Table 1 Implementation strategies as delivered according to randomisationa
Both Core and Enhanced implementation strategies arms | Enhanced implementation strategies arm only | |
|---|---|---|
Strategy | ||
Awareness campaign | •Roadshow presentation by ADAPT staff at the site 8 weeks before “go-live” •Poster displayed prominently 4 weeks prior to and at “go-live,” (T0) •Email from site champion to all staff 1 week before “go-live” (T0) | •Additional posters at 4-monthly intervals during implementation •Newsletters emailed to site staff at 2, 4, 6, 9, and 12 months |
Champions | •Champion identification and role definition •Provision of email templates for champion to send staff •Inclusion of champion contact details in all staff communication | •Additional proactive contact with Champions at monthly intervals to discuss progress, provide audit reports and discuss additional implementation strategies as needed |
Staff and patient Education | •Health professionals training: •Portal training + user guides •ADAPT Clinical pathway •Patient information: •Anxiety and depression | •Proactive training if required for new staff over year of implementation |
Academic detailing and support | •Tailoring of the ADAPT portal to site requirements during engagement meetings •Champions provided with a written report summarising change readiness data from staff interviews at T0, T1, T2 •ADAPT telephone and email support line, available thoughout study period •Study close meeting with all key staff to discuss sustainability of the ADAPT CP | •Monthly face-to-face meetings using standing items (1) monthly ADAPT Portal activity data presented alongside written report, (2) Local lead team updates, (3) Portal functionality (4) Staff changes/training needs training needs (5) Local issues for highlighting in newsletter (6) Sustainability (7) Other locally rained issues •Opportunity to discuss written report summarising change readiness data from staff interviews at T0, T1, T2 •Quarterly review of ADAPT portal configuration to confirm allocated responsibilities and service tailoring |
Reporting | •Monthly written reports on ADAPT Portal activity data | •Report presented face-to-face by research team for discussion |
Technological support | •IT support for the ADAPT portal | |