Table 1. . Descriptions of stakeholders, stakeholder engagement methods used, what we learned, and how we used stakeholder ideas throughout the project.

Purpose	Stakeholders	Methods used	What we learned and how we used stakeholder ideas
Proposal development	13 stakeholders: clinic leaders, policy-makers, patient representatives, community organization leaders	Advisory group meetings	CHC staff originated study idea
			Stronger proposal due to stakeholder comments
			Changed compensation for patient involvement
Adapting study methods	11 clinic leaders: clinicians, executives, managers	Advisory group meetings	Set timeline for study
			Modified data collection design from focus groups to one-on-one interviews
			Increased involvement from two to four clinics
Understanding the context	58 stakeholders: families, clinic leaders, policy-makers, patient representatives	Semistructured interviews, advisory group meetings, observation	Confirmed clinic workflows from family and clinic perspectives
			Tools and tool implementation guides designed to focus on end-users (clinic staff)
IT tool design	39 stakeholders: clinic staff, clinic leaders, families, policy-makers, patient representatives	Semistructured interviews, advisory group meetings, observation, ‘Think Aloud’ usability testing, group meetings	Fine-tuned tool prototypes
			Postimplementation tool refinement for language and usability

CHC: Community Health Center; IT: Information technology.