Using the consolidated framework for implementation research (CFIR) to guide implementation of cardio‐oncology services

• DOI: 10.1002/lrh2.10402
• Publication Date: 2023-12-13T08:08:53Z
• Authors: Jessica Miller Cl...; Colleen A. McMullen; Akosua K. Adu; Gretchen Wells; Amit Arbune; Jing Li
• Keywords: Precision oncology

Abstract Introduction Cardio‐oncology focuses on diagnosing and preventing adverse cardiovascular outcomes in cancer patients. Interdisciplinary cardio‐oncology services address the spectrum of prevention, detection, monitoring, treatment patients at risk cardio‐toxicity aim to improve continuum cardiac care for oncology The goal this study was engage clinician administrative stakeholders assess multilevel needs, barriers, expectations regarding cardio services. Methods We interviewed clinicians administrators an academic medical center using Consolidated Framework Implementation Research (CFIR) understand determinants influencing service implementation. also conducted a web‐based survey knowledge, attitude, perceptions held by local regional who may refer site. Results Multiple facilitators implementation emerged. Interview participants believed could benefit organization providing competitive advantage. A majority (74%) surveyed thought would significantly patients’ prognoses. barriers discussed included costs siloed organizational structure that complicated cross‐service collaboration. In survey, differences views toward cardiology versus providers need be negotiated future development. For example, while most accepted similar when consenting therapy curative setting, cardiologists higher levels than oncologists incurable setting: 75% 1‐5% risk; 77% ≥5% risk). Conclusions Participants supported development Respondents noted multi‐level addressed maximize potential success. Engaging from disciplines such can help ensure maximal relevance uptake.