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[Preprint]. 2025 Jul 15:rs.3.rs-6925920. [Version 1] doi: 10.21203/rs.3.rs-6925920/v1

Table 4.

List of strategies included in Round 2

Educate Strategies • Identify and train local leaders who can assume leadership roles within the implementation teams
• Offer continuous training opportunities to staff members, including the creation of locally tailored educational materials and the use of engaging, interactive training methods to ensure they remain competent in conducting brain injury screenings (combination of strategies 4,7,9 from the original survey)
• Train a select group within community-based organizations as trainers who can then educate their peers on the principles and practices of brain injury screening
• Educate clients about the importance of their active involvement in the screening process.
Build Staff & Leadership Strategies • Assess the readiness of community-based organizations (CBOs) to implement brain injury screening. This includes considering factors like staff expertise, resources, and infrastructure and identifying barriers, such as staff resistance or resource constraints, that may impede the successful rollout
• Develop a detailed implementation plan that outlines the steps, responsibilities, and timelines for implementing brain injury screening throughout the community-based organizations (CBOs)
• Identify and engage passionate individuals within community-based organizations (CBOs) who are enthusiastic about implementing and championing the importance of brain injury screening and referral (combination of strategies 20 and 21 and from the original survey).
• Schedule regular meetings of implementation teams to share progress, exchange ideas, and address challenges.
• Engage clients and their family members as partners in the brain injury screening process from the outset
Technical Assistance Strategies • Seek guidance from an implementation advisor with expertise in brain injury screening.
• Offer ongoing consultation and support to organization teams as they encounter challenges during the implementation of brain injury screening.
Management And Evaluation Strategies • Conduct regular audits of brain injury screening practices and provide feedback to community-based organizations (CBOs) to support quality improvement
• Create standardized protocols and tools for quality monitoring of brain injury screening that align with best practices
• Monitor progress and adjust community-based organizations (CBOs) practices and implementation strategies to continuously improve the quality of brain injury screening implementation
• Actively seek feedback from survivors of intimate partner violence regarding their experiences with brain injury screening
Organizational And Workflow Strategies • Encourage adaptability within the implementation process, allowing community-based organizations (CBOs) teams to tailor the screening approach to individual patient needs and settings
• Customize implementation strategies to align with the unique characteristics of the community-based organizations (CBOs), patient population, and local culture
• Implement regular reminders and notifications within the organization to conduct brain injury screenings when appropriate.
• Redefine the roles and responsibilities of community-based organizations (CBOs) staff to incorporate brain injury screening as a standard practice
• Develop client support programs to address barriers to uptake and adherence, such as transportation issues or language barriers
• Ensure that facilities are physically accessible and welcoming to clients and their families