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      A Positive Distress Screen…Now What? An Updated Call for Integrated Psychosocial Care

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          Abstract

          How can we move collaborative care from evidence-based practice to everyday practice for those living with cancer and distress?

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          Effectiveness-implementation hybrid designs: combining elements of clinical effectiveness and implementation research to enhance public health impact.

          Geoffrey M Curran, Mark Bauer, Brian Mittman … (2012)
          This study proposes methods for blending design components of clinical effectiveness and implementation research. Such blending can provide benefits over pursuing these lines of research independently; for example, more rapid translational gains, more effective implementation strategies, and more useful information for decision makers. This study proposes a "hybrid effectiveness-implementation" typology, describes a rationale for their use, outlines the design decisions that must be faced, and provides several real-world examples. An effectiveness-implementation hybrid design is one that takes a dual focus a priori in assessing clinical effectiveness and implementation. We propose 3 hybrid types: (1) testing effects of a clinical intervention on relevant outcomes while observing and gathering information on implementation; (2) dual testing of clinical and implementation interventions/strategies; and (3) testing of an implementation strategy while observing and gathering information on the clinical intervention's impact on relevant outcomes. The hybrid typology proposed herein must be considered a construct still in evolution. Although traditional clinical effectiveness and implementation trials are likely to remain the most common approach to moving a clinical intervention through from efficacy research to public health impact, judicious use of the proposed hybrid designs could speed the translation of research findings into routine practice.
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            Symptom Monitoring With Patient-Reported Outcomes During Routine Cancer Treatment: A Randomized Controlled Trial.

            Ethan Basch, Allison M Deal, Mark Kris … (2016)
            There is growing interest to enhance symptom monitoring during routine cancer care using patient-reported outcomes, but evidence of impact on clinical outcomes is limited.
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              Is Open Access

              Welcome to Implementation Science

              Martin Eccles, Brian Mittman (2006)
              Implementation research is the scientific study of methods to promote the systematic uptake of research findings and other evidence-based practices into routine practice, and, hence, to improve the quality and effectiveness of health services and care. This relatively new field includes the study of influences on healthcare professional and organisational behaviour. Implementation Science will encompass all aspects of research in this field, in clinical, community and policy contexts. This online journal will provide a unique platform for this type of research and will publish a broad range of articles – study protocols, debate, theoretical and conceptual articles, rigorous evaluations of the process of change, and articles on methodology and rigorously developed tools – that will enhance the development and refinement of implementation research. No one discipline, research design, or paradigm will be favoured. Implementation Science looks forward to receiving manuscripts that facilitate the continued development of the field, and contribute to healthcare policy and practice.
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                Author and article information

                Contributors
                Phoebe A. Tsao: (View ORCID Profile)
                Andrea L. Nevedal: (View ORCID Profile)
                Sarah L. Krein: (View ORCID Profile)
                Megan E.V. Caram: (View ORCID Profile)
                Journal
                Title: Journal of Clinical Oncology
                Abbreviated Title: JCO
                Publisher: American Society of Clinical Oncology (ASCO)
                ISSN (Print): 0732-183X
                ISSN (Electronic): 1527-7755
                Publication date Created: November 01 2023
                Publication date (Print): November 01 2023
                Volume: 41
                Issue: 31
                Pages: 4837-4841
                Affiliations
                [1 ]Division of Hematology/Oncology, Department of Internal Medicine, University of Michigan Medical School, Ann Arbor, MI
                [2 ]Veterans Affairs Health Services Research & Development, Center for Clinical Management & Research, Veterans Affairs Ann Arbor Healthcare System, Ann Arbor, MI
                [3 ]Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle, WA
                [4 ]Department of Psychosocial Oncology, Fred Hutchinson Cancer Center, Seattle, WA
                [5 ]Department of Psychiatry, Veterans Affairs Ann Arbor Healthcare System, Ann Arbor, MI
                [6 ]Department of Psychiatry, University of Michigan Medical School, Ann Arbor, MI
                [7 ]Department of Internal Medicine, University of Michigan Medical School, Ann Arbor, MI
                Article
                DOI: 10.1200/JCO.22.02719
                SO-VID: b19bdd2b-0714-41e5-a041-0d14d9228fa3
                Copyright © © 2023
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