Table 1.
Revised implementation strategies for integrating policy, systems, and environment interventions in a community setting
| Revised strategy | Definition | Original ERIC strategies |
|---|---|---|
| Educate other groups | Hold meetings for different groups (e.g., policy makers, administrators, other staff, community members) to explain PSE changes and increase demand for them | Conduct educational meetings |
| Training | Interactive, ongoing training, including training-the-trainer strategies, to improve knowledge, skills, self-efficacy, and motivation | Conduct ongoing training |
| Make training dynamic | ||
| Use train the trainer strategies | ||
| Technical assistance | Offering of interactive problem-solving, technical assistance, and consultation support by local personnel or other experts | Provide local technical assistance |
| Centralize technical assistance | ||
| Facilitation | ||
| Provide supervision | ||
| Peer learning | Share and learn from others through a learning collaborative, shadowing other Agents, sharing success stories, or by visiting other sites | Shadow other experts |
| Visit other sites | ||
| Promote network weaving | ||
| Start small | Use small PSE change pilots or temporary demonstration projects (e.g., pop-up event) | Stage implementation scale up |
| Develop and share a formal plan and terminology | Have a glossary of key PSE change terms with an implementation blueprint that includes goals and performance measures to share with implementers and community partners | Provide ongoing consultation |
| Use an implementation adviser | ||
| Develop an implementation glossary | ||
| Develop a formal implementation blueprint | ||
| Organize implementation team meetings | ||
| Assess for readiness and identify barriers and facilitators | ||
| Identify and engage dedicated partners | Identify and leverage leaders in communities (e.g., PSE champions, early adopters) | Increase demand |
| Create a learning collaborative | ||
| Identify and prepare champions | ||
| Identify early adopters | ||
| Strengthen existing processes | Build on existing procedures to strengthen approach, including assessing partners’ readiness, working with coalitions, and sharing PSE change resources | Build a coalition |
| Capture and share local knowledge | ||
| Develop resource sharing agreements | ||
| Increase access to new funding streams | Access new sources of funding for PSE changes such as from grants, contracts, or local government | Access new funding |
| Fund and contract for the evidence-based program | ||
| Engage community members | Solicit feedback from community members and involve them in PSE planning and implementation | Involve priority population and support network |
| Obtain and use priority population and support network feedback | ||
| Change organizational structures | Recruit and train leaders to prioritize and provide supervision in PSE changes, revise professional roles in Extension, and create incentive structures for PSE change facilitation | Alter incentive/allowance structures |
| Recruit, designate and train for leadership | ||
| Revise professional roles | ||
| Create new delivery agent teams | ||
| Mandate change | ||
| Change record system | ||
| Use capitated payments | ||
| Monitor and evaluate | Have access to tools and systems to monitor PSE change implementation to inform continuous quality improvement | Develop and implement tools for quality monitoring |
| Develop and organize quality monitoring systems | ||
| Purposely reexamine the implementation |