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For the survey, we used five common inclusion criteria to select survey respondents: (1) the respondent was an implementation, delivery, or innovation (D&I) leader, (2) the respondent worked or has worked with diabetes or diabetes technologies, (3) the respondent was located in the United States, (4) the respondent was either a principal investigator, co-investigator, principle investigator, or co-principal investigator of a federally funded diabetes technology study, and (5) the respondent had never previously participated in the survey or the CFIR as a respondent.
Of the 211 respondents, only one respondent reported using the updated CFIR; however, he used it to evaluate a different innovation in a different innovation area. The remaining 210 respondents used the updated CFIR to evaluate Tandem Connect. Participants were asked to use the updated CFIR to evaluate Tandem Connect to understand how the innovation may impact their own lives. Participants were asked to use the CFIR to understand how the innovation may impact patient outcomes, as well as staff, team, and organizational outcomes. Responses were summarized by construct and sub-construct to identify potential themes or patterns in response.
In the 2021 CFIR survey, respondents were asked to use the updated CFIR to evaluate the following innovation: the Tandem Connect Bluetooth CGM system. The survey was open for one week, from September 30, 2020 to October 7, 2020. Responses were collected and analyzed using RedCap software, a secure, web-based survey application.
Survey participants were invited to respond by email to a secure survey link. A total of 2,375 people were asked to participate in the survey. Overall, we achieved a 25% response rate, yielding 211 completed responses. Of the 211 respondents, 95% were Principal Investigators or Co-PIs, 21% were Co-Investigators, and 4% were Co-Principal Investigators for studies with diabetes-related funding. Of the respondents, 17% were based in the United States, 13% were based in Canada, 12% were based in Europe, 10% were based in Asia, and 3% were based in Australia or elsewhere.
Three subconstructs were added to the Innovation Domain to address the full range of possible innovation practices and processes. Using the terminology of innovation, the Innovation Practices include New project planning and development, Innovation planning, Innovation strategy development and Development of innovations to be implemented or tested. The Innovation Practices are followed by innovations that rely on the use of Innovation Process to be carried out. The overall goal of the Innovation domain is to capture the key elements of innovation in the context of product development, including the process of the creation, improvement, and dissemination of products. The subconstructs are defined as follows:
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