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Table 3 Characteristics of study implementation strategies, per Proctor et al. [116]

From: Study protocol: a pragmatic, stepped-wedge trial of tailored support for implementing social determinants of health documentation/action in community health centers, with realist evaluation

Implementation strategies Proctor et al. categories for reporting on implementation strategies
Target Actor Action Outcome Temporality Dose
1. The clinic action plan (CAP) SDH operational/clinical champions Implementation support team (IST) Providing the strategy/materials/training to the clinic Champion understands and tracks needed tasks At the beginning of wedge Once
2. Technical assistance—implementing SDH screening Champion has needed tools to make decisions about SDH implementation (workflows; rollout plans) When clinic is ready to develop workflow and rollout plans Once, although revisited as needed
3. Technical assistance—using the EHR Champion has the information needed to train clinic staff in the EHR’s SDH tools When the champion is ready to train staff on the tools Once, although revisited as needed
4. Ongoing technical assistance, tailored problem-solving  
4a. Bi-monthly hour-long webinars/office hours/peer support Champions learn about each implementation step and seek expert/peer advice related to that step Throughout the 6-month intervention Twice monthly
4b. Monthly hour-long coaching call Champions receive one-on-one coaching to address their clinic’s needs Throughout the 6-month intervention Once monthly
4c. Email questions All clinics’ champions receive information about implementation processes and problem-solving at all wedge sites Throughout the 6-month intervention Once monthly