Table 2.

Overall methodological approach based on the MRC Framework for the Development of Complex Interventions

Steps in MRC Framework	This proposal			Future research
	Year 1	Year 2	Year 3
Development	Create implementability tool prototypes based on guideline exemplars and medical literature	---	---	---
Pilot testing	---	Refine prototypes by testing with/to learn: • Developers, data collection/inclusion • Users/tool impact	---	---
Evaluation	---	---	Conduct small- scale study to plan for large-scale evaluation	Conduct large-scale multisite study to evaluate impact of guidelines featuring implementability tools
Reporting	---	---	---	Disseminate findings to guideline developers and researchers through publications, meetings
Implementation	---	---	---	Create and implement kits for guideline developers to include implementability tools in guidelines