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Table 4 Strategies for province-wide application of the implementation plan (KT action steps 5–7)

From: Theory-based approach to developing an implementation plan to support the adoption of a patient decision aid for Down syndrome prenatal screening

KTA action cycle step

Strategies

Monitor knowledge use

• Monitor distribution of paper copies of the DA and the number of online downloads of the DA

• Monitor distribution of posters and brochures to clinical settings province-wide

• Track the number of professionals completing the online and in-person training on SDM and DAs

• Video recordings of patient-physician encounters to examine the adoption and fidelity of DA use

Evaluate outcomes

• Surveys to assess participants’ behavioral intention to use DAs or engage in SDM

• Regularly measure SDM outcomes such as knowledge, decisional conflict, decision regret, knowledge, involvement of partner, and satisfaction among women making prenatal screening decisions

Sustain knowledge use

• Engage policymakers to integrate DA into provincial prenatal screening program

• Engage key stakeholders in implementation plan

• Make DA freely available in multiple formats and through multiple platforms

• Provide low-cost online training programs throughout the provincial healthcare education system

• Train for decision coaches in each clinical setting

• Embed measures/indicators in clinical and information systems

  1. DA - Decision aid