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Table 3 Documentation of enhanced REP Facilitators’ Core Component Tasks and Time

From: Cluster randomized adaptive implementation trial comparing a standard versus enhanced implementation intervention to improve uptake of an effective re-engagement program for patients with serious mental illness

Core facilitation task

Implementation step

Preparation for communication with facilities or regional leadership

• Review implementation progress

 

• Review barriers or facilitators to implementation described during last contact or ascertained through other sources as documented in Facilitator database

 

• Review stated actions planned from last contact (i.e., action plans) as documented in Facilitator database

Semi-structured communication with facilities and/or regional stakeholders (phone call)

• Discuss progress on action plans that were established in prior contact

 

• Discuss implementation progress based on monthly report

 

• Provide support, encouragement, reinforcement of progress made

 

• Collaboratively identify additional/existing barriers, changes to context that could affect implementation

 

• Problem-solve strategies, solutions to address barriers

 

• Collaboratively identify additional/existing facilitators and discuss how to use them to encourage implementation

 

• Provide suggestions for how to adapt intervention to local setting without compromising core components

 

• If needed, refer to technical assistance resources (available through standard REP)

 

• Provide information in response to questions, concerns, or promise to obtain needed information

 

• Collaboratively identify specific actions that can be taken to assist in implementation prior to next contact

Follow up

• Number of contacts with facility mental health provider implementing Re-Engage

 

• Number of contacts with regional network leaders

 

• Number of barriers and solutions discussed with facility providers

 

• Follow-up emails and phone calls to link to existing resources (e.g., technical assistance, leadership, continue problem solving a specific issue, provide information in response to a question

 

• Schedule next contact (e.g., schedule conference call lines, email facilities that have not been responsive)

Facilitators weekly communication with leadership partners (phone call)

• Facilitators join the weekly calls between research staff and VA national mental health leadership

 

• Provide overview of facilitation progress

 

• Provide information to/seek information from VA Mental Health Services Leadership about facility-specific issues that may have arisen during the week’s facilitation communications, seek guidance as needed

 

• Obtain information regarding other initiatives affecting mental health providers

Facilitators weekly peer consultation meeting

• Review each facility receiving facilitation, identify implementation progress, barriers

 

• Discuss strategies being used to encourage implementation at each facility

 

• Provide support, encouragement, and accountability to one another

 

• Provide information to/seek information from Technical Assistance research staff, as needed