Implementation outcomes of a symptom management intervention in ambulatory oncology practices evaluated using a cluster randomized stepped-wedge trial design.

ABSTRACT:

Objective

To test a package of clinician- and system-level implementation strategies on the adoption and reach of an electronic health record (EHR)-integrated cancer symptom assessment and management program, called cPRO, within a large academic healthcare system.

Methods

This hybrid type 2 effectiveness-implementation study used a cluster randomized stepped-wedge trial design to test a package of strategies targeting system operations, clinician practices, and patient experience to support implementation of cPRO. Six clusters, comprised by 26 oncology clinic sites, were randomly allocated to one of six sequences which dictated the time at which each cluster underwent a 6-month implementation preparation period followed by a transition to the post-implementation phase in whi

SUBMITTER: Smith JD 

PROVIDER: S-EPMC12870884 | biostudies-literature | 2025 Dec

REPOSITORIES: biostudies-literature