Background

Recruitment and engagement of clusters in a cluster randomized controlled trial can sometimes prove challenging. Identification of successful or unsuccessful strategies may be beneficial in guiding future researchers in conducting their cluster randomized controlled trial. This study aimed to identify strategies that could be used to facilitate the delivery of cluster randomized controlled trials in hospitals.

Methods

The study employed the Consolidated Framework for Implementation Research–Expert Recommendations for Implementing Change matching tool. The barriers and enablers to cluster randomized controlled trial conduct identified in our previously conducted studies served as a means of determinant identification for the conduct of cluster randomized controlled trials. These determinants were mapped to Consolidated Framework for Implementation Research constructs and then matched to Expert Recommendations for Implementing Change compilation strategies using the Consolidated Framework for Implementation Research–Expert Recommendations for Implementing Change matching tool.

Results

The Expert Recommendations for Implementing Change strategies matched to at least one determinant Consolidated Framework for Implementation Research construct were as follows: (1) ‘Identify and prepare champions’, (2) ‘Conduct local needs assessment’, (3) ‘Conduct educational meetings’, (4) ‘Inform local opinion leaders’, (5) ‘Build a coalition’, (6) ‘Promote adaptability’, (7) ‘Develop a formal implementation blueprint’, (8) ‘Involve patients/consumers and family members’, (9) ‘Obtain and use patients/consumers and family feedback’, (10) ‘Develop educational materials’, (11) ‘Promote network weaving’, (12) ‘Distribute educational materials’, (13) ‘Access new funding’ and (14) ‘Develop academic partnerships’.

Conclusion

This study was intended as a step in the research agenda aimed at facilitating cluster randomized controlled trial delivery in hospitals and can act as a resource for future researchers when planning their cluster randomized controlled trial, with the expectation that the strategies identified here will be tailored to each context.

中文翻译：

---

促进在医院开展集群随机试验的策略：一项由 CFIR-ERIC 匹配工具提供信息的研究

背景

在集群随机对照试验中招募和参与集群有时可能具有挑战性。确定成功或不成功的策略可能有助于指导未来的研究人员进行集群随机对照试验。本研究旨在确定可用于促进在医院开展集群随机对照试验的策略。

方法

该研究采用了实施研究的综合框架——实施变更匹配工具的专家建议。在我们之前进行的研究中确定的集群随机对照试验实施的障碍和推动因素是确定集群随机对照试验实施的决定因素的手段。这些决定因素被映射到实施研究综合框架结构，然后使用实施研究综合框架 - 实施变革专家建议匹配工具与实施变革编译策略的专家建议相匹配。

结果

实施变革战略的专家建议至少与实施研究的一个决定性综合框架结构相匹配：(1)“确定和准备冠军”，(2)“进行当地需求评估”，(3)“举办教育会议', (4) '通知当地意见领袖', (5) '建立联盟', (6) '促进适应性', (7) '制定正式的实施蓝图', (8) '让患者/消费者和家人参与成员”，(9)“获取和使用患者/消费者和家庭反馈”，(10)“开发教育材料”，(11)“促进网络编织”，(12)“分发教育材料”，(13)“访问新资金”和（14）“发展学术伙伴关系”。

结论

本研究旨在作为研究议程中的一个步骤，旨在促进医院中的集群随机对照试验的实施，并且可以作为未来研究人员在规划其集群随机对照试验时的资源，期望此处确定的策略将适合于每个上下文。