Table 2 Components and timeline of the two adaptive interventions: Enhanced and Standard Replicating Effective Programs (REP)
Time | All Sites—Standard REP | |
|---|---|---|
March 1, 2012 | Re-Engage package: Implementation guide disseminated to all providers at eligible sites, describing the Re-Engage program, a list of frequently asked questions, sample documents for program tasks, program policies, data security, and related research. | |
Re-Engage training: Three 1.5-h national conference call trainings of mental health providers on how to conduct program. Program materials made available on mental health provider website. | ||
Technical assistance: Ongoing assistance via 1-h biweekly conference calls led by study staff for mental health providers to answer technical questions on Re-Engage program implementation, and study staff were available on an ad hoc basis to answer questions from individual providers. Monthly reports were generated to track Re-Engage uptake (% patients with updated current status documented). | ||
September 1, 2012 | Non-responsive sites (<80% patients with updated documentation of current status) randomized to Enhanced or Standard REP | |
September 1, 2012–March 1, 2013 | Enhanced REP | Standard REP |
| Â | Needs assessment: Facilitators gather information from various sources (monthly evaluation reports, regional mental health leadership, mental health providers, VA national mental health leadership) to identify potential facility-specific barriers and facilitators to implementation. | As Described Above |
Ongoing support: Weekly phone calls with Facilitators, Technical Assistance staff, and VA national mental health leaders. Facilitators maintain open communication with VA leaders regarding implementation nationally and at specific sites through these phone calls and email communication. Facilitators also maintain ongoing contact with one another through separate weekly meetings. | ||
Garner local and regional support: Facilitators initiate contact with regional mental health leadership affiliated with local sites, providing information regarding Re-Engage program implementation and added value. Maintain ongoing contact and request support from regional leadership as indicated. | ||
Identify barriers/facilitators to Re-Engage implementation: Facilitators and mental health providers hold monthly calls for 6 months and collaboratively identify each facility’s specific challenges (e.g., time, resources) to program implementation as well as potential assets (e.g., consistency with other initiatives, support from regional leadership). | ||
Collectively develop action plans: Facilitators assist mental health providers in identifying what specific actions they can take to implement program. | ||
Feedback/link to available resources: Facilitators provide feedback to mental health providers regarding implementation and action plan progress. Facilitators refer mental health providers to existing resources, including the Technical Assistance available through Standard REP, existing documents regarding the program intervention, facility-level, regional, or national leadership. | ||
March 1, 2013–August 2013 | Sites randomized to Standard REP who continue non-response receive 6 months of Enhanced REP Facilitation, remaining sites continued with Standard REP | |