Strategies for facilitating the delivery of cluster randomized trials in hospitals: A study informed by the CFIR-ERIC matching tool
By: Arielle Weir, Justin Presseau, Simon Kitto, Ian Colman & Simon Hatcher
Updated Consolidated Framework for Implementation Research, 2023. https://thecenterforimplementation.com/toolbox/cfir
Cluster randomized trials (CRTs) are valuable tools for evaluating interventions in hospital settings, but their successful implementation can be challenging. This study aimed to identify strategies for facilitating the delivery of CRTs in hospitals, utilizing the CFIR-ERIC matching tool.
By employing a comprehensive approach, the study examined existing literature and integrated the Consolidated Framework for Implementation Research (CFIR) and the Expert Recommendations for Implementing Change (ERIC) matching tool. This combined framework provided a systematic approach to identify strategies that align with the specific contextual factors influencing CRT implementation in hospitals.
The findings of the study shed light on various strategies that can enhance the successful delivery of CRTs in hospitals. Several key themes emerged, including the importance of engaging hospital leadership and stakeholders from the outset to secure their support and commitment. Collaborative partnerships between researchers and hospital staff were identified as crucial for effective implementation, ensuring buy-in and cooperation throughout the trial process.
Furthermore, the study highlighted the significance of tailoring interventions to fit the unique characteristics of each hospital and considering the local context. Clear and effective communication channels, along with comprehensive training and support for staff involved in the trial, were found to be essential for successful implementation. The study also emphasized the value of using pilot studies to test and refine interventions before full-scale implementation.
By employing the CFIR-ERIC matching tool, this study provides practical strategies and recommendations for researchers, hospital administrators, and policymakers involved in CRTs in hospitals. Understanding the specific contextual factors and utilizing appropriate strategies can enhance the feasibility, acceptance, and effectiveness of CRTs, ultimately leading to better healthcare outcomes for patients.
To read the full article, please visit: https://journals.sagepub.com/doi/full/10.1177/17407745211001504