Primary content

Authors

T Robinson (Lead)

A Janssen

P Provan

K Lyon

T Shaw

K Museth

P Harnett

Aims

The study aims to identify the factors that assist MDTs to translate new evidence and improve the quality and coordination of care for people living with cancer. The findings will be used to identify practice gaps and inform the development of implementation studies.

Method

Phase 1 of the study used mixed methods to identify organizational systems and structures that support the generation of research in MDTs. Semi structured interviews (n=15) were conducted with MDT leaders and champions to collect baseline information about how teams interact with and generate research and implementation initiatives. In addition, observations of MDT meetings (n=34) were undertaken to identify gaps and enabling factors for strengthening implementation research. The findings from qualitative interviews and observations of MDT meetings were transcribed, de-identified and subject to thematic analysis in order to identify key themes and categories.

Results

Despite variations in the way MDTs use and generate research, most are active in some basic science research and clinical trials. Very few MDTs are active in implementation science or quality improvement research. Findings from interviews and observations confirm the importance of leadership and processes for identifying gaps and quality improvement activities. Additional results from observations and interviews will be further discussed in relation to their significance and feasibility.

Implications

This study identified key enabling factors for MDTs to use to generate implementation science research. The findings will inform the development of implementation studies and are likely to have relevance for MDT care across a range of clinical settings.