Smith Justin D, Norton Wynne E, Mitchell Sandra A, Cronin Christine, Hassett Michael J, Ridgeway Jennifer L, Garcia Sofia F, Osarogiagbon Raymond U, Dizon Don S, Austin Jessica D, Battestilli Whitney, Richardson Joshua E, Tesch Nathan K, Cella David, Cheville Andrea L, DiMartino Lisa D
Department of Population Health Sciences, School of Medicine, University of Utah, Spencer Fox Eccles, Salt Lake City, UT, USA.
Departments of Psychiatry and Behavioral Science and Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Implement Sci Commun. 2023 Nov 28;4(1):153. doi: 10.1186/s43058-023-00529-w.
Systematic approaches are needed to accurately characterize the dynamic use of implementation strategies and how they change over time. We describe the development and preliminary evaluation of the Longitudinal Implementation Strategy Tracking System (LISTS), a novel methodology to document and characterize implementation strategies use over time.
The development and initial evaluation of the LISTS method was conducted within the Improving the Management of SymPtoms during And following Cancer Treatment (IMPACT) Research Consortium (supported by funding provided through the NCI Cancer Moonshot). The IMPACT Consortium includes a coordinating center and three hybrid effectiveness-implementation studies testing routine symptom surveillance and integration of symptom management interventions in ambulatory oncology care settings. LISTS was created to increase the precision and reliability of dynamic changes in implementation strategy use over time. It includes three components: (1) a strategy assessment, (2) a data capture platform, and (3) a User's Guide. An iterative process between implementation researchers and practitioners was used to develop, pilot test, and refine the LISTS method prior to evaluating its use in three stepped-wedge trials within the IMPACT Consortium. The LISTS method was used with research and practice teams for approximately 12 months and subsequently we evaluated its feasibility, acceptability, and usability using established instruments and novel questions developed specifically for this study.
Initial evaluation of LISTS indicates that it is a feasible and acceptable method, with content validity, for characterizing and tracking the use of implementation strategies over time. Users of LISTS highlighted several opportunities for improving the method for use in future and more diverse implementation studies.
The LISTS method was developed collaboratively between researchers and practitioners to fill a research gap in systematically tracking implementation strategy use and modifications in research studies and other implementation efforts. Preliminary feedback from LISTS users indicate it is feasible and usable. Potential future developments include additional features, fewer data elements, and interoperability with alternative data entry platforms. LISTS offers a systematic method that encourages the use of common data elements to support data analysis across sites and synthesis across studies. Future research is needed to further adapt, refine, and evaluate the LISTS method in studies with employ diverse study designs and address varying delivery settings, health conditions, and intervention types.
需要采用系统方法来准确描述实施策略的动态使用情况以及它们如何随时间变化。我们描述了纵向实施策略跟踪系统（LISTS）的开发和初步评估，这是一种记录和描述实施策略随时间使用情况的新方法。
LISTS方法的开发和初步评估是在改善癌症治疗期间及之后症状管理（IMPACT）研究联盟内进行的（由美国国立癌症研究所癌症“登月计划”提供的资金支持）。IMPACT联盟包括一个协调中心和三项混合有效性-实施研究，这些研究在门诊肿瘤护理环境中测试常规症状监测和症状管理干预措施的整合。创建LISTS是为了提高实施策略随时间使用的动态变化的精确性和可靠性。它包括三个组成部分：（1）策略评估，（2）数据捕获平台，以及（3）用户指南。在IMPACT联盟内的三项阶梯楔形试验中评估LISTS方法的使用之前，实施研究人员和从业者之间采用了迭代过程来开发、试点测试和完善LISTS方法。LISTS方法与研究和实践团队一起使用了大约12个月，随后我们使用既定工具和专门为本研究开发的新问题评估了其可行性、可接受性和可用性。
对LISTS的初步评估表明，它是一种可行且可接受的方法，具有内容效度，可用于描述和跟踪实施策略随时间的使用情况。LISTS的用户强调了未来在更广泛和更多样化的实施研究中改进该方法使用的几个机会。
LISTS方法是由研究人员和从业者合作开发的，以填补在系统跟踪研究和其他实施工作中实施策略使用及修改方面的研究空白。来自LISTS用户的初步反馈表明它是可行且可用的。未来可能的发展包括更多功能、更少的数据元素以及与替代数据输入平台的互操作性。LISTS提供了一种系统方法，鼓励使用通用数据元素来支持跨站点的数据分析和跨研究的综合分析。未来需要进一步开展研究，以在采用不同研究设计、涉及不同交付环境、健康状况和干预类型的研究中进一步调整、完善和评估LISTS方法。
