Table 1 Specifications of the six components of the implementation program for SDM, as suggested by Proctor [80]
|  | SDM training for HCPs | Individual coaching for physicians | Patient activation strategy | Provision of patient information material and decision aids | Revision of the clinic’s quality management documents | Critical reflection of current organization of MDTMs |
|---|---|---|---|---|---|---|
Actor(s) | Trained HCPs of respective clinic (trained by research team in a train-the-trainer workshop), research team | Research team | Clinic staff and research team | Clinic staff and research team | Research team, quality management department and head HCPs of each clinic | Clinical staff and research team |
Action(s) | SDM training for physicians and nurses | Participant observation of physician-patient interaction and provision of feedback | Dissemination of material encouraging patients to ask questions regarding treatment options | Dissemination and use of information material and decision aids | Inclusion of SDM in quality management documents | Meetings with respective head of clinics and members of the clinical teams responsible for the MDTMs |
Target(s) of action | HCPs working at respective clinic | HCPs working at respective clinic | Patients being treated in respective clinic | Patients being treated in respective clinic | All staff working at respective clinic | All patient cases discussed in MDTMs |
CFIR domain | Individual level and inner setting* | Individual level | Individual level | Individual level | Inner setting* | Inner setting* |
Temporality | Beginning of implementation phase in respective clinic | First coaching should be within 4Â weeks after training | Throughout implementation phase in respective clinic with start at beginning of phase | Throughout implementation phase in respective clinic with start after HCP training | Beginning of implementation phase in respective clinic | Throughout implementation phase in respective clinic |
Dose | 2Â h training | Two audits with oral and written feedback per HCP | Initial setup of material in different clinic areas, need-based restocking | Initial setup of material in different clinic areas, need-based re-stocking | Short oral presentation of new documents in team meetings, combined with email to staff members | Two to three meetings of approx. 60Â min per clinic |
Justification |