Table 3.
Summary of specific implementation strategy activities
| Implementation component | Tasks |
|---|---|
| REP | Pre-implementation meetings with study staff and consultants to finalize implementation design |
| Study staff finalize plans for data security and related research logistics | |
| Creation of LG website for use by providers (software development, programming) | |
| Creation of packaged, user-friendly manual and customized training program | |
| Conduct organizational needs assessment at sites | |
| Pre-implementation in-service meetings with site leaders | |
| Identify LG providers at each site | |
| Identify potential Internal Facilitators (IF) at each site | |
| Regional 8-h LG trainings | |
| As-needed program support assistance via phone or email | |
| Monitor LG uptake via secure web-based reporting | |
| Disseminate monthly implementation progress reports to all sites | |
| Sites that are non-responsive are randomized to receive External Facilitation (EF) alone or EF + IF in combination | |
| Send out quarterly program updates that include bright spots and success stories for overcoming barriers in implementation. | |
| External Facilitation (EF) | Weekly phone calls with facilitators and technical assistance staff to transfer knowledge and strengthen partnership |
| EF contacts LG provider/s at non-responsive sites at least monthly for 6 months to develop rapport and understanding of site | |
| Assist LG providers in identifying what specific actions they can take to implement program | |
| Works with LG provider to set measurable goals for site implementation and monitors progress to support uptake | |
| Provides specific guidance on overcoming barriers in implementing LG components by aligning LG’s strengths with LG’s available influence at the site | |
| Facilitators refer LG providers to existing resources including ongoing LG program assistance when necessary | |
| Weekly meetings or calls between EF and TA to ensure open communication and collaboration | |
| Facilitator weekly consultation meeting with facilitation experts | |
| Internal Facilitation (IF) | EF contacts IF at site to provide overview of internal facilitation role and documentation requirements for 6 month period |
| IF, EF, and LG hold biweekly calls to develop rapport, review program progress and identify barriers and facilitators to LG uptake | |
| IF works with LG provider to develop measurable goals to LG uptake. | |
| IF identifies local site priorities per leadership that align with LG program. | |
| IF helps LG provider identify other LG program champions. | |
| EF helps IF and LG provider summarize and describe added value of LG to leadership and site providers (e.g., consistency with other initiatives, support from leadership) | |
| IF refers LG provider to LG program assistance as needed and appropriate | |
| IF, EF, and LG provider summarize progress and present to leadership | |
| IF works with EF and LG provider to develop business and sustainability plans and presents to leadership |