Table 1 Integrated & compensatory adjustments of core implementation components [29] from the pilot implementation
Staff selection | Preservice and in-service training | Ongoing coaching and consultation | Staff evaluation | Decision support data systems | Facilitative administrative support | Systems intervention | |
|---|---|---|---|---|---|---|---|
Staff evaluation | -Time-consuming for selected staff | -Difference in readiness and how fast CSHNs become familiar with tools -Specific user issues in online system | -Usefulness of tool to create dialogue -Concerns about nonresponders | -CSHNs needing to be involved by own premises | -Concerns about nonresponders -Difference in distribution of assessments to one vs. two parents -Concerns about CSHNs use | -Time-consuming for selected staff -CSHNs concerns of data protection | -Need for integration with electronic patient record -Double log-in |
Adjustments | -Rearrange work tasks for medical secretary -Assistants to register children & guardians | -Extra visits in centers -Fewer CSHNs present to enhance individual support & feedback -Continuous improvement of online handbooks | -Emphasize usefulness in coaching -Provide paper-based questionnaires in foreign languages -Communicate adoption & acceptability | -Increase researchers´ availability | -Use systems log to assess parental acceptability -Use systems log to assess CSHNs adoption | -Assistants to register children & guardians -Information about data security protection by head of services | -Develop logical scheme for systems integration according to CSHNs´ working processes -Dialogue with system provides -Launching integration project |