Statistics
SECONDARY
The primary aim was descriptive. The secondary aim evaluated the adaptation decision made for each of the statements on the symptom management care pathway templates and did not include new statements added by the institution. This outcome was dichotomized as reject vs. did not reject for each statement. The institutional factors evaluated against adaptation choice were informed by CFIR domain constructs [The analysis consisted of a generalized linear mixed model treating statement and institution as random effects and the covariate of interest as a fixed effect. P < 0.05 was considered statistically significant. Analyses were performed using R studio version 3.6.1, The R Foundation for Statistical Computing.