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Table 3 Summary of specific implementation strategy activities

From: Protocol: Adaptive Implementation of Effective Programs Trial (ADEPT): cluster randomized SMART trial comparing a standard versus enhanced implementation strategy to improve outcomes of a mood disorders program

Implementation component Tasks
REP Pre-implementation meetings with study staff and consultants to finalize implementation design
Study staff finalize plans for data security and related research logistics
Creation of LG website for use by providers (software development, programming)
Creation of packaged, user-friendly manual and customized training program
Conduct organizational needs assessment at sites
Pre-implementation in-service meetings with site leaders
Identify LG providers at each site
Identify potential Internal Facilitators (IF) at each site
Regional 8-h LG trainings
As-needed program support assistance via phone or email
Monitor LG uptake via secure web-based reporting
Disseminate monthly implementation progress reports to all sites
Sites that are non-responsive are randomized to receive External Facilitation (EF) alone or EF + IF in combination
Send out quarterly program updates that include bright spots and success stories for overcoming barriers in implementation.
External Facilitation (EF) Weekly phone calls with facilitators and technical assistance staff to transfer knowledge and strengthen partnership
EF contacts LG provider/s at non-responsive sites at least monthly for 6 months to develop rapport and understanding of site
Assist LG providers in identifying what specific actions they can take to implement program
Works with LG provider to set measurable goals for site implementation and monitors progress to support uptake
Provides specific guidance on overcoming barriers in implementing LG components by aligning LG’s strengths with LG’s available influence at the site
Facilitators refer LG providers to existing resources including ongoing LG program assistance when necessary
Weekly meetings or calls between EF and TA to ensure open communication and collaboration
Facilitator weekly consultation meeting with facilitation experts
Internal Facilitation (IF) EF contacts IF at site to provide overview of internal facilitation role and documentation requirements for 6 month period
IF, EF, and LG hold biweekly calls to develop rapport, review program progress and identify barriers and facilitators to LG uptake
IF works with LG provider to develop measurable goals to LG uptake.
IF identifies local site priorities per leadership that align with LG program.
IF helps LG provider identify other LG program champions.
EF helps IF and LG provider summarize and describe added value of LG to leadership and site providers (e.g., consistency with other initiatives, support from leadership)
IF refers LG provider to LG program assistance as needed and appropriate
IF, EF, and LG provider summarize progress and present to leadership
IF works with EF and LG provider to develop business and sustainability plans and presents to leadership