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Table 1 Components of the implementation strategy described using the TIDieR framework [15]

From: ‘Around the edges’: using behaviour change techniques to characterise a multilevel implementation strategy for a fall prevention programme

  What Why Who Target behaviour How, when and how often Tailoring Modifications
Component Rationale Delivered by Delivered to   Mode and frequency Planned adaptation During the study
Organisational level 1. Implementation steering group led by clinical project manager To ensure ‘successful planning, execution, monitoring, controlling and closing of the project’ (document).
Project manager ‘problem solving’ (I)
Project Manager, coordinator, representative from hospital, community, management Heads of disciplines, management, MDTs, referrers Multiple behaviours: ‘supporting implementation of fall risk assessment clinics’ Face to face monthly meetings, ongoing email and telephone contact ‘Communication tailored to the requirements of different audiences’ (D)  
2. Appointed coordinator and administrator To create ‘single point of contact’ for referrers, MDTs and clients. Previous efforts failed due to lack of ‘practical support’ (I) NA MDTs, referrers, heads of discipline, management Multiple behaviours: ‘supporting implementation of fall risk assessment clinics’ Ongoing meetings, phone and email contact with MDTs and referrers Mode of communication ‘depends on the person’ in each clinic (I)  
3. Set up MDT to deliver assessment Identify and assemble team of physiotherapist, occupational therapist, nurse Coordinator
Project manager
1. Head of discipline
2. Line managers
Multiple behaviours: ‘supporting implementation of fall risk assessment clinics’ Face to face meetings and phone contact prior to initiating clinic No reference  
Professional: multidisciplinary team 4. Training and ‘coaching’ To provide ‘coaching and mentoring to MDTs’ in conducting assessment to ensure team were ‘comfortable’. (I) Coordinator
Administrator Specialist fall team
MDT Delivering risk assessment clinic Face to face Prior to initiation and during weeks 2–3 of implementation No reference Number, timing and duration varied based on knowledge, requests and availability
5. Standard assessment form Enable standardised assessment and onward referral Coordinator
Administrator
MDT Delivering risk assessment clinic Circulated prior to initiating clinic No reference Format and level of information changed during pilot
6. Equipment To ensure assessment could be conducted Coordinator
Administrator
MDT Delivering risk assessment clinic Prior to initiating clinic Dependent on existing equipment  
Professional: referrers 7. Standard referral form Enable efficient referral to service Coordinator Referrers Refer to clinic Circulated during initial implement No reference Level of information changed during pilot
8. Information meetings with referrers ‘Selling’ clinics to get referrers ‘on board’ and ‘to discuss criteria on who we want (referred) and [ensure] that is very clear’.(I) Coordinator
Specialists
Project manager
Physicians
ANPs
PHNs
Refer to clinic Ad-hoc face to face meetings ‘ideally’ before clinic started (I) Timing depended on clinic being established in that area Number of meetings increased in areas with low referral rates
9. Screening tool for PHNs Generate referrals for the clinics among PHNs who ‘would be the first line of contact with the health service.’ (I) Coordinator
Director of Public Health Nursing
PHNs Identify eligible clients and refer to clinic Ad-hoc face to face meetings to introduce and promote use of tool No reference Number and timing of meetings varied by area and level of engagement
10. Promotional material Advertise and inform referrers about clinics Coordinator
Administrator
Referrers
Pharmacies, Day centres
Refer to clinic Flyers, posters, monthly mail shot (to GPs) No reference  
Patient 11. Invitation letter and information leaflet To inform clients about appointment, clinic location and how to prepare for their visit, centralising administration to support MDTs. Coordinator
Administrator
Clients Attend clinic Documents provided on receipt of referral and arrangement of appointment No reference  
  1. Admin administrator, ANP advanced nurse practitioner, Ax assessment, Comms communication, D document, I interview, IC implementation coordinator, MDT multidisciplinary team, Mgmt management, PHN public health nurse, PM project manager, SG steering group