Table 2.

EQUIP-2 Multifaceted Implementation Strategy

Patient level
Routine self-assessment data collection via kiosks	Patients completed self-reports of symptoms, side effects, interest in work; entered weight
Education on care targets	Distributed patient “Fast Facts” sheets via kiosk regarding care targets; clinicians educated patients regarding work and weight
Provider level
Feedback of patient self-assessment data (“kiosk printout”)	Clinicians received patient self-report data at the time of clinic visits
Education	PI and co-PI conducted in-person and virtual presentations; clinician “Fast Facts” sheets distributed regarding care targets; pushed treatment recommendations to clinicians through kiosk printouts
Social marketing	PI and co-PI conducted in-person and virtual presentations; research team sent site-specific “e-quip” emails with brief facts about care targets, updates on local resources and activities; posted flyers in clinics about care targets
External facilitation	Conducted monthly meetings with site coordinators and PIs to address implementation issues; held regular meetings with EBQI team leads (see below)
Organizational level
Project kickoff	PI and co-PI visited each site to launch project; generated enthusiasm and fostered collaboration
Clinical champions	Distributed quality reports and discussed performance with providers; fostered positive attitudes toward care targets in day-to-day interactions and clinic meetings; engaged in implementation troubleshooting on behalf of research team
Multidisciplinary evidence-based quality improvement (EBQI) teams	Local Recovery Coordinators trained in EBQI and then facilitated regular meetings of EBQI teams to address local improvement issues using plan-do-study-act cycles