. 2025 Aug 23;25:653. doi: 10.1186/s12877-025-05969-8

Table 2.

Implementation strategies and practical applications within Implementation Guidance [22, 23]

Determinants	Implementation strategy (theory)	Definition implementation strategy	Practical application whithin Implementation Guidance
• Feasibility • Availability of necessary resource	• Technical assistance (Diffusion of Innovations Theory [33])	• Technical assistance: ‘Providing technical means to achieve desired behaviour.’	• Facilitator: An external falls prevention champion who provides advice and new insights to guide and support the local falls prevention coordinator and falls prevention team in effective implementation of the clinical practice guideline (CPG), utilising the various steps outlined in the implementation plan. The guidance is tailored to the unique needs and context of the residential aged care facilities (RACF). • Online discussion and learning platform: An online platform provided by the researchers for facilitators to review training materials and engage in a discussion forum for exchanging questions with fellow facilitators.
• Domain knowledge • Skills • Awareness and familiarity with recommendations	• Active learning (Social Cognitive Theory [34]) • Guided practice (Social Cognitive Theory [34])	• Active learning: ‘Encouraging learning from goal-driven and activity-based experience.’ • Guided practice: ‘Prompting individuals to rehearse and repeat the behaviour various times, discuss the experience, and provide feedback.’	• Training: Two training sessions spanning a total of 5 days are offered. The first training, conducted by the Flemish Institute for Healthy Living, focuses on administration and coaching skills. The second training, facilitated by the Centre of Expertise for Falls and Fracture Prevention Flanders, delves into the CPG, the implementation plan, and associated tools. During this second training, emphasis is placed on understanding their role, and the outlined specific tasks they are required to undertake in implementing the CPG.
• Feasibility	• Participatory problem solving (Organisational Development Theories [36])	• Participatory problem solving: ‘Diagnosing the problem, generating potential solutions, developing priorities, making an action plan, and obtaining feedback after implementing the plan.’	• Peer coaching sessions: Twice a year, the research group hosts peer coaching sessions. During these sessions, facilitators share their success stories and work collaboratively on solutions for challenges encountered during the implementation process • Follow-up by phone: Every three months, a trained researcher individually contacts each facilitator by phone to inquire about the progress of the implementation process, provide targeted feedback, and collaboratively explore solutions for any challenges they encounter.

Determinants

Implementation strategy (theory)

Definition implementation strategy

Practical application whithin Implementation Guidance

• Feasibility

• Availability of necessary resource

• Technical assistance

(Diffusion of Innovations Theory [33])

• Technical assistance: ‘Providing technical means to achieve desired behaviour.’

• Facilitator: An external falls prevention champion who provides advice and new insights to guide and support the local falls prevention coordinator and falls prevention team in effective implementation of the clinical practice guideline (CPG), utilising the various steps outlined in the implementation plan. The guidance is tailored to the unique needs and context of the residential aged care facilities (RACF).

• Online discussion and learning platform: An online platform provided by the researchers for facilitators to review training materials and engage in a discussion forum for exchanging questions with fellow facilitators.

• Domain knowledge

• Skills

• Awareness and familiarity with recommendations

• Active learning

(Social Cognitive Theory [34])

• Guided practice

(Social Cognitive Theory [34])

• Active learning: ‘Encouraging learning from goal-driven and activity-based experience.’

• Guided practice: ‘Prompting individuals to rehearse and repeat the behaviour various times, discuss the experience, and provide feedback.’

• Training: Two training sessions spanning a total of 5 days are offered. The first training, conducted by the Flemish Institute for Healthy Living, focuses on administration and coaching skills. The second training, facilitated by the Centre of Expertise for Falls and Fracture Prevention Flanders, delves into the CPG, the implementation plan, and associated tools. During this second training, emphasis is placed on understanding their role, and the outlined specific tasks they are required to undertake in implementing the CPG.

• Feasibility

• Participatory problem solving

(Organisational Development Theories [36])

• Participatory problem solving: ‘Diagnosing the problem, generating potential solutions, developing priorities, making an action plan, and obtaining feedback after implementing the plan.’

• Peer coaching sessions: Twice a year, the research group hosts peer coaching sessions. During these sessions, facilitators share their success stories and work collaboratively on solutions for challenges encountered during the implementation process

• Follow-up by phone: Every three months, a trained researcher individually contacts each facilitator by phone to inquire about the progress of the implementation process, provide targeted feedback, and collaboratively explore solutions for any challenges they encounter.

CPG Clinical practice guideline, RACF Residential aged care facility