Table 3 Study outcomes for the implementation strategy (multicomponent patient navigation strategy)
Implementation science terminology | Definition | Study terminology | ||
Implementation strategy | Implementation strategies are the specific means or methods for adopting and sustaining evidence-based interventions [24] | Multicomponent patient navigation strategy | ||
Implementation outcomes—implementation strategy | ||||
Implementation science terminology | Definition | Study terminology | Level of evaluation | Outcome measures |
Service penetration | The “number of eligible persons who use a service, divided by the total number of persons eligible for the service.” [19] | Engagement with the multicomponent patient navigation strategy | Individual level (person with KS) | Proportion of clients who qualify for patient navigation who have at least one contact with a patient navigator or peer mentor within 90 days after receiving a KS diagnosis. |
Fidelity | The “degree to which an implementation strategy was implemented as it was prescribed in the original protocol or as it was intended by the program developers.” [19] | Implementation success for the multicomponent patient navigation strategy | Individual level (person with KS) | Proportion of clients who received all 6 components of the multicomponent patient navigation strategy as designed (described in detail in Table 1) among clients engaged in patient navigation (see service penetration) |
Fidelity (dose) | A component of fidelity: “The amount of program delivered.” [19] | Dose of physical navigation and care coordination | Individual level (person with KS) | Total number of interactions with the patient navigator within the first year among clients engaged in patient navigation (see service penetration) |
Dose of peer mentorship | Total number of interactions with the peer mentor within the first year among clients engaged in patient navigation (see service penetration) | |||
Dose of educational videos | Total number of viewed videos within the first year among clients engaged in patient navigation (see service penetration) | |||
Acceptability | “The perception among implementation stakeholders that a given treatment, service, practice, or innovation is agreeable, palatable, or satisfactory.” [19] | Acceptability of the multicomponent patient navigation strategy | Individual level (person with KS) Patient Navigators Nurses Physicians Administrators | Total scores of acceptability of multicomponent patient navigation strategy on questionnaire [25] Semi-structured interview |
Acceptability of peer mentorship | Individual level (person with KS) Peer mentors | Total scores of acceptability of peer mentorship on questionnaire [25] Semi-structured interview | ||
Acceptability of the health insurance stipend | Individual level (Person with KS) | Total scores of acceptability of health insurance stipend on questionnaire [25] Semi-structured Interview | ||
Acceptability of the travel stipend | Individual level (Person with KS) | Total scores of acceptability of travel stipend on questionnaire [25] Semi-structured interview | ||
Feasibility | “The extent to which a new treatment, or an innovation, can be successfully used or carried out within a given agency or setting.” [19] | Feasibility of the multicomponent patient navigation strategy | Person with KS Navigators Peer mentors Nurses Physicians Administrators | Total scores of feasibility of multicomponent patient navigation strategy on questionnaire [25] Semi-structured Interview |
Feasibility of peer mentorship | Peer Mentors | Total scores of feasibility of peer mentorship on questionnaire [25] Semi-structured Interview | ||
Feasibility of the health insurance stipend | Individual level (person with KS) | Total scores of feasibility of health insurance stipend on questionnaire [25] Semi-structured Interview | ||
Feasibility of the travel stipend | Individual level (Person with KS) | Total scores of feasibility of travel stipend on questionnaire [25] Semi-structured Interview | ||
Appropriateness | The “perceived fit, relevance, or compatibility of the innovation or evidence-based practice for a given practice setting, provider, or consumer; and/or perceived fit of the innovation to address a particular issue or problem.” [19] | Appropriateness of the multicomponent patient navigation strategy | Individual level (Person with KS) Patient Navigators Peer mentors Nurses Physicians Administrators | Total scores of appropriateness of multicomponent patient navigation on questionnaire [25] Semi-structured interview |
Appropriateness of peer mentorship | Individual level (person with KS) Peer mentors | Total scores of appropriateness of peer mentorship on questionnaire [25] Semi-structured interview | ||
Appropriateness of the health insurance stipend | Individual level (person with KS) | Total scores of appropriateness of health insurance stipend on questionnaire [25] Semi-structured interview | ||
Appropriateness of the travel stipend | Individual level (person with KS) | Total scores of appropriateness of travel stipend on questionnaire [25] Semi-structured interview | ||
Client outcomes—implementation strategy | ||||
Satisfaction | Satisfaction with “the general service experience, including such features as waiting times, scheduling, and office environment.” [19] | Satisfaction with cancer care | Individual level (person with KS) | Total scores of patient satisfaction with cancer care (PSCC) [26] |
Satisfaction with the patient navigator | Individual level (person with KS) | Total scores of patient satisfaction with navigator interpersonal relationship with navigator (PSN-I) [27, 28] | ||
Satisfaction with the per navigator | Individual level (person with KS) | Total scores of patient satisfaction interpersonal relationship with peer mentor (adapted PSN-I) [27, 28] | ||