From: Implementation strategies: recommendations for specifying and reporting
Domain | Strategy: clinical supervision | Strategy: clinician implementation team |
---|---|---|
Actor(s) | Clinician who is expert in the clinical innovation and recommended by the treatment developer. | A team of clinicians who are implementing the clinical innovation. |
Action(s) | Provides clinical supervision via phone to answer questions, review case implementation, make suggestions, and provide encouragement. | Reflect on the implementation effort, share lessons learned, support learning, and propose changes to be implemented in small cycles of change. |
Target(s) of the action | Clinicians newly trained in the innovation. | Clinicians newly trained in the innovation. |
Knowledge about the innovation, skills to use the innovation, optimism that the innovation will be effective, and improved ability to access details about how to use the innovation without prompts. | Knowledge about how to use the innovation in this context, intentions to use the innovation, social influences. | |
Temporality | Clinical supervision should begin within one week following the end of didactic training. | First meeting should be within two weeks of initial training. |
Dose | Once per week for 15Â minutes for 12Â weeks, plus follow-up booster sessions at 20 and 36Â weeks. | Once monthly for one hour for the first six months. |
Implementation outcome(s) affected | Uptake of the innovation, penetration among eligible clients/patients, fidelity to the protocol of the clinical innovation. | Uptake of the innovation, penetration among eligible clients/patients, fidelity to the protocol of the clinical innovation, sustainability of the innovation. |
Justification | Research that suggests that post-training coaching is more important than quality or type of training received[70]. | Cooperative learning theory[71]. |