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Table 1 Facilitation activities compared to activities in the minimal assistance condition [44]

From: Implementation of peer specialist services in VA primary care: a cluster randomized trial on the impact of external facilitation

Stage

Facilitation

Minimal assistance

Pre-implementation

•Conduct a webinar with site stakeholders about mental health/primary care collaboration

•Provide VA’s PS implementation toolkit

•Conduct implementation needs assessment with key stakeholders

•Conduct 2-day site visit

•Clarify purpose/role of facilitation staff; share organizational assessment data; set expectations

•Assess and engage facility stakeholders who will be impacted by the implementation

•Educate PACT on implementation strategies and/or PS evidence

•Assist PACT in developing goals for assessing progress (critical tasks, persons responsible, PACT needs) modified for the project

•Address needs for local customization prior to implementation

•Conduct a webinar with site stakeholders about mental health/primary care collaboration

•Provide VA’s PS implementation toolkit

Implementation

•Option to call VHA Central Office staff overseeing the pilot for ad hoc consultation

•Monthly Learning Collaborative calls were held for sites (one for PSs and one for PSs’ supervisors)

•Biweekly calls to discuss status of implementation and problem-solving as needed

•Monthly calls to include all facilitation sites (within each cohort) to facilitate information sharing

•Accessibility to stakeholders by telephone/email for additional support or consultation as needed

•Monitor and provide feedback on progress in achieving implementation goals/milestones

•Aid problem-solving by leveraging local resources, sharing solutions, or identifying VA resources

•Monitor use and impact of identified solutions for problems/barriers

•Option to call VHA Central Office staff overseeing the pilot for ad hoc consultation

•Monthly Learning Collaborative calls were held for sites (one for PSs and one for PSs’ supervisors)