Table 2:
Qualitative Data Collection
| Interview Type and Framework(s) Domain* | Interviewee | Interview Items |
|---|---|---|
| Barriers and Facilitators | ||
| CFIR Individual Characteristics | Providers, Staff, Administrators | How long have you been in your role in radiology/primary care? |
| Where else have you practiced/worked in the past 5 years? What percentage of your clinical practice live in a rural area? (providers only) Tell me about your thoughts on lung cancer screening? Tell me about your role in lung cancer screening. What have been the difficulties in performing lung cancer screening? |
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| Providers only | What percentage of your clinical practice live in a rural area? | |
| CFIR Measures of Implementation; RE-AIM Implementation | Providers, Staff, Administrators | How long have you been in your role in radiology/primary care? |
| What kinds of changes in the current support system could help you? What is working well with lung cancer screening at your VA? |
||
| Providers only | What is working well for screening Veterans who live in rural areas? What has been difficult in screening Veterans from rural areas? What could help you perform lung cancer screening? What could help screen rural Veterans? |
|
| CFIR Process of Lung Cancer Screening | Providers, Staff, Administrators | How well does lung cancer screening fit within the existing work processes and practices in your VA? |
| CFIR Team Characteristics | Providers, Staff | Are meetings held regularly to discuss work processes and practices such as lung cancer screening? |
| CFIR Measures of Implementation; RE-AIM Maintenance | Providers, Staff, Administrators | What are your hopes for the future of lung cancer screening? |
| What could help maintain the program? | ||
| Initial Process Map Interviews | ||
| CFIR Individual Characteristics | Program Navigators | Can you give me the date of the first day you worked as the program navigator? |
| How many days a week do you work as the program navigator? Have you gone through navigator training with Mt. Sinai? |
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| CFIR Team Characteristics | Program Navigators | How many navigators are at your site for the lung screening program? Were there any previous navigators? If so, how many and how long did they serve in this role if you know? What do you do when you are unsure of something? How are challenges handled by the team? |
| CFIR Process of Lung Cancer Screening | Program Navigators | Do you currently use the VAPALS-ELCAP Management System? If so, please provide the date of the first day you used it? |
| Tell me about how Veterans are screened at your VA (program entry, eligibility verification, rural outreach, shared decision-making, scheduling smoking cessation, screening exam ordering, screening exam visit, type of standardized screening protocol, follow up on results, work up of suspicious findings, incidental findings, annual repeat scan, screening tracking and management of large panels of patients) | ||
| Initial and Follow-Up Process Map Interviews | ||
| CFIR Team Characteristics | Program Navigators | Please describe who is on your team, specifically each person’s role and specialty. Describe how you work as a team on a day-to-day basis and also as a program. |
| CFIR Inner Setting | Program Navigators | Do you interact with leaders at your VA besides your program director? If so, please describe. Does your VA provide you with resources to do your job? If yes, what resources? If no, what resources would help you do your job? |
| Follow-Up Process Map Interview | ||
| FRAME | Program Navigators | When and how were modifications made? |
| Were these changes planned and proactive (e.g., intentional adaptation) or unplanned and reactive (e.g., in response to other forces)? Who decided changes were necessary? What was modified? At what level in the system of delivery were changes made (executive leadership, department/service line leadership, healthcare provider, or staff level)? What were the reasons modifications were made and what contextual drivers were at play? |
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