Pilot project for a commercial buildings Energy Analysis and Diagnostic Center (EADC) program. Final report

Implementation of the Australasian Teletrial Model: Translating idea into action using implementation science frameworks

Journal of Telemedicine and Telecare ◽

10.1177/1357633x211017805 ◽

2021 ◽

pp. 1357633X2110178

Author(s):

Sabe Sabesan ◽

Marie Malica ◽

Chantal Gebbie ◽

Clare Scott ◽

David Thomas ◽

...

Keyword(s):

Implementation Science ◽

Pilot Project ◽

Final Report ◽

Rare Cancer ◽

Government Investment ◽

Implementation Framework ◽

Advisory Groups ◽

Regulatory Systems ◽

Key Stakeholders ◽

Strategic Implementation

Background: Despite Government investment, disparity in access to clinical trials continue between metropolitan and regional & rural sectors (RRR) in Australia and around the world. To improve trial access closer to home for RRR communities and rare cancer patients even in metro settings, the Australasian Teletrial Model (ATM) was developed by Clinical Oncology Society of Australia and implemented in four states. Aim of this paper is to describe the steps and processes involved in the development and implementation of ATM guided by implementation science frameworks. Method: Two implementation science frameworks namely iPARIHS and Strategic Implementation Framework were chosen to guide the project. Details of steps and processes were extracted from COSA final report. Results: ATM met the criteria for worthy innovation. For the development and implementation of the ATM, stakeholders were at national, statewide and clinical levels. A co-design with end-users and inclusion of key stakeholders in steering committees and advisory groups made the implementation smoother. Clinician levers including advocacy were useful to overcome system barriers. During the project, more patients, and clinicians at RRR participated in trials, more primary sites collaborated with RRR sites and more RRR sites gained trial capabilities. Conclusion: Pilot project achieved its objectives including improved access to patients locally, creation of linkages between metro and RRR sites and enhanced capabilities of and access to RRR sites. Implementation science frameworks were useful for identifying the necessary steps and processes at the outset. Ownership by governments and creation of streamlined regulatory systems would enable broader adoption.

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