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Table 1 Implementation strategies deployed, domains affected, definition, actors, actions/target of actions, temporality, dose, and outcome affected

From: Testing an implementation strategy bundle on adoption and sustainability of evidence to optimize physical function in community-dwelling disabled and older adults in a Medicaid waiver: a multi-site pragmatic hybrid type III protocol

Domain

Organization readiness

Build IF coalition

IF training

Clinician training

Clinical teams

EF centralize oversight

Audit and feedback implementation intervention fidelity

Definition

Aspects of an organization determine readiness to implement

IFs coalition to share implementation knowledge

Dynamic interactive training via varying learning methods and supervision focused on implementation

Training to conduct intervention

Develop/implement teams of clinicians who meet, reflect, and share learnings

Makes things easier for others: support to change attitudes, habits, skills, way of thinking and working

Collect and summarize clinical performance and monitor, evaluate, and modify clinician behavior

Actors

PI, PM, waiver clinician

IF, research team

Research team for IF

IF for clinicians

IF, clinicians

EF

PI, PM, IF, EF

Actions

Administer tools, analyze results

Online Bb forum to build capacity, share best implementation strategies

Identify and train train-the-trainers/IF

Train clinicians, post-test, remediate

IF leads interdisciplinary coordination, feedback on implementation/intervention

Assistance to IF (arm 2)

Monitor Bb and EHR, SIC (scorecard)

Target of action

Site

IFs

IFs

Clinicians

Clinicians

IF

Clinicians

Temporality

Before implementation

When starting implementation

1 month after implement

1 week after intervention and ongoing

Dose

Surveys completed baseline

1 h discussion monthly

1.5 h Bb online training; remediate prn

5.5 h online Bb training

Meet 15 min per month per beneficiary cared for

Weekly for 30 min to 1  h until issues resolved

Weekly results to scorecard in Bb and IF reviews with clinicians, EF reviews with IF

Outcomes affected

Acceptability, readiness

Acceptability

Adoption, sustainability

Adoption,

sustainability

Adoption, sustainability, outcomes