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Table 2 The five highest ranking items per question in the phase two evaluation survey

From: Evaluation of the Australian first few X household transmission project for COVID-19

Evaluation question

Themes identified

Weighted scorea

What worked well with the FFX project and why?

1. Timely analysis and reporting

26

2. Central coordination by APPRISE

24

3. Specific models of implementation at each site

23

4. National funding mechanism and support

21

5. Collaboration with researchers/research organisations

19

What didn’t work well with the FFX project and why?

1. Length and complexity of ethics and governance approval processes

23

2. Missed opportunity due to delayed start of implementation

22

3. Missed opportunities due to lack of active engagement from health departments

20

4. Differing ethical and legislative frameworks across jurisdictions

20

5. Division into public health and research components led to lost opportunities

17

What expectations did you have for the FFX project?

1. The project would deliver on classic FFX objectives and would provide early and rapid epidemiological insights

34

2. Able to deliver local information on key knowledge gaps

20

3. There would be more and faster recruitment

18

4. The data would play a larger role to inform public health advice

16

A. Relevance of original objectives/research questions waned over time

10

B. That data would be more accessible and shared in a timely manner

10

What value do you expect FFX to provide in the ongoing/future FFX study?

1. Opportunity to conduct further multijurisdictional FFX or related research studies in Australia

25

2. Further develop surveillance systems and capacity at a national level for pandemic response

21

3. Developing a process for expedited ethics and governance approvals for future iterations

19

4. Establishment of a research network within existing public health systems

19

5. Opportunity to characterise impacts of immunity and vaccination on severity and transmissibility within households

15

What are the key foundational components/arrangements to have prepared for next time?

1. Pre-established ethics and governance mechanisms/approvals that cover all study aspects

31

2. Investments in national data infrastructure to assist with rapid data sharing

16

3. Clarification of role of FFX studies in national and jurisdictional surveillance plans for pandemic response

15

4. Maintenance of existing data governance and sharing arrangements from current project

12

5. Embed within public health work to avoid duplication and participant confusion

10

  1. aItems that were ranked and scored from most important (5 points), to least important (1 point)