Table 2:
Proposed Implementation Strategies
| Strategy | Description |
|---|---|
| Advertisement to Reach a Wider Audience | Because (1) Some adolescents may not share depression or anxiety symptoms during the visit and (2) PCPs would not want patients to confuse SOVA as a substitute for treatment, they recommended: • Poster in waiting room • Brochure for all adolescents and a business card for parents to be administered with routine paperwork for all adolescent well-visits • Use lay terms (e.g. “stress” and worry” vs. “depression” and “anxiety”) |
| Design Preferences | Logo artwork must differentiate intervention as an adolescent intervention (e.g. more serious “not cute” logo which would not stand out in pediatric office; pictures of diverse group of adolescents) |
| Ability to Easily Demonstrate Intervention in Visit | In-room computer desktop shortcut to website* PCPs did not want to take smartphones with them in the room but desired to instead ask adolescents to pull up website on their own smartphone |
| Physical Patient Reminders | Prefer to pass out trinkets with website name adolescents might find useful (e.g. cell phone wallet; ear buds) |
| PCP Reminders about Intervention | Prefer monthly emailed newsletter - although many admitted they would not open it unless highly relevant; some commented they would open because of SOVA team engagement with their group and relevance of the intervention; some desired to get feedback on their performance (e.g. patients referred, patients who accessed the website) |
| Electronic Charting* | Prefer an electronic order to the intervention all in one step because this: • Reinforces their recommendation to the intervention • Documents their recommendation • Inserts recommendation into patient’s printed after visit summary, also on the online health portal |
*
strategies such as including website in after visit summary, desktop shortcut, showing information on TV, and EHR orderset requiring network wide changes beyond participating clinics were not considered