Table 1.

Details of the implementation interventions

Education-only intervention: single onsite education session and provision of printed educational resources
• Presented at each site by author/researcher EL  • Lasted 30 min  • Information provided regarding rationale for ART development, how use of ART complies with local stroke pathways, how ART was used at other sites  • Provision of hard copies of ART, details where to access online resources
Multifaceted intervention
• Presented at each site by author/researcher EL  • Education intervention as above, co-presented by member of local stroke network (30 min)  • Verbal feedback from medical record audit (30 min), written feedback distributed to all participants  • Facilitated workshop (60 min) to identify site-specific barriers to use of ART, identify and tailor strategies to local barriers. Facilitator encouraged development of strategies to enhance collaboration between team members and reduce duplication of assessments and paperwork  • Site champion self-nominated at each site to lead use of ART  • Reminder emails (minutes of strategy development session, proposed actions) sent to all participants, phone calls and emails to site champion +/− site visits  • Strategies nominated by participants which required input from research team   o Provision of up to 3 extra education sessions (sites 1 and 3)   o Organisation of hospital-approved ART paperwork (sites 1, 3, 10)   o Provision of further details from medical record audit (Site 3)   o Attendance at team meeting to support use of ART when first introduced (site 1)