Implementation of the Australasian Teletrial Model: Translating idea into action using implementation science frameworks

Sabesan, Sabe, Malica, Marie, Gebbie, Chantal, Scott, Clare, Thomas, David, and Zalcberg, John (2023) Implementation of the Australasian Teletrial Model: Translating idea into action using implementation science frameworks. Journal of Telemedicine and Telecare, 29 (8). pp. 641-647.

[img] PDF (Accepted Publisher Version) - Accepted Version
Restricted to Repository staff only

View at Publisher Website:


Background: Despite Government investment, disparity in access to clinical trials continue between metropolitan and regional & rural sectors (RRR) in Australia and around the world. To improve trial access closer to home for RRR communities and rare cancer patients even in metro settings, the Australasian Teletrial Model (ATM) was developed by Clinical Oncology Society of Australia and implemented in four states. Aim of this paper is to describe the steps and processes involved in the development and implementation of ATM guided by implementation science frameworks.

Method: Two implementation science frameworks namely iPARIHS and Strategic Implementation Framework were chosen to guide the project. Details of steps and processes were extracted from COSA final report.

Results: ATM met the criteria for worthy innovation. For the development and implementation of the ATM, stakeholders were at national, statewide and clinical levels. A co-design with end-users and inclusion of key stakeholders in steering committees and advisory groups made the implementation smoother. Clinician levers including advocacy were useful to overcome system barriers. During the project, more patients, and clinicians at RRR participated in trials, more primary sites collaborated with RRR sites and more RRR sites gained trial capabilities.

Conclusion: Pilot project achieved its objectives including improved access to patients locally, creation of linkages between metro and RRR sites and enhanced capabilities of and access to RRR sites. Implementation science frameworks were useful for identifying the necessary steps and processes at the outset. Ownership by governments and creation of streamlined regulatory systems would enable broader adoption.

Item ID: 70669
Item Type: Article (Research - C1)
ISSN: 1758-1109
Keywords: e-health, remote consultation, telehealth, telemedicine, teleoncology
Copyright Information: © The Author(s) 2021
Date Deposited: 16 Nov 2022 05:58
FoR Codes: 42 HEALTH SCIENCES > 4203 Health services and systems > 420302 Digital health @ 70%
32 BIOMEDICAL AND CLINICAL SCIENCES > 3211 Oncology and carcinogenesis > 321199 Oncology and carcinogenesis not elsewhere classified @ 30%
SEO Codes: 20 HEALTH > 2002 Evaluation of health and support services > 200208 Telehealth @ 50%
20 HEALTH > 2001 Clinical health > 200105 Treatment of human diseases and conditions @ 50%
Downloads: Total: 3
More Statistics

Actions (Repository Staff Only)

Item Control Page Item Control Page