Table 1.

Implementation strategies identified in the Circle of Security-Virginia Family model.

Strategy	Definition
Develop educational materials	Develop and format manuals, toolkits, and other supporting materials in ways that make it easier for stakeholders to learn about the innovation and for clinicians to learn how to deliver the clinical innovation.
Distribute educational materials	Distribute educational materials (including guidelines, manuals, and supportive materials) in person, by mail, and electronically.
Conduct training	Plan for and conduct training in the clinical innovation in an ongoing way.
Make training dynamic	Vary information delivery methods to cater to different learning styles and work context, and shape the training in the innovation to be interactive.
Audit and feedback	Collect clinical performance data over a specific time period and give it to supervisors to evaluate and modify behavior.
Create or change credentialing and licensure standards	Create an organization that certifies clinicians in the innovation or encourage an existing organization to do so. Change governmental professional certification or licensure requirements to include delivering the innovation. Work to alter continuing education requirements to shape professional practice toward the innovation
Organize clinician implementation meetings	Develop and support teams of clinicians who are implementing the innovation, and give them protected time to reflect on the implementation effort, share lessons learned, and support one another’s learning
Obtain formal commitments	Obtain written commitments from key partners that state what they will do to implement the innovation.
Mandate change	Have leadership declare the priority of the innovation and their determination to have it implemented.
Centralize technical assistance	Develop and use centralized system to deliver technical assistance focused on implementation issues.