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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