Table 1 Specification of the implementation strategies
Implementation strategy | Actor(s) | Action | Action target | Dose | Timing |
|---|---|---|---|---|---|
Organize implementation teams (48)—ERIC cluster Develop stakeholder inter-relationships | Headmaster | Forms an implementation team responsible for implementing the guideline within the school. Plan implementation team meetings to discuss guideline implementation | Team members (school principal and 3–4 representatives of school personnel, e.g., teacher union representative, health, and safety officer). - Create a structure for the implementation of the guideline, including the role clarity - Create an environmental context and allocate resources for implementation - Increase the social support between team members for implementing the guideline within the school. | Ongoing | Before the educational meeting |
Conduct an educational meeting (15)—ERIC cluster Train and educate stakeholders. | Research team | Educate on mental ill health, the guideline, and the advantages of adhering to the guideline for the prevention of mental ill health. Facilitate goal formulation through group exercises aimed at formulating SMART goals. | Implementation team and school-district representatives - Increase the knowledge of the guideline - Form positive beliefs about the consequences of adhering to the guideline - Form positive beliefs about the capability to work in accordance with the guideline - Intent to implement the guideline - Form a goal related to implementing the guideline within their school | Once | Before the implementation of the guideline |
Conduct ongoing training in the form of workshops (19)—ERIC cluster train and educate stakeholders | Research team | Provide training in the guideline and improvement cycles by including a mixture of lectures, discussions, and exercises. Facilitate knowledge sharing between the teams through workshop activities. | Implementation team, school-district representatives - Increase knowledge of the guideline and PDSA - Increase skills how to implement the guideline by using PDSA - Form positive beliefs about consequences of adhering to the guideline - Form positive beliefs about capability to implement the guideline - Intent to implement the guideline | 5 workshops | First workshop will be held two weeks after the educational meeting |
Conduct cyclical small tests of change (14)—ERIC cluster use evaluative and iterative strategies | Implementation team | Conduct Plan-Do-Study-Act cycles. Specify a Plan during workshops, identify barriers and facilitators, carry out the Plan between workshops (Do), analyze whether it went well and what needs to be improved (study), change the plan if needed (act) and plan the next cycle. | Implementation team - Set a goal for implementing the guideline - Plan for action by specifying how, where and by whom the guideline will be implemented - Increase the role clarity regarding implementation tasks. - Create an environmental context and allocate resources for implementation. - Create habitual behavior regarding implementation | Ongoing | The first Plan is developed during the first workshop |
Distribute educational materials (21)—ERIC cluster train and educate stakeholders | Research team | Distribute educational materials during the meeting and workshops, including the guideline and accompanying material, slides of the presentations, working material that can be used to develop goals for implementation and PDSA templates. | Implementation team, school-district representatives - Increase the knowledge of the guideline - Increase the beliefs about capabilities to implement the guideline. - Facilitate goal setting and action planning | Six times | During the educational meeting and each workshop |
Implementation facilitation (10)—ERIC cluster provide interactive assistance | School district representatives | Support the implementation teams during the educational meeting and workshops. Schedule meetings based on the needs of each implementation team. | The school district representative acts as an internal facilitator to the implementation teams. - Create an environment context and allocate resources within which knowledge is exchanged, barriers to implementation identified, and processes or solutions to overcome those barriers developed, applied, and refined. - Provide a social support to the implementation teams | Ongoing | Starts at the educational meeting |