Table 1 Implementation strategies included in the implementation plan for the MyFood decision support system
Phase | Description | Strategy (ERIC project) | Operationalization of implementation strategies in the present study |
|---|---|---|---|
1 Jan-Feb 2018 | Assess current situation and plan the implementation | Use evaluative and iterative strategies • Assess for readiness and identify barriers and facilitators. • Develop a formal implementation blueprint. | • Focus groups and interviews with healthcare professionals. • Planning the implementation process by making an implementation plan. |
2 March-July 2018 | Preparation and training | Adapt and tailor to context • Tailor strategies. • Promote adaptability. Train and educate stakeholders • Conduct educational meetings. • Develop educational materials. • Distritbute educational materials. Develop stakeholder interrelationships • Recruit, designate and train for leadership. • Identify and prepare champions. • Use an implementation advisor. | • Tailor strategies to context based on results from phase 1. • Provide support for nurses’ access to the MyFood website. • Education to nurses at the department. • Written material to nurses and patients about MyFood and the randomized controlled trial. • Distribute materials by e-mail and brochures. • Include leaders in planning of the trial. • Provide responsibility to leaders for distribution of information and involvement in patient recruitment and follow-up of the trial. • Employ reasearch nurse from the department as a super user and “champion”. • The second author (CV) filled this role. |
3 Aug 2018- May 2019 | During the randomized controlled trial | Develop stakeholder interrelationships • Organize clinician implementation team meetings. • Identify early adoptors. Train and educate stakeholders • Conduct ongoing training. • Provide ongoing consultation. Support clinicians • Remind clinicians. Provide interactive assistance • Provide local technical assistance. • Provide clinical supervision. Engage consumers • Involve patients/consumers and family members. • Intervene with patients/consumers to enhance uptake and adherence. • Prepare patients/consumers to be active participants. | • Discussion of different aspects, challenges etc. • Encourage early adoptors to promote MyFood and positively influence others. • Continuos training in group or one-to-one. • Availability of project workers every weekday. A project phone available all times. • Inform and remind nurses to follow-up the MyFood reports. • Support nurses with access and log-in. • Guidance in use of MyFood for patients and nurses when needed. • Train the research nurse to teach and support the other nurses at the department. • Encourage patients to use the MyFood app daily. Next-of-kin are welcome to contribute. • Provide support to patients. • Provide verbal and written information. Patients will be encouraged to ask if they have questions. |