Table 1.

Core functions and forms of Bright IDEAS.

Motivating need	Intervention design and implementation
Problem to be addressed	Core functions (standardized)	Forms (tailored)
1. Identify caregivers in distress who might benefit most from Bright IDEAS Mothers/caregivers of children with cancer experience significant distress associated with their children's diagnosis and treatment.	A.Target ideal candidates for intervention B.Offer psychosocial support to mothers/caregivers of children newly diagnosed with cancer	Case studies and role-play
2. Desire for evidence-based interventions to improve quality of clinical care Psychosocial care for mothers/caregivers is not consistently driven by scientific evidence or supported by local institutions	A.Provide synchronous skill-building training guided by evidence-based methods used in the demonstration of Bright IDEAS	Amount and type of pre-training reading, e.g., peer-reviewed journal articles
3. Bright IDEAS is a new intervention for most practitioners New psychosocial skills need to be integrated into the clinical workflow	A.Provide training and case mentorship to help providers learn the intervention within a team-based care approach	Training videos and practice working through an in-person challenge
4. Implementation of new clinical interventions is a combination of individual provider and institutional adoption Lack of institutional support and post-training participation reduces the likelihood of sustained individual adoption	Create training agreements regarding institutional support	Letter of supervisor support required for attendance (participant expectations outlined in letter). In pediatric oncology, psychosocial practitioners can independently adopt evidence-based interventions. Institutional support meant that there was visible buy-in to support their adoption of this new intervention. The letter signaled an intention-to-adopt expectation associated with the training vs. a continuing-education mindset so they could get a free trip to a conference.