Table 2 Intervention-to-context alignment processes using an example emphasizing key areas of illustration

PRISM-relevant contextual domains

• Organizational perspective: Inclusion of oncology service line personnel at multiple levels to inform the design, planning, and implementation of the IA3-CP intervention

• Patient perspectives: Inclusion of patients with an existing cancer diagnosis during the planning and design of the intervention

• External environment: The availability and type of local community resources (e.g., transportation) to support patients’ needs, preferences, and lifestyle changes inform the ‘linkage’ aspect of the tool intervention design

Use of co-creation, informed by functions and forms concepts

• A Steering Committee comprised of clinic personnel was convened starting in the grant proposal writing phase to inform the feasibility of the intervention and key areas to consider in the research study design and planning phase

• Clinic and patient partners participated in co-creation workshops. The intervention’s core functions were presented as a starting point and partners worked on refining those forms and on tailored forms (e.g., clinic workflows)

Equity and use of the RE-AIM Cascade

• Inclusion of diverse patient partners in co-creation workshops to empower their decision-making early on, inform adaptations, and include multiple perspectives

• Feedback loops formally established across workshops to address potential drop-offs at different steps and prioritize equity (e.g., patients with new a cancer diagnosis and experiencing high levels of distress and low social support not using the tool)