Table 4 Implementation outcomes, determinants, and strategies for Let’s Talk
Decision Maker | Implementation Outcome | Determinants of Change | Implementation Strategy |
|---|---|---|---|
Organizational | Â | Knowledge/Awareness Attitudes Outcome Expectations Skill and Efficacy | Â |
Medical Director or Program Coordinator | Support the use of Let’s Talk in genetics clinics through training and resources | Develop an implementation blueprint for a clinic that adopts Let’s Talk | |
Provider | Â | Â | |
Genetic Counselor | Provide Let’s Talk to probands and support family member communication | Conduct educational meetings for the delivery of Let’s Talk featuring a toolkit for genetic counselors Provide ongoing consultation during dissemination | |
Patient | Â | Â | |
Probands | Complete Let’s Talk activities | Obtain and use patient and family feedback to refine delivery of Let’s Talk | |
Family Members | Seek genetic testing for LS and complete Let’s Talk activities |