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Table 3 Intervention Timeline

From: The OPTIMISE project: protocol for a mixed methods, pragmatic, quasi-experimental trial to improve primary care delivery to refugees in Australia

Month

Pre-intervention

1st month Facilitation

2nd Facilitation

3rd Facilitation

4th Facilitation

5th Facilitation

6th Facilitation

7th mth

8th

9th

10th

11th

12th m

13th

 

July – August & ongoing as required

August ongoing

Grp 1 September +

Oct +

November +

December +

January +

Feb +

March +

April

May

Jun

July

August

Sept 2018 +

Grp 2 March 2018 +

Apr +

May +

Jun +

July +

Aug +

Sept +

Oct

Nov

Dec

Jan

Feb

March 2019 +

Activity

Recruitment of 12 practices

Baseline data collection (with all practices following consent)

Practice facilitation visit #1 (Doesn’t commence until consent confirmed, & practice survey completed)

Follow up and phone call #1

Practice facilitation visit #2

Follow up phone call #2

Practice facilitation visit #3

Follow up phone call #3

Post intervention data collection

 

Practices conduct business as usual

   

6-month post intervention data collection

Description

Includes all contact up to the point of gaining informed consent from the practice and staff (GPs, nurses and others).

Open and targeted invitations. Informed by RHN, RHFs, others.

EOI form completed & eligibility checked.

Randomise practices to immediate start or wait.

Visit ALL practices as they are recruited to finalise consent and confirm data collection processes, including PEN CAT and TIS.

Make appointments for PENCAT data collection

Sign consent form for TIS data

Commencing Practices

Explain to practice manager that on line surveys must be completed before facilitation can commence:

-Practice survey

-Clinicians: at least 50% of GPs.

WAITING practices (6 month wait): RO Also Completes Refugee healthcare survey with practice team. Facilitator not present.

Step 1. Pre intervention refugee healthcare (RHC) survey conducted by RO with practice team to identify potential areas for action

Facilitator observes and takes notes to assist them with step 2.

Step 2. Facilitator leads discussion with practice team informed by the RHC interview and practice description survey.

Purpose is to a) identify and discuss action areas aligned to intervention priorities, b) to commence action plan development

WAITING practices (6 month wait): Refugee healthcare survey is REPEATED with practice team and step 2 undertaken when they commence facilitation.

Prior to phone call send practice draft action plans (based upon learnings from refugee health survey)

The practice reviews action plans, edit if required and return to facilitator.

Practice implements action plans. Phone Call-

Review progress with action plan development and early challenges with action plan implementation.

Provide support for action plan development and implementation and monitor implementation

Provide support for action plan implementation and monitor implementation

Document changes to the action plan that have occurred.

Provide support for action plan implementation and monitor implementation

Document changes to the action plan that have occurred.

Provide support for action plan implementation and monitor implementation

Document changes to the action plan that have occurred.

PENCAT data extraction

Post intervention RHC survey

 

New practices & procedures operate

   

PENCAT data extraction

Post intervention RHC survey/ interview