Understanding multilevel influences on the adaptation of a complex intervention for oncology to palliative care transitions: a qualitative study across seven European countries

Key Points

• The study investigates how various factors impact the adaptation of an oncology intervention to palliative care settings.
• Conducted qualitative interviews across seven European countries
• Analyzed influences on intervention adaptation
• Examined organisational, professional, and cultural factors
• Identified key influences on how interventions are adapted locally
• Highlighted the need for balancing standardisation and flexibility in healthcare
• Showed that local contexts significantly shape intervention implementation