Method | Type | Who/what | When | How often / many | Why |
---|---|---|---|---|---|
Interview | Check-in phone call | Point people (all) | Begin soon after implementation support begins; continue for remainder of study | Biweekly initial 6 months; monthly thereafter | Logistics of implementation (trainings); unresolved issues; implementation surprises, challenges, solutions |
Opportunistic interview | CHC providers and staff during in-person site visits | During site visits study years 2.5–4 | As possible during 2-day site visits (12) | Personal experience with “bundle” tools; barriers and facilitators to use | |
Semi-structured interview | CHC providers and staff during in-person site visits | During site visits study years 2.5–4 | Minimum 4 interviews per clinic during 2-day site visits (12) | Perception of implementation/change process; barriers and facilitators to change; effectiveness of support strategy | |
Phone interview | CHC providers and staff at clinics not visited in person | Study years 3–4 | Minimum 2 interviews per clinic | Perception of implementation/change process; barriers and facilitators to change; effectiveness of support strategy. | |
Debriefings | Study practice facilitator. | Study years 2.5–4 | After each practice facilitation visit (45+) | Clinic-specific strengths and challenges surrounding implementation; effectiveness of support strategy | |
Observation | In-person observation | Clinic workflows, team interactions, patient encounters | During site visits years 2.5–4 | Over course of 2-day site visits (12) | How intervention tools used in clinical care; insight into practice characteristics that influence uptake |
Document review | Relevant archival data (e-mail conversations with CHC staff; clinic policies; etc.) | n/a | Throughout study | As available | Contextual information; insight into questions and negotiations surrounding implementation |