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artículo

Documenting adaptations to an evidence-based intervention in 58 resource-variable pediatric oncology hospitals across implementation phases

Publicado por
Quesada-Stoner, AC, Islam, S, Siječić, A, Malone, S, Puerto-Torres, MF, Cardenas, A, Prewitt, K, Alfonso, Carreras, Y, Alvarez-Arellano, SY, Argüello-Vargas, D, Ceballo-Batista, GI, Diaz-Coronado, R, Diniz, Borborema, MDC, Toledo, JE, Fing, E, Garay, Z, Hernández-González, CJ, Jimenez-Antolinez, YV, Juárez, Tobías, MS, Lemos, de, Mendonça, e, Fontes, L, Lopez-Facundo, NA, Mijares, Tobias, JM, Miralda-Méndez, ST, Montalvo, E, Cawich, ZN, Portilla, Figueroa, CA, Sahonero, M, Sánchez-Martín, M, Serrano-Landivar, MX, Soledad, García, V, Vasquez, A, Velásquez, Cabrera, DM, Carothers, BJ, Shelton, RC, Graetz, D, Acuña, C, Luke, DA, McKay, VRR, Agulnik, A

Publicado 2024

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Background: Adaptation of evidence-based interventions (EBIs) often occurs when implemented in new local contexts and settings. It is unclear, however, during which phase of implementation adaptations are most frequently made and how these changes may impact the fidelity, effectiveness, and sustainability of the EBI. Pediatric Early Warning Systems (PEWS) are EBIs for early identification of deterioration in hospitalized children with cancer. This study evaluates adaptations of PEWS made among resource-variable pediatric oncology hospitals in Latin America implementing and sustaining PEWS. Methods: We conducted a cross-sectional survey among pediatric oncology centers participating in Proyecto Escala de Valoración de Alerta Temprana (EVAT), a collaborative to implement PEWS. Adaptations to PEWS were assessed via 3 multiple choice and 1 free text question administered as part of a large...