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Table 2 Elements involved in steps I to IV and data collection

From: Optimizing clinical and organizational practice in cancer survivor transitions between specialized oncology and primary care teams: a realist evaluation of multiple case studies

 

Professionals

Elements

Policy makers, administrators

PCP

Onco.

Patients, families

Documents

Step I - Development

 • Scientific evidence: scoping study

PWG

PWG

PWG

PWG

SDB

 • Environmental scan: identification of actors, issues, needs

PWG

PWG

PWG

PWG

 

 • Development of the initial theory of the intervention

PWG

PWG

PWG

PWG

 

 • Production of the logic model of the intervention

PWG

PWG

PWG

PWG

 

Step II - Implementation

 • Adoption/adaptation into practice

II

II, O

II, O

TC

LR

 • Description of ongoing incentives, mobilization, commitment

II

II

II

TC

LR

 • Identification/description of mechanisms for translation into practice

II

II, O

II, O

TC

LR

 • Identification/description of facilitating and constraining factors/reduction of barriers

II

II, O

II, O

TC

LR

Step III – Outcomes

For professionals

 • Scope of practice; teamwork; work environment

 

S

S

  

 • Shared leadership; density/centrality of the cancer network

 

S

S

  

 • Socio-demographic characteristics

 

S

S

  

For patients

 • Responsiveness; self-care capacity; quality of life; out-of-pocket costs

   

S, PD

 

 • Socio-demographic and clinical characteristics

   

S

 

Step IV- Configuration

Global evaluation

 • Context-Mechanisms-Outcomes (C + M = O)

IVI

IVI

IVI

IVI

 
  1. Legend: LR Literature review, II Individual interview, IVI Individual validation interview, PWG Participative working group, O Non-participant observation, S Survey, TC Tracer cases, SDB Scientific data bank, PD Patient diary