biostudies-literatureFadem SJHRSA HHSNIEHS NIH HHSNCI NIH HHSHealth Resources and Services AdministrationNational Cancer Institute, United States235https://www.ebi.ac.uk/biostudies/studies/S-EPMC10634067biostudies-literatureUnknown24(1)<h4>Background</h4>Advances in detection and treatment for breast cancer have led to an increase in the number of individuals managing significant late and long-term treatment effects. Primary care has a role in caring for patients with a history of cancer, yet there is little guidance on how to effectively implement survivorship care evidence into primary care delivery.<h4>Methods</h4>This protocol describes a multi-phase, mixed methods, stakeholder-driven research process that prioritizes actionable, evidence-based primary care improvements to enhance breast cancer survivorship care by integrating implementation and primary care transformation frameworks: the Exploration, Preparation, Implementation, and Sustainment (EPIS) framework and the Practice Change Model (PCM). Informed by depth BMC primary careAdapting and implementing breast cancer follow-up in primary care: protocol for a mixed methods hybrid type 1 effectiveness-implementation cluster randomized study.PMC106340675 T32HP42017‐02‐00R01CA257197R01 CA2571975 T32HP42017-02-00P30 ES005022Bator AFerrante JMOhman-Strickland PAHoward JHudson SVToppmeyer DLApril-Sanders AMikesell LFadem SJHemler JRO'Malley DMKurtzman RCrabtree BFfalseAdapting and implementing breast cancer follow-up in primary care: protocol for a mixed methods hybrid type 1 effectiveness-implementation cluster randomized study.<h4>Background</h4>Advances in detection and treatment for breast cancer have led to an increase in the number of individuals managing significant late and long-term treatment effects. Primary care has a role in caring for patients with a history of cancer, yet there is little guidance on how to effectively implement survivorship care evidence into primary care delivery.<h4>Methods</h4>This protocol describes a multi-phase, mixed methods, stakeholder-driven research process that prioritizes actionable, evidence-based primary care improvements to enhance breast cancer survivorship care by integrating implementation and primary care transformation frameworks: the Exploration, Preparation, Implementation, and Sustainment (EPIS) framework and the Practice Change Model (PCM). Informed by depth 2023-01-01T00:00:00Z2023 Nov2026-06-03T07:59:32.153Z2025-02-19T01:18:28.634ZS-EPMC106340673794613210.1186/s12875-023-02186-3