157 Assessment of the KLIK PROM portal implementation expert team in the Princess Máxima Center for pediatric oncology coordinates the implementation of KLIK in this center. KLIK can be implemented for any patient group, on request of a multidisciplinary team. The implementation procedure of the KLIK PROM portal has previously been described according to the guidelines of the International Society for Quality of Life Research (ISOQOL) [13]. A core element of the KLIK implementation process is to train all team members in the use of KLIK and discussing PROMs in the consultation room. A summary of the implementation process is shown in Fig 2. * The KLIK expert team consists of researchers with expertise in the field of (implementing) PROMs and HRQOL research Figure 2. Overview of the KLIK implementation process for one multidisciplinary team Design To retrospectively assess the KLIK PROM implementation using the CFIR framework, a mixed methods design was used. Part A consisted of a qualitative description regarding the most prominent determinants of successful KLIK PROM implementation. Part B consisted of an evaluation of current barriers in the KLIK implementation process and matching potential future strategies to reduce these barriers using the CFIR-ERIC Implementation Strategy Matching tool v1.0 [30,31] and a qualitative description of the identified barriers and strategies that have been used already by the KLIK expert team. 6
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