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Table 2 Specification of WISE implementation strategies from a Hybrid III Implementation Trial

From: Stakeholder selected strategies for obesity prevention in childcare: results from a small-scale cluster randomized hybrid type III trial

Strategy Actor(s) Action Temporality Dose Justification
Obtain formal commitments WISE facilitators and directors Sign commitment after facilitators and directors discuss Before teacher training 1-time Address barriers of awareness and leadership buy-in
Identify and prepare champions [34, 35] Appointed champion at each site Provide 2-h training on advocating and navigating for WISE Within 2 months of teacher training 1 training: monthly contacts and as requested Address barrier of capacity for change
Develop an implementation blueprint [36] WISE staff review with directors Provide target milestones for each phase and testimonials With director before training As desired Support integration of change and leadership engagement
Remind educators [37, 38] Classroom cutting board Provide visual reminder of EBPs At WISE lessons As desired Provide timely reminders
Implementation facilitation [39] WISE facilitators Provide in-person visits to directors, champions, and educators Beginning 2 weeks after training; continuing for 1 year Twice monthly; more upon request Address contextual barriers; task and goal support; build and leverage relationships; holistic/enabling focus [40, 41]
Distribute educational materials [37, 38, 40,41,42] WISE facilitators and champions Provide educators with tailored educational material on the use of EBPs Each quarter Varies by teacher (up to 8 resources given) Address barriers of beliefs, knowledge and skills; give advantages of EBPs.
Provide incentives [43] WISE facilitators and champions Provide incentives to educators for use of EBPs Each quarter Varies by teacher (up to 8 earned) Leverage norms to increase use of EBPs; increase adoption