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Table 1 Implementation strategy package

From: The POP (Permanent Supportive Housing Overdose Prevention) Study: protocol for a hybrid type 3 stepped-wedge cluster randomized controlled trial

Strategy

Details

PSH Overdose Prevention (POP) Toolkit

- Detailed implementation manual/blueprint for the overdose prevention practices

- Will be introduced to buildings in 3 pre-recorded seminars (≈ 90 min each)

- Will include planning worksheets to be used in practice facilitation sessions and educational materials related to each overdose prevention practice

Tenant and staff implementation champions

- Implementation champions “dedicate themselves to supporting, marketing, and driving through an implementation, overcoming indifference or resistance” [37]

- One staff member and two tenants will be appointed as implementation champions in each building. Tenant champions will receive an honorarium

- Champions will work with the practice facilitator and other building stakeholders to implement and sustain overdose prevention practices in the building

Practice facilitation

- A staff member from CSH will be trained as a practice facilitator

- The practice facilitator will work with tenant and staff champions, guiding and building their capacity to implement the overdose prevention practices

- Initial practice facilitation meetings: tailored support in 3 workshops (≈ 90 min each) with champions and other key building staff/leaders. Meetings will focus on key questions and setting-specific problem solving

- Ongoing coaching: after initial meetings, practice facilitator will lead biweekly coaching sessions for 3 months and will remain available for technical support and less frequent check-ins for up to 3 additional months

- Practice facilitation sessions will be held remotely (e.g., Zoom)

Learning collaboratives

- 5 PSH buildings in the same intervention wave will form a learning collaborative

- Monthly learning collaborative meetings for 6 months, facilitated by the practice facilitator. Meetings will be attended by implementation champions and, optionally, up to 1–2 other key staff/leaders from each building

- Webinar format (e.g., Zoom) with discussion of ideas, challenges, and solutions related to implementing and sustaining overdose prevention practices

  1. Legend: Planned strategies for supporting PSH buildings in implementing overdose prevention practices. The full implementation strategy package will be refined and finalized during the preparation phase of the study. CSH will administer the implementation support (also being called “technical assistance,” as this term is more commonly used by supportive housing agencies) to each building during its randomly assigned 6-month intervention period