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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