Background/Aims: Change champions are vital for adopting evidence-based practices in healthcare, including stroke care. The aim of this scoping review was to identify best training and preparation strategies for local change champions, their components, and how they align with Expert Recommendations for Implementing Change (ERIC) and adult learning models, so as to inform the design of a champion training package for stroke evidence implementation.
Methods: A rapid systematic search strategy was used which identified 4 published systematic reviews (2020-2023). A search was then conducted after the date of the last systemic review to identify additional implementation RCTs (and cluster RCTs) conducted in healthcare settings. Included trials using change champions alone or in combination with other strategies. Data extraction and accuracy were handled by two reviewers.
Results: From 66 potential RCTs, 10 met inclusion criteria. All were cluster RCTs, with randomization occurring at the site or ward level. Most studies (n=8, 80%) engaged 1-2 champions per site, and champions were mostly site-selected with desired attributes recommended by the research team. Champions participated in preparation activities delivered by research team members considered experts in implementation in six studies. Activities ranged from 1-day to a 5.5-day program. Limited detail was provided about the components of the champion preparation programs, however most included education on topic content, guidance on working with the team, and training in process related activities.
Conclusion: Variability exists in selecting and preparing change champions. Detailed reporting on preparation strategies is needed to design effective training packages for stroke trials.