Implementation frameworks
Using an implementation framework can assist with:
- Providing guidance and structure to the implementation process: Frameworks provide a structured approach for translating evidence-base into practice1
- Understanding influences: Using a framework can support analysis of factors that can influence implementation outcomes, therefore enabling tailored strategies for successful implementation2
- Evaluation: Frameworks help to assess whether an intervention has been effectively integrated into clinical practice1.
- There are a vast number of implementation frameworks that can be utilised to guide the process of introducing evidence-based interventions into practice and to evaluate the effectiveness of the intervention (see Evaluation section).
- Choosing an implementation framework can feel overwhelming, therefore below are links to three implementation frameworks that are frequently used in the implementation of complex health interventions.
- When choosing an implementation framework, it is important to think about the steps outlined in each framework to understand and identify the best framework for the intervention and what will best suit your local health service.
Prehabilitation pathways of care
Service overview
High level service models provide an overview of how a program fits into the existing care pathway.
The following are examples of the journey of the individual with cancer throughout a prehabilitation service in various settings and can be used to inform your service development.
Allied health
The following editable and worked templates are provided to assist in your service development. These will need to be modified based on your patient population, geography, resources and setting.
Exercise
Care pathway
Model of care (Worked | Editable)
Nutrition
Care pathway
Model of care (Worked | Editable)
Psychology
Care pathway
Model of care (Worked | Editable)
Piloting your service
Consider assessing the feasibility of your proposed service by conducting a pilot study. This will enable you to test your prehabilitation service model on a small group of individuals with cancer and collect outcome measures that can inform future business cases and funding applications.
Piloting is very useful if you are developing a business case to seek new resources for your prehabilitation service.
- Guidance for conducting feasibility and pilot studies for implementation trials (PubMed)
Evaluation
- When establishing a service, it is essential to develop a plan for the collection, recording and reporting of evaluation data prior to service commencement.
- This includes the selection of evaluation metrics and measures at both the patient and service level.
- Guidance for selecting evaluation measures can be found here.