Use ADKAR When a New EDC Workflow Meets Resistance
Use ADKAR to diagnose whether EDC adoption needs awareness, desire, knowledge, ability, or reinforcement.
When a clinical workflow fails after training, assume the barrier may not be knowledge. Awareness: why this matters now Staff need to understand the reason for the change: regulatory expectation, protocol complexity, audit finding, data-quality risk, or sponsor requirement. Without awareness, the change feels arbitrary. Desire: why I would participate Desire is not cheerfulness. It can come from reduced rework, clearer accountability, fewer late queries, or confidence that the manager will remove obstacles. Knowledge and ability are different Knowledge is knowing the steps. Ability is performing them under real visit load, with the right access, role mapping, equipment, and time.…
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