Site characteristics and workflows
Champions at each service completed a site profile audit to capture information about characteristics of the service. Information collected of relevance to the current study included site location (inner regional, major city), service type (public, private or mixed), hospital size as determined by the number of new patients over a 12-month period (< 100, ≥ 100), history of psychosocial screening (yes, no), and clinical load of psychosocial staff (number of new patients per 1.0 full-time equivalent of psychosocial staff). Decisions pertaining to the number of streams (1, 2, ≥ 3) and treatment modalities (1–4; medical, radiation, surgical, or haematological oncology) in which to implement the ADAPT trial were captured in the workflows during the site engagement meetings with team leaders (for more detail, see: [The study was approved by the Sydney Local Health District Human Research Ethics Committee, Protocol X16-0378 HREC/16/RPAH/522.