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Table 3 Anticipated adaptations to Getting To Outcomes (GTO)

From: Getting to implementation: a protocol for a Hybrid III stepped wedge cluster randomized evaluation of using data-driven implementation strategies to improve cirrhosis care for Veterans

FRAME specifications GTO GTI
Context
 Setting Community organizations Healthcare settings
 Personnel Community workers/organizers Healthcare workers and leaders
 Population At-risk populations in community Patients not receiving evidence-based care
 Format Manual with tools and extensive resources Shorter manual with more narrow focus on implementation strategies
Content
 Substitution Evidence-based intervention Implementation strategy bundle
 Tailoring Designed to help community organizations choose interventions and apply them in their setting Designed to help clinicians choose implementation strategies to increase adherence to evidence-based practices—examples tailored based on the clinical setting and problem
 Packaging Manual with tools and extensive resources Shorter manual with more narrow focus on implementation strategies
 Spreading Problem identification Divided into two steps: (1) identifying the gaps in care and goals; (2) identifying implementation barriers and facilitators
 Condensing Evaluation of intervention and implementation (separate steps)
Modifying the program or practice and assessing capacity to implement (separate steps)
Condensed into one evaluation step
Training/evaluating
 Training Staff with no prior experience in program management are trained over a week Experienced facilitators will be trained in two 3-h sessions