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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