Evidence map›Paper›PMID 35449058›Full record

ArticleBMC health services research2022

Conducting a prospective evaluation of the development of a complex psycho-oncological care programme (isPO) in Germany.

Sandra Salm, Natalia Cecon, Imke Jenniches, Holger Pfaff, Nadine Scholten, Antje Dresen, Theresia Krieger

Abstract read
In one paragraph

Article in BMC health services research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Sandra Salm *Institute of Medical Sociology, Health Services Research, and Rehabilitation Science, University of Cologne, Faculty of Medicine and University Hospital Cologne, Faculty of Human Sciences, Eupener Str. 129, 50933, Cologne, Germany. sandra.salm@uk-koeln.de.
Natalia Cecon *Institute of Medical Sociology, Health Services Research, and Rehabilitation Science, University of Cologne, Faculty of Medicine and University Hospital Cologne, Faculty of Human Sciences, Eupener Str. 129, 50933, Cologne, Germany.
Imke JennichesInstitute of Medical Sociology, Health Services Research, and Rehabilitation Science, University of Cologne, Faculty of Medicine and University Hospital Cologne, Faculty of Human Sciences, Eupener Str. 129, 50933, Cologne, Germany.
Holger PfaffInstitute of Medical Sociology, Health Services Research, and Rehabilitation Science, University of Cologne, Faculty of Medicine and University Hospital Cologne, Faculty of Human Sciences, Eupener Str. 129, 50933, Cologne, Germany.
Nadine ScholtenInstitute of Medical Sociology, Health Services Research, and Rehabilitation Science, University of Cologne, Faculty of Medicine and University Hospital Cologne, Faculty of Human Sciences, Eupener Str. 129, 50933, Cologne, Germany.
Antje DresenInstitute of Medical Sociology, Health Services Research, and Rehabilitation Science, University of Cologne, Faculty of Medicine and University Hospital Cologne, Faculty of Human Sciences, Eupener Str. 129, 50933, Cologne, Germany.
Theresia KriegerInstitute of Medical Sociology, Health Services Research, and Rehabilitation Science, University of Cologne, Faculty of Medicine and University Hospital Cologne, Faculty of Human Sciences, Eupener Str. 129, 50933, Cologne, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEvaluating the development phase of a complex intervention programme can be challenging. A prospective evaluation approach is presented based on the example of the new complex psycho-oncological care programme isPO (integrated, cross-sectoral Psycho-Oncology). Prior to programme implementation, we examined (1) if isPO was developed as intended, and (2) if it was relevant and transferable into the newly developed psycho-oncological care networks in North-Rhine Westphalia, Germany. Further, we investigated which implementation facilitators and barriers were anticipated and which implementation strategies were planned by the programme designers (multidisciplinary professionals and cancer supporting organizations who developed the isPO programme components and the networks).

methodsA mixed-methods approach was applied. Qualitative data were collected by quarterly progress reports, interviews and a focus group with the programme designers. Evaluation criteria for document analyses of the quarterly progress reports were developed and applied. Content analysis was applied for analysing interviews and focus group. Quantitative data were gained from evaluating the programme training for the isPO service providers by short written questionnaires that were analysed descriptively.

resultsAn implementable prototype of the isPO programme has been developed within 15 months, however no piloting was conducted. The programme's complexity proved to be challenging with regard to coordination and communication of the numerous programme designers. This was intensified by existing interdependencies between the designers. Further, there was little communication and participation between the programme designers and the prospective users (patients and service providers). Due to these challenges, only context-unspecific implementation strategies were planned.

conclusionThe required resources for developing a new complex care programme and the need of a mature implementation strategy should be sufficiently addressed. Programmes may benefit from prospective evaluation by gaining insightful knowledge concerning the programme's maturity and anticipating implementation facilitators and barriers. A mixed-methods evaluation design was crucial for achieving profound insight into the development process.

trial registrationThe study has been registered in the German Clinical Trials Register (No. DRKS00015326 ) on 30.10.2018.

Indexed as

CommunicationPsycho-OncologyFocus GroupsGermanyHumansSurveys and QuestionnairesCare programme developmentComplex interventionMixed-methodsProspective evaluationPsycho-oncology

Identifiers

PMID35449058
PMCPMC9026657

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.