Health Services Research & Development

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2017 HSR&D/QUERI National Conference Abstract

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3002 — Multi-method Assessment of Adaptations During the Implementation of Research and Quality Improvement Projects

Lead/Presenter: Russell Glasgow, COIN - Seattle/Denver
All Authors: Glasgow RE (Triple Aim QUERI, Denver) Damschroder L (VA Ann Arbor) Finley EP (South Texas Veterans Health Care System)

Workshop Objectives:
1.To provide an overview of the role and importance of considering and documenting adaptations made during the planning, implementation, sustainment, and dissemination of research and quality improvement (QI) projects. 2. To showcase three methods for the documentation and use of adaptation information in different stages of program implementation. 3.To provide the application of a how-to guide on documenting adaptations for research and QI projects.

Activities:
Adaptations inevitably occur during the implementation of research and QI programs but are critical to improve the fit of the program to the local context for maximum effectiveness. However, adaptations can also reduce fidelity as defined by clinical trials and as a result decrease effectiveness. Systematic documentation of adaptations is needed to inform planning for success, interpretation of findings, replication, and improvements, and to guide future implementations and scale-up of programs. We will use three "Ignite" style presentations. These will be short and dynamic topical pitches about three approaches to documenting adaptations from three QUERI Programs. Laura Damschroder from the Personalizing Options through Veteran Engagement (PROVE) QUERI will start with the basics: how to specify interventions so we have a foundation from which to recognize and document adaptations. The second and third presentations will describe methods being used in the Triple Aim (Russell Glasgow) and EMPOWER (Erin Finley) QUERIs, including real-time tracking of adaptations, stakeholder interviews at multiple time points, and brief monthly reflections completed by project leads. Both will include concrete examples and tools for the audience to use. These presentations will lead into a brief moderated group discussion of these methods and their strengths and weaknesses, followed by a small group exercise in which participants will be guided through use of a how-to template for each method. Small groups will be moderated and main ideas from each group will be shared to conclude the session.

Target Audience:
Investigators and project managers who are planning or leading research or QI projects

Assumed Audience Familiarity with Topic:
Little to some knowledge and experience; Participants are welcome to bring a brief description of a project idea or ongoing project to which they hope to apply the concept of adaptation