Table 4.
Peace of mind program implementation intervention plan.
| Stage | Agent | Determinants/change objectives | Theoretical change methods | Practical applications |
|---|---|---|---|---|
| Adoption | Clinic decision maker | Awareness/perceptions of PMP Positive attitudes about the innovation – has a relative advantage, not overly complex (from CFIR construct: characteristics of the innovation) Outcome Expectations Skills and Self-efficacy Feedback and reinforcement | PMP program information Persuasion Role modeling | Email blast to BHC members with PMP informational video and link to pre-adoption survey Webinar to BHC members covering evidence-based approaches to breast cancer prevention, PMP information and adoption steps Adoption meeting held with interested clinics Financial assistance to clinic Assistance with connecting to mobile providers to increase screening (as needed) |
| Implementation | All | Awareness/perceptions Outcome Expectations Skills and Self-efficacy Feedback and Reinforcement | Cue to participate Communication Mobilization Organizational Consultation/Planning | Invite clinic staff to participate in stakeholder group (templates for invitation email) Email template for site visit (including requested participants) and site visit questionnaire Site visit planning meeting Program implementation guide, clinic handbook, stakeholder manual & computer assisted PMP scripts reviewed during participatory stakeholder meetings Implementation readiness checklist Stakeholder meetings to support implementation (continue after reminder calls begin). E-newsletter shared with stakeholders |
| Implementation | Program champion navigator | Awareness/Perceptions Outcome Expectations Skills and Self-efficacy Feedback and Reinforcement | Information Persuasion Skill building and guided practice Modeling Monitoring and feedback Technical assistance/capacity building Facilitation Vicarious reinforcement | Face to face training held over two 4 h sessions. Training was submitted to Texas for CEU certification for community health workers and social workers BHC navigators model EBI behavior and provide ongoing implementation support on-site PMP research team available via email, phone and training booster sessions as needed Paperwork processes to provide funds for patients needing financial assistance from PMP |