Table 1.
Description of EBPs Belonging to Function QUERI
| STRIDE | Caregivers FIRST | Group Physical Therapy | |
|---|---|---|---|
| Program Objective | Reduce preventable harm of hospital-associated disability through a supervised walking program | Improve caregiver and Veteran functioning through caregiver skill training and support | Improve access to physical therapy to Veterans with knee osteoarthritis by delivering PT in a group setting |
| Setting | Hospital (general medicine ward) | Outpatient setting | Outpatient setting |
| Primary VA Partner | Geriatrics & Extended Care | VA Caregiver Support Program | Physical Medicine & Rehabilitation |
| Target Population | Older Veterans | Caregivers | Veterans with knee osteoarthritis |
| Focus of Initial Implementation Phase (2016 – 2021) | 8 sites | 8 sites | QI evaluation of program at a single VA Medical Center |
| Focus of Current Implementation Phase (2021 – 2025) a | 32 sites | 24 sites who did not adopt program during mandated period | 16 sites |
| EBP Description | Initial gait assessment followed by 1:1 supervised walk | Four group-based sessions delivering caregiver skills training | Six group-based PT sessions |
| Adoption Metrics | Five or more patients with a STRIDE consult and walk documented in the medical record in months 5–6 of the implementation period | One or more rounds of Caregivers FIRST delivered in the first 6 months, class attendance of four or more caregivers | Ten or more patients initiate the program, at least one-half of these patients enrolled during months 5–6 of the implementation period |
| Options for Enhanced Implementation Support | Sites randomized to receive enhanced support; only non-adopters participate | Sites randomized to receive enhanced support | Sites randomized to receive enhanced support; only non-adopters participate |
| Special Considerations for Current Study | VA Gold Standard Practice; VA Diffusion of Innovation partner | Mandated practice as of October 2021 | Expand initial QI evaluation for wider implementation |
Notes: EBP = Evidence-based program; QUERI = Quality Enhancement Research Initiative; PT = physical therapy; VA = Veterans Affairs; QI = quality improvement.
a
See Figure 1 for study design overview