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Cluster-randomized implementation trial of two facilitation strategies to implement a novel information and communications technology at the Veterans Health Administration.

Chelsea LeonardEvan CareyAriel HolsteinP Michael HoJeffrey T Heckman
Published in: Implementation science : IS (2024)
Enhanced facilitation including a learning collaborative and customized feedback demonstrated greater likelihood for sites to complete a prosthetics consult using FLOW3 throughout our study. We identified statistically significant differences in likelihood of adoption using the dose-response analysis and complete utilization rate using ITT analysis during the implementation period. All sites that implemented FLOW3 demonstrated improvement in completion rate during the sustainment period, but the difference between facilitation groups was not statistically significant. Further study to understand sustainability is warranted.
Keyphrases
  • healthcare
  • primary care
  • quality improvement
  • phase iii
  • public health
  • clinical trial
  • randomized controlled trial
  • study protocol
  • risk assessment
  • electronic health record
  • climate change
  • placebo controlled