Speaker
Douglas Zatzick, MD
Professor of Psychiatry & Behavioral Sciences
Harborview Level I Trauma Center
University of Washington School of Medicine, Seattle
Topic
The TSOS Effectiveness-Implementation Hybrid Study: Health Care System Level Theoretical Considerations & Pragmatic Trial Results
Keywords
Pragmatic clinical trials; Implementation Science; Healthcare policy; TSOS; Effectiveness research; Longitudinal health care
Key Points
- Combining Implementation Science theories with results from pragmatic clinical trials may be useful to target changes in healthcare policy and reduce the 17 year lag on translation from research to practice.
- TSOS is a hybrid pragmatic clinical trial studying the effect of PTSD screening and implementation of screening procedures in healthcare systems.
- TSOS study sites that implemented the study interventions better showed significant positive results in the experimental group as compared to the control group.
- The results of the TSOS study have prompted the American College of Surgeons to require psychological sequelae screening in trauma centers nationally.
Discussion Themes
Healthcare systems want to see beneficial changes from pragmatic clinical trials implemented more quickly.
To quickly implement procedures from a pragmatic clinical trial, we need a trial design that is feasible and easy to implement into clinical care and easy to incorporate into health care systems.
The focus should be on implementing the possible changes that you know you can get done in order to start a cascade of changes going forward.
Read more about TSOS.
Tags
#pctGR, @Collaboratory1