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PIECES
Towards Large-Scale Adaptation and Tailored Implementation of Primary Cancer Prevention Programs Across 9 Countries
Sponsor study identifier
interventional
100
9 countries
11
Study Start
December 1, 2024
Actual (reported)Primary Completion
December 2026
EstimatedPlanned date reported by the registry; this milestone is not confirmed as achieved.
Study Completion
December 2026
EstimatedPlanned date reported by the registry; this milestone is not confirmed as achieved.
The PIECES project aims to evaluate the Primary Cancer Prevention Implementation Toolkit (PCP-IT), an online implementation support toolkit that aids implementation teams in improving the implementation of primary cancer prevention programs (PCPs). The primary aim of the PIECES study is to support and learn from the process of selecting, adapting, and implementing existing evidence-based programs to improve implementation outcomes and by that, improve the reach and effectiveness of primary cancer prevention programmes in real-world settings. The study objectives are:
Registry-reported information. Elapsed time and enrollment totals alone do not measure study progress or recruitment pace.
December 2026
EstimatedPlanned date reported by the registry; this milestone is not confirmed as achieved.
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Some registry-reported names shown below are not yet linked in this graph.
Dates and qualifiers reported by the registry. Estimated dates do not confirm that a milestone has occurred.
November 13, 2024
Actual (reported)December 1, 2024
Actual (reported)December 5, 2024
Actual (reported)December 2026
EstimatedPlanned date reported by the registry; this milestone is not confirmed as achieved.
December 2026
EstimatedPlanned date reported by the registry; this milestone is not confirmed as achieved.
Competencies in Implementation
Participants are asked to rate how skilled they feel in various implementation competencies. Respondents evaluate their skills for each item on a 5-point Likert scale, ranging from not at all to extremely (not at all, slightly, moderately, very, extremely).
Month 0, repeated every six months until month 24.
Organizational Readiness for Implementing Change (ORIC)
Month 0, repeated every six months until month 24.
Perceived Ease of Use
Month 6, repeated every six months until month 24.
Perceived Usefulness
Month 6, repeated every six months until month 24.
Satisfaction with the PCP-IT
Month 6, repeated every six months until month 24.
Perceived impact of the PCP-IT
Month 6, repeated every six months until month 24.
The local implementation teams for this study, referred to as the implementers of the Primary Cancer Prevention Implementation Toolkit (PCP-IT), are the primary users of the toolkit and play a central role in tailoring and implementing cancer prevention interventions. Each team is responsible for selecting and adapting the intervention to meet local needs and developing a tailored implementation plan. Each team is led by an implementation lead, who directly oversees the implementation process and ensures the team effectively uses the PCP-IT to guide their work. In some cases, the implementation lead may also serve as the implementation coordinator. The coordinator's role is to provide higher-level oversight and may involve coordinating multiple implementation teams across various locations, such as hospitals, or focusing on a single team at one site.
The PCP-IT is an online implementation support toolkit which aims to support implementation teams in improving the implementation of primary cancer prevention programs (PCPs). The PCP-IT builds upon the theory-base and the proven to be effective ItFits tool. The PCP-IT encompasses a total of six modules which are designed to guide implementers through the process of selecting and adapting PCP programs, identifying and addressing barriers, and developing and applying tailored implementation strategies. The toolkit includes: (1) a repository of PCP programs, (2) a repository of determinants of practice, (3) a repository of implementation strategies, (4) stakeholder consultation at all stages, (5) an online community of implementation practitioners, and (6) structured stepped process flows, instructions, examples and worksheets for working with the materials. https://global.itfits-toolkit.com/
Registry-reported names are shown in full. Names without a link have not yet been matched to a Syfrah profile.
Universiteti i Mjekesise Tirane
Tirana, Albania
The University of Queensland
Saint Lucia, Australia
German Network for Tobacco Free Healthcare Services
Berlin, Germany
Hannover Medical School
Hanover, Germany
German Cancer Research Center (DFKZ)
Heidelberg, Germany
University of Limerick
Limerick, Ireland
ISPRO
Florence, Italy
Vis C, Schuurmans J, Aouizerate B, Atipei Craggs M, Batterham P, Buhrmann L, Calear A, Cerga Pashoja A, Christensen H, Dozeman E, Duedal Pedersen C, Ebert DD, Etzelmueller A, Fanaj N, Finch TL, Hanssen D, Hegerl U, Hoogendoorn A, Mathiasen K, May C, Meksi A, Mustafa S, O'Dea B, Oehler C, Piera-Jimenez J, Potthoff S, Qirjako G, Rapley T, Rosmalen J, Sacco Y, Samalin L, Skjoth MM, Tarp K, Titzler I, Van der Eycken E, van Genugten CR, Whitton A, Zanalda E, Smit JH, Riper H. Effectiveness of Self-guided Tailored Implementation Strategies in Integrating and Embedding Internet-Based Cognitive Behavioral Therapy in Routine Mental Health Care: Results of a Multicenter Stepped-Wedge Cluster Randomized Trial. J Med Internet Res. 2023 Feb 3;25:e41532. doi: 10.2196/41532.
Padek M, Colditz G, Dobbins M, Koscielniak N, Proctor EK, Sales AE, Brownson RC. Developing educational competencies for dissemination and implementation research training programs: an exploratory analysis using card sorts. Implement Sci. 2015 Aug 12;10:114. doi: 10.1186/s13012-015-0304-3.
Femke van Nassau, PhD
Amsterdam UMC
First Submitted
November 13, 2024
First Posted
December 5, 2024
Study Start
December 1, 2024
Actual (reported)Contact the study team to confirm eligibility.
Trimbos Instituut
Utrecht, Netherlands
Catalan Institute of Oncology
Barcelona, Spain
State Institution Public Health Center of the Ministry of Health of Ukraine
Kyiv, Ukraine
University of Stirling
Stirling, United Kingdom
Shea CM, Jacobs SR, Esserman DA, Bruce K, Weiner BJ. Organizational readiness for implementing change: a psychometric assessment of a new measure. Implement Sci. 2014 Jan 10;9:7. doi: 10.1186/1748-5908-9-7.
Hensen N, Smit RA, Barrero A, Breunese J, Burazeri G, Caini S, Fernandez E, Gorini G, Grams L, Mercader CG, Walters BH, Hinderaker HK, Janda M, Jimenez-Rueda A, Jaffery JI, Kahlhofer J, Francisca Kenter RM, Lodding P, Macaulay L, Marushko K, Ramiro-Pareta M, O'Donnell R, Porthe V, Pontes C, Piera-Jimenez J, Qirjako G, Rocliffe P, Semple S, Troelstra SA, van der Ploeg HP, Willemsen MC, Woods C, Ylli A, Vis C, Martinez C, Nassau FV; PIECES consortium. The PIECES multi-site comparative case study protocol: mixed methods implementation evaluation of adapting, implementing and tailoring primary cancer prevention programmes in diverse contexts. Implement Sci Commun. 2026 Jun 23. doi: 10.1186/s43058-026-01002-0. Online ahead of print.
Primary Completion
December 2026
EstimatedPlanned date reported by the registry; this milestone is not confirmed as achieved.
Study Completion
December 2026
EstimatedPlanned date reported by the registry; this milestone is not confirmed as achieved.
Last Updated
April 9, 2025
Record last verified: 2024-10
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Source: ClinicalTrials.gov.
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