- #WHAT DOES RAPT MEAN HOW TO#
- #WHAT DOES RAPT MEAN FULL#
- #WHAT DOES RAPT MEAN CODE#
- #WHAT DOES RAPT MEAN TRIAL#
For example, in a trial in which epidemiological benchmarks are inserted into radiology imaging reports, the study team wanted to verify at each site that the intervention text could be successfully included in the report based on a specific CPT code, modality, patient age, and date. Researchers could devise a set of criteria for site inclusion.
#WHAT DOES RAPT MEAN CODE#
One way is for the study team to pilot the programming capacity of a site (e.g., giving the site sample programming code, or asking sites to send the code that they will use to the study coordinating center) to determine if the site is able to fully participate. Evaluate how effective the system or clinic will be as a research partner. Also consider the best timing for embedding the PCT intervention if there are expected EHR platform changes or pending external contextual or policy changes that could impact the system’s capacity to implement the PCT.Ĭonsider testing the intervention across partner systems that vary in capacity or context for example, a VA health system and a regional or community health system. It is important to evaluate how the embedded intervention will align with the goals of the healthcare system to achieve their practice metrics.
NIH Collaboratory Distributed Research NetworkĬapabilities and Readiness of the Partner Healthcare SystemĬonsider whether there is a gap in existing services for the target population, or whether the healthcare system has had difficulties successfully addressing patient needs. The Collaboratory’s Electronic Health Records Core offers PCT-specific guidance for study teams on: If there will be different EHR systems, how will they be linked? Pilot test the data collection procedures and any web-based tools developed specifically for the study. Several aspects of EHR data drive these differences, including the lack of control over data definitions and data collection processes in healthcare facilities, procedures for access to the data, frequent dependence on record linkage, the need for computable definitions for cohorts and outcomes of interest, and the intricacies of demonstrating that data are of adequate quality to support research conclusions.Ĭonsider how the intervention will use existing EHR data for cohort identification, recruitment, sample size estimates, population screening, collection of embedded patient-reported outcome (PRO) data, and so on. Using EHR data for research is fundamentally different from using prospectively collected data. Analyses in the presence of noncompliance and study dropout. Small-sample robust variance correction. The Collaboratory’s Biostatistics and Study Design Core provides resources to help address challenges related to: Study teams should work early on with their statistician to anticipate gaps or issues around cluster randomization, including sample size and potential for contamination, intraclass correlation, varying cluster size, the need for stratification or matching, and potential for missing follow-up data. Challenges During the Pilot Phaseįeasibility assessment specific to embedded PCTs may be associated with the following challenges. #WHAT DOES RAPT MEAN HOW TO#
Impact: How useful will the intervention’s results be?įor details on how to use the RAPT tool, visit the RAPT Model website. Alignment: To what extent does the intervention align with external stakeholders’ priorities?. Acceptability: How willing are providers likely to be to adopt the intervention?. Cost: How likely is the intervention to be economically viable?. Measurement: To what extent can the intervention’s outcomes be captured?. Feasibility: To what extent can the intervention be implemented under existing conditions?. Risk: Is it known how safe the intervention is?. Evidence: To what extent does the evidence base support the intervention’s efficacy?. Implementation protocol: Is the protocol sufficiently detailed to be replicated?. RAPT delineates 9 readiness criteria to evaluate the intervention, from low to high readiness: #WHAT DOES RAPT MEAN FULL#
RAPT is a recently developed framework for study teams in the pilot phase to assess readiness of their embedded intervention before advancing to the full implementation phase (Baier et al. Scoring efficacious interventions using RAPT can inform research team discussions regarding whether or not to advance an intervention to effectiveness testing using a PCT and how to design that PCT. RAPT is the first model to help interventionists and funders assess the extent to which interventions are ready for PCTs. Readiness Assessment for Pragmatic Trials (RAPT) Such assessment will involve evaluating the context, capabilities, and challenges of the partner healthcare system as well as testing key elements of the intervention and collection and transfer of data from the EHR. Pilot testing involves an assessment of the readiness of the embedded intervention before launching its full implementation.
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