FRAME Implementation Using RE-AIM to Evaluate Patient-Centered Survivorship Care in Oncology Outpatient Visits at Vejle Hospital

What this Trial Is About

This research evaluates the FRAME model, a patient-centered approach designed to improve survivorship care for cancer patients experiencing late effects. The study is conducted at the Department of Oncology, Vejle Hospital, and aims to assess how well FRAME can be integrated into routine outpatient oncology visits. The project uses the RE-AIM framework along with Proctor implementation outcomes to understand the implementation process and effects on patient care. The FRAME model includes three key components: a patient-reported questionnaire completed before the visit (FRAME-PRO), a clinician-patient conversation guided by the questionnaire responses, and a customized management plan that may include referrals to general practitioners, municipal services, oncology supportive care, or specialized late-effect clinics. Implementation strategies involve educational meetings, ongoing training, audit and feedback sessions, reminders, local champions, and technical assistance to support uptake. Participants include oncologists at the hospital who will use FRAME during outpatient visits. Data collection involves electronic completion of FRAME-PRO via the "Mit Sygehus" app, clinical documentation in electronic health records, and various questionnaires and interviews with patients, caregivers, and clinicians. Researchers will measure how frequently oncologists use FRAME, patient quality of life, referrals to supportive care, and clinician perceptions of feasibility and acceptability. The study follows participants and clinicians for up to one year to evaluate sustained use and impact.

FRAME - Implementation of a PRO Measure to Inform Patient-Centered Survivorship Care in Oncology Outpatient Visits