impact implementa8on strategies ............................................................ 63
Conclusions ....................................................................................................................................................... 63
Effec8veness-Implementa8on Hybrid designs and implementa8on outcomes & Repor8ng of implementa8on
science studies 64
What are implementa/on outcomes? .............................................................................................................. 65
Measuring implementa/on outcomes.............................................................................................................. 66
Hybrid designs .................................................................................................................................................. 67
Three types .................................................................................................................................................. 67
Ques8on that help selec8ng a hybrid design .............................................................................................. 70
Repor8ng of IS studies: the STARI guidelines ............................................................................................... 71
Key takeaways .................................................................................................................................................. 71
METHODS FOR
CARE
INNOVATION
,
,Inhoudstopgave
Making research findings more powerful for clinical use 1
The problem........................................................................................................................................................ 1
Research waste 1 ........................................................................................................................................... 1
Research waste 2 ........................................................................................................................................... 1
Some numbers of research waste.................................................................................................................. 2
The poten/al solu/on ......................................................................................................................................... 2
Basel Heptagon of implementa/on science........................................................................................................ 5
Implementa8on science phases .................................................................................................................... 5
Contextual analysis ........................................................................................................................................ 7
Stakeholder involvement ............................................................................................................................... 7
Implementa8on strategies ............................................................................................................................. 8
Implementa8on and effec8veness outcomes and process evalua8on .......................................................... 9
Hybrid desings ............................................................................................................................................... 9
SMILe-project.................................................................................................................................................... 11
Fase A: mixed method design ...................................................................................................................... 12
Fase B: evalua8efase .................................................................................................................................... 12
Conclusion ........................................................................................................................................................ 13
Methods for pa8ent and public involvemens (PPI) in implemena8on science 14
Benefits of PPI in research ................................................................................................................................ 14
Posi/oning PPI in the Basel Heptagon of IS ...................................................................................................... 14
Link between PPI en implementa8on strategies ......................................................................................... 15
Role of pa/ent and public involvement in research .......................................................................................... 15
Issues in PPI ...................................................................................................................................................... 15
Definiëren van stakeholders en stakeholderbetrokkenheid .............................................................................. 16
Defini8on ..................................................................................................................................................... 16
What are examples of stakeholder groups in healthcare?........................................................................... 16
Stakeholder engagement.................................................................................................................................. 18
Principles of stakeholder engagement......................................................................................................... 18
Stakeholder involvement along the research cycle ........................................................................................... 19
Spectrum of engagement ................................................................................................................................. 21
The 7 principal steps of stakeholder analysis .................................................................................................... 22
RAND report 2019 Recommenda8ons for PPI ............................................................................................. 24
Outcomes of stakeholder involvement ............................................................................................................. 25
Evalua/on of PPI in research ............................................................................................................................ 25
Benefits of PPI ................................................................................................................................................... 26
Challenges of PPI .............................................................................................................................................. 26
Conclusions ....................................................................................................................................................... 26
Contextual analysis in implementa8on science: Making sense of complexity 27
Why bothering about context in care innova/on? ........................................................................................... 27
Contextual analysis in the Basel Heptagon of IS .......................................................................................... 27
Why does context maUer?........................................................................................................................... 27
Basics of context in implementa/on science: Available evidence to help us forward....................................... 28
Defini8ons of context .................................................................................................................................. 28
, Concept of context....................................................................................................................................... 29
Methodological guidance for contextual analysis: BANANA ............................................................................ 31
Example: the SMILe study............................................................................................................................ 37
Conclusions ....................................................................................................................................................... 37
Development and adapta8on of complex interven8ons: Crea8ng “The Thing” 37
Interven/on development ................................................................................................................................ 40
Frameworks VS Approaches ........................................................................................................................ 40
The INTERCARE nurse-led care model .............................................................................................................. 40
MRC framework................................................................................................................................................ 41
Behavior Change Wheel Approach ................................................................................................................... 43
Example: SMILe – Development process ..................................................................................................... 46
Ways to communicate a complex interven8on: Making the black box visible ............................................ 46
Interven/on adap/on ....................................................................................................................................... 48
Why adap8ng a complex interven8on? ....................................................................................................... 49
FRAME ......................................................................................................................................................... 50
SMILe: voorbeeld van interven/e-adapta/e .................................................................................................... 51
Conclusions ....................................................................................................................................................... 51
GeLng your interven8on implemented in the real world: state of science of implementa8on strategies ‘The
stuff’ 52
Interven/on VS implementa/on strategy ......................................................................................................... 52
CICI Framework............................................................................................................................................ 53
Implementa8on strategies ........................................................................................................................... 54
Different Taxonomies Implementa/on Strategies ............................................................................................ 54
Choice of implementa/on strategies ................................................................................................................ 59
Assessment of implementa8on determinants............................................................................................. 60
Effec/veness of implementa/on strategies ...................................................................................................... 60
Importance for describing, tracking, and repor/ng of implementa/on strategies .......................................... 61
Proctor Model: Improve Descrip8on, Tracking, and Repor8ng of Implementa8on Strategies .................... 61
AACTT: Ac8on, actor, context, target, 8me framework ............................................................................... 62
FRAME-IS ..................................................................................................................................................... 62
Time-driven ac8vity- based cos8ng (TDABC) linked to Proctor model ........................................................ 62
Research agenda for enhancing impact implementa8on strategies ............................................................ 63
Conclusions ....................................................................................................................................................... 63
Effec8veness-Implementa8on Hybrid designs and implementa8on outcomes & Repor8ng of implementa8on
science studies 64
What are implementa/on outcomes? .............................................................................................................. 65
Measuring implementa/on outcomes.............................................................................................................. 66
Hybrid designs .................................................................................................................................................. 67
Three types .................................................................................................................................................. 67
Ques8on that help selec8ng a hybrid design .............................................................................................. 70
Repor8ng of IS studies: the STARI guidelines ............................................................................................... 71
Key takeaways .................................................................................................................................................. 71
