Morrow April, Tyedmers Elijah, Debono Deborah, Chan Priscilla, Steinberg Julia, Tiernan Gabriella, Hogden Emily, Taylor Natalie
Implementation to Impact (i2i), School of Population Health, UNSW, Sydney, New South Wales, Australia
Implementation to Impact (i2i), School of Population Health, UNSW, Sydney, New South Wales, Australia.
BMJ Open. 2025 Jan 15;15(1):e087926. doi: 10.1136/bmjopen-2024-087926.
While researchers are crucial to the successful delivery of implementation trials, their perspectives are rarely captured in the evaluation of these trials. This qualitative study aimed to capture the experiences of a small research team coordinating a large, multisite implementation trial (the Hide and Seek Project) in the Australian healthcare setting.
A qualitative approach was used, whereby members of the Hide and Seek Project research team were invited to take part in semistructured focus groups led by an external facilitator. The focus group guide was developed to explore the experiences of the research team (including challenges and lessons learnt) as they moved through key study activities. Focus groups were transcribed verbatim and analysed using an inductive thematic approach. Barriers and facilitators identified within themes were deductively coded to domains of the updated Consolidated Framework for Implementation Research.
Participants were recruited from a research organisation based in Sydney, Australia.
A total of seven researcher and administering institution participants took part in four focus groups.
Analysis highlighted the following themes: navigating bureaucracy, distinguishing implementation trials from clinical trials, the impact of COVID-19, balancing rigour and pragmatism in implementation trials, data access and complexity of analysis, and key learnings and future directions (subthemes: building relationships with ethics committees, communicating implementation concepts, streamlining of the implementation and research approach).
Findings highlight the need for streamlining current administrative and ethical review processes, as well as procedures that allow greater flexibility for researchers to respond to challenges as they arise. Lessons learnt by the Hide and Seek Project team hold potential relevance for fellow researchers involved in coordinating implementation trials across diverse contexts.
虽然研究人员对于成功开展实施试验至关重要，但在这些试验的评估中却很少能体现他们的观点。这项定性研究旨在了解一个小型研究团队在澳大利亚医疗环境中协调一项大型多地点实施试验（“捉迷藏项目”）的经历。
采用定性研究方法，邀请“捉迷藏项目”研究团队的成员参加由外部主持人主持的半结构化焦点小组讨论。焦点小组指南旨在探讨研究团队在开展关键研究活动过程中的经历（包括挑战和经验教训）。焦点小组讨论内容逐字记录，并采用归纳主题分析法进行分析。在主题中确定的障碍和促进因素被演绎编码到更新后的实施研究综合框架的各个领域。
参与者从澳大利亚悉尼的一个研究机构招募。
共有7名研究人员和管理机构参与者参加了4个焦点小组讨论。
分析突出了以下主题：应对官僚作风、区分实施试验与临床试验、新冠疫情的影响、在实施试验中平衡严谨性和务实性、数据获取与分析的复杂性，以及关键经验教训和未来方向（子主题：与伦理委员会建立关系、传达实施概念、简化实施和研究方法）。
研究结果强调需要简化当前的行政和伦理审查流程，以及为研究人员提供更大灵活性以应对出现的挑战的程序。“捉迷藏项目”团队吸取的经验教训可能与参与跨不同背景协调实施试验的其他研究人员相关。
