ACCL15N1CD Use of Evidence-Based Supportive Care Clinical Practice Guidelines in Pediatric
Primary and Secondary Aims
Aim 1: Chart Review
To measure the rate of adherence to selected COG-endorsed supportive care CPG recommendations at NCORP sites
To describe the possible influence of NCORP site size and the number of patients enrolled in COG studies per site on the delivery of CPG-consistent care.
To describe the clinical outcome of episodes during which patients receive CPG-consistent or CPG-inconsistent care
Aim 2: Focus Groups
To describe facilitators of and barriers to the use of CPGs elicited via focus group interviews with a diverse set of potential users (physician, nurse, nurse practitioner and pharmacists) who provide pediatric cancer care at NCORP sites.
Aim 3: Interviews
To improve how well CPG recommendations are understood by health care providers by refining the CPG recommendation format based on an iterative process of cognitive interviewing and formatting revisions. Understanding is defined as the correct interpretation of the course of action recommended or suggested by a CPG.