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Table 3 Selected questions from interview guides by timeline and key informant groups

From: A qualitative study examining healthcare managers and providers’ perspectives on participating in primary care implementation research

Timeline

Key informant group(s)a

Selected interview questionsb

Baseline

ED & CDM

Why did your PCN decide to implement and deliver HEALD and TeamCare? In other words, why did you think the interventions were a good fit for your PCN?

Describe why you provided a rating of Xc to describe the level of commitment of the PCN leadership (i.e., PCN Board and/or Management) to the HEALD and TeamCare interventions.

At this time, do you believe that PCN staff is capable of implementing HEALD and TeamCare? Why?

At this time, do you believe HEALD and TeamCare are appropriate for PCN staff, patients, and/or PCN member physicians? Why?

What are the anticipated benefits of HEALD and TeamCare, if any, for staff? What are the anticipated disadvantages, if any, to staff?

Do you have any other comments about HEALD or TeamCare?

Midpoint

ED, CDM, CM, & ES

To date, what were the challenges or barriers in getting HEALD and TeamCare up and running? How were these challenges or barriers addressed?

To date, what has worked well in getting HEALD and TeamCare up and running?

Looking back, what would you have done differently or do you think should have been done differently.

What advice or recommendations would you give to someone else in your position that is about to implement HEALD and TeamCare into their organization?

What assumptions did you make about HEALD and TeamCare (e.g., your role, interventions, how it was going to work)?

In your opinion, are HEALD and TeamCare sustainable? If yes, how do you see this being achieved? If no, why?

Do you have any other comments about HEALD or TeamCare?

Post-Intervention

ED, CDM, CM, & ES

During your midpoint interview, we focused mainly on implementation of TeamCare. Do you have anything else to add regarding what worked well, what didn’t work well, and suggestions for improvement?

Thinking back to when we first asked you to be involved, what assumptions did you make about HEALD and TeamCare (e.g., your role, the intervention, how it was going to work)?

In your opinion, should the PCN continue to use this model of care (i.e., HEALD and TeamCare)? Why or why not?

ED & CDM

What components, if any, of HEALD and TeamCare will be sustained in your PCN? Describe how each component will be sustained.

What components, if any, of HEALD or TeamCare will not be sustained? Describe the barriers to sustaining these components. What would make it sustainable?

CM & ES

Tell me about your (job) satisfaction in this role compared to your previous roles.

Based on your experience, would you consider doing this role again? Why or why not?

What will you take, if anything, from your experience with HEALD and TeamCare into your future work/roles?

ED, CDM, ES, & CM

Do you have any other comments about HEALD or TeamCare?

  1. ED executive directors who were responsible for supervising the CDM and ES
  2. CDM chronic disease managers who were responsible for supervising the CDM and ES
  3. CM Nurse care managers who were responsible for implementing the research and intervention activities for the TeamCare intervention
  4. ES exercise specialists who were responsible for implementing the research and intervention activities for the HEALD intervention
  5. PCN primary care network
  6. aKey informant groups were interviewed based on timing of the interventions and relevance to their role. For example, exercise specialists and care managers were not asked baseline interview questions because they were not involved in the decision to implement the interventions at each PCN. In addition, exercise specialists were not asked to comment on the TeamCare intervention because they were not involved in its implementation
  7. b Key informant groups were asked each interview question separately for the HEALD and TeamCare interventions
  8. c The rating was elicited through the following question asked in the usual care checklist: Considering all the competing priorities your PCN has, what is the level of commitment of the PCN leadership (i.e., PCN Board and/or Management) to the TeamCare-PCN intervention on a scale of 1 to 10, where 1 is “not a priority at all” and 10 is “highest priority of all”?