Effectiveness of an intervention in increasing the provision of preventive care by community mental health services: a non-randomized, multiple baseline implementation trial

Table 4 Summary of intervention strategy implementation

Monthly intervention strategies	Average number who received strategy per month^a
	Group 1^b	Group 2^c	Overall
Practice change support officer contacts
Face-to-face visits (managers)	1.6/3 (53 %)	7.6/10 (76 %)	9.2/13 (71 %)
Face-to-face visits (clinicians)^d	4.8/7 (69 %)	8.7/12 (73 %)	13.4/19 (71 %)
Fortnightly phone/email support (managers)	1.8/3 (60 %)	8.3/10 (83 %)	10.1/13 (78 %)
Monitoring and feedback
Performance reports provided (managers)^e	1.4/3 (47 %)	7.5/10 (75 %)	8.9/13 (68 %)
Performance reports discussed with (managers)^e	1.0/3 (33 %)	7.2/10 (72 %)	8.2/13 (63 %)
Practice change resources
Tips and updates sheets provided to clinicians (service)^f	3.4/7 (49 %)	9.0/12 (75 %)	12.4/19 (65 %)
Newsletter provided to clinicians (service)^f	4.4/7 (63 %)	9.0/12 (75 %)	13.4/19 (71 %)
One-off intervention strategies^g	Month by which majority of target (80 % ) received strategy^h
	Group 1^b	Group 2^c	Overall
Clinician and manager training
Manager training (managers)	5/12	4/12	5/12
Online training (managers)	n/aⁱ	4/12	5/12
Online training (clinicians)	7/12	5/12	6/12
Practice change resources
Provision of resource pack (service)^f	4/12	1/12	3/12

^aAverage number of targets of the intervention strategy (services or managers) who received each strategy per month
^bIncludes 7 services with a total of 3 managers and 52 clinicians
^cIncludes 12 services, with a total of 10 managers and 165 clinicians
^dRecorded at service level as support officer made available to all clinicians at relevant service
^eDue to complications with the software used for performance monitoring and feedback, this strategy was not available for 6/12 months of the intervention period in group 1 and 3/12 months in group 2
^fRecorded at service level as resource provided to the service to distribute to individual clinicians
^gThe following strategies were implemented across the health district prior to intervention implementation: district wide preventive care policy, key performance indicators (based on consultation with health district executives, senior clinicians and managers), tool incorporated into the electronic medical record, e-mail helpline and an internet resource site
^hIntervention month in which the majority of services, managers or clinicians (80 %) had received each ‘one-off’ intervention strategy
ⁱ<80 % of managers in group 1 completed the online training modules by the completion of the intervention. By month 5, 2/3 managers had completed the modules. The third manager did not complete the modules by the completion of the intervention

ISSN: 1748-5908