Table 7 Recommendations to enhance to G-AP training and implementation

1. Support teams to consider the effects of the intervention on existing systems and work practices

Develop implementation tools to support teams to pro-actively consider how G-AP implementation will effect and interface with:

• Existing team structures and clinical practices (e.g. documentation processes, goal review meetings, appointment scheduling etc.).

2. Identify and engage with implementation stakeholders and ‘champions’

Throughout the team recruitment, training and implementation process:

• Secure ‘buy in’ of key stake holders (e.g. team leaders; managers).

• Identify and support local G-AP champion(s).

3. Plan implementation, including delineation of roles and responsibilities; consider team members’ professional identity and scope of practice

Develop G-AP training to support teams to consider who will implement what stage of G-AP and when. For example:

• Which team member(s) will introduce G-AP?

• When will this take place; before/ after initial assessments?

• Which team member(s) will negotiate and set goals?

• Who will support stroke survivors with aphasia?

• What role will rehabilitation assistant’s play?

• How will team members work together to implement G-AP?

4. Provide ongoing education and training to all those involved

• Develop G-AP web-based resource, providing easy access to G-AP (i) supporting evidence (ii) online training (including webinars) (iii) practice manual and supporting video material; (iv) paper based, electronic and aphasia friendly versions of G-AP record and (v) implementation support tools.

• Support teams to create mentorship opportunities.

5. Build in ongoing local monitoring, evaluation and tailoring of implementation

• Support convening of a local implementation group to monitor and tailor G-AP implementation over time.

• Provide site specific performance feedback and access to a mentor during the implementation period.

• Encourage local adaptability.