Skip to main content

Table 1 Implementation Strategies by Actor, Action, Target(s) of Action, Temporality & Dosage, Implementation Outcome, and Justification

From: Study protocol for the implementation of the Gabby Preconception Care System - an evidence-based, health information technology intervention for Black and African American women

Strategy Develop stakeholder relationships Evaluation and iterative strategies Train/Educate Stakeholders Interactive assistance Use financial strategies
Identify and prepare site champions Assess for readiness and identify barriers and facilitators Distribute educational materials Conduct educational meetings Centralize technical assistance Facilitate relay of clinical data to providers Alter incentive/allowance structures
ERIC Definition* Identify and prepare individuals who dedicate themselves to supporting, marketing, and driving through an implementation Assess various aspects of an organization to determine its degree of readiness to implement, barriers that may impede implementation, and strengths that can be used in the implementation effort Distribute educational materials (including guidelines, fact sheets, flyers) in person, by mail, and/or electronically Hold meetings targeted toward different stakeholder groups to teach them about the clinical innovation Develop and use a centralized system to deliver technical assistance focused on implementation issues Provide as close to real-time data as possible about key measures of process/outcomes using integrated modes/channels of communication in a way Work to incentivize the adoption and implementation of the clinical innovation
Actor(s) Academic partner staff; Community partner leadership, champion, frontline staff Academic partner staff; Community partner leadership, champion, frontline staff, patients/clients Academic partner staff; Community partner leadership, champion, frontline staff Academic partner staff; Community partner leadership, champion, frontline staff Academic partner staff; Community partner leadership, champion, frontline staff Academic partner staff; Community partner leadership, champion, frontline staff Academic partner staff; Community partner leadership, champion, frontline staff
Actions Introduce Gabby System development history, purpose and duties of site champion, process map rationale. After completion of pre-implementation steps, readiness surveys will be distributed to staff Organizational readiness and post implementation interviews with leadership, champion and frontline staff; Post implementation focus group with patients/clients Access to educational and recruitment materials to distribute to staff and patients/clients Review Gabby System mechanics, content areas, and site-specific implementation approach in an interactive format Academic partner to address any technical issues identified by community partner in phone calls Access to site-specific Gabby System administrative page Monetary incentives, non-monetary incentives such as food or transportation vouchers, Gabby System compatible devices for use at the clinic or during home visits
Target(s) of actions Community partner leadership (directly); Community partner; champion (directly) Frontline staff (indirectly) Organizational readiness: Community partner leadership (directly), champion (directly), frontline staff (directly); Site champion (directly) Frontline staff (directly) Patients/clients (directly) Site leadership (indirectly) Site champion (directly) Frontline staff (directly) Site leadership (indirectly) Site champion (directly) Frontline staff (directly) Site leadership (directly) Site champion (directly) Frontline staff (directly) Site leadership (directly) Patients/clients (directly) Frontline staff (directly)
Barriers and facilitators: Patients/clients (directly); Community partner leadership (directly), champion (directly), frontline staff (directly);
Temporality & Dose 1.5 h completed over 2 months prior to launch 1 h readiness interview prior to launch Educational and recruitment materials distributed prior to launch 2 h completed during site visit Weekly calls with community partner staff in Month 1 of launch; As requested by Community Partner Months 2–6 of launch Ongoing access of administrative page by site staff during Months 1–6 of launch Use by frontline staff members or patients/clients during implementation
1 h post implementation informant interview; 1 h patient/client focus group post implementation
Implementation Outcome Appropriateness, Acceptability Appropriateness, Acceptability Appropriateness, Acceptability Appropriateness, Acceptability ​​​​​ Acceptability, Feasibility Feasibility Feasibility
Justification Distribution of research information to stakeholders in a readily accessible and succinct manner Identify and address site-specific weakness in readiness; Make informed decisions regarding allocation of resources and supports; Determine capacity building strategies necessary for scalability Educational and recruitment materials distributed among community partner staff and patients/clients to aid Gabby System uptake Provide community partner staff comprehensive overview of intervention features and client enrollment process​​ Provide convenient technical assistance through one-on-one consultations with community partners Site staff access to administrative page to address and provide follow-up on client risks Incentive structures support staff implementation efforts and facilitate adoption of intervention by patients/clients
  1. *As defined by ERIC implementation strategies