| Aim 1 - clinical effectiveness | Aim 2 - implementation |
---|---|---|
Test | ENRICH-US Intervention | Implementation strategy |
Analysis | Patient- and hospital-level assessment | Surgeon- and hospital-level assessments |
Theoretical outcomes | Health outcomes; process/quality measures are considered intermediate steps | Adoption/uptake of the clinical intervention; process/quality measures |
Primary outcomes | Length of stay (LOS) for Aim1a | Implementation metrics including adoption, fidelity, and sustainability for Aim2a |
Secondary outcomes | Decreased intra-operative fluid usea, decreased intra-operative and post-operative opioid usea, shorter time to regular dieta, health care utilization, surgical complicationsb, HRQoL assessment for Aim 2b. | Contextual factors associated with implementation including modifications and adaptations to materials, implementation barriers, implementation outcomes, and feedback on challenging ERP elements at site level for Aim2b |