Table 2.
PVS-PREDIAPS implementation strategy and action timing mapping
| YEAR 1 (March 2017–March 2018) | MONTH | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Implementation strategy component | Actions conducted | 1 Mar | 2 Apr | 3 May | 4 June | 5 July | 6 Aug | 7 Sept | 9 Oct | 9 Nov | 10 Dec | 11 Jan | 12 Feb |
| Strengthening of Local Leadership Goals: to provide the local coordinator with interpersonal and organizational skills to support the implementation Discrete implementation strategies: Recruit, designate and train for leadership (ERIC 57); Conduct educational meetings (ERIC 15); Ongoing support for implementation (ERIC 55) | 3-day leader training workshop (Lt i) (5 h/session) | X Lt1-3 | |||||||||||
| Ongoing leader support meetings (Lsmi) (4 h/meeting) | XLsm1 | XLsm2 | XLsm3 | XLsm4 | XLsm5 | ||||||||
| Training in the clinical intervention Goals: to provide initial training in the recommended type 2 diabetes (T2D) prevention clinical intervention and the ICT support tool in the electronic health record Specific implementation strategies: Conduct educational and skill development meetings (ERIC 15 and 19); Changes in record systems (ERIC 12) | Session 1: Primary prevention of T2D in PC: evidence and recommended practice (90 min/session) |
Xs1 M1 Xs2 |
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| Session 2: ICT application for the promotion of healthy habits in the EHR (6 h/session) | |||||||||||||
| Collaborative planning of the intervention program Goals: to plan the local program based on shared decision-making: objectives, actions, agents, work flow, organization and sharing out of tasks Discrete implementation strategies: Conduct local needs assessment (ERIC 18); Conduct educational and outreach meetings (ERIC 15); Conduct local consensus discussions (ERIC 17); Intervention mapping (ERIC 48, 51, and 59); Conduct ongoing training (ERIC 19); Plan-Do-Study-Act cycles (ERIC 14); Develop a formal implementation blueprint (ERIC 23). | Session 3 – Needs assessment and prioritization of areas for improvement (90 min); | Xs3 | |||||||||||
| Session 4/5 – Planning T2D prevention program (180 min); | Xs4 | Xs5 | |||||||||||
| Session 6/7 – Plan-Do-Study-Act cycles 1 and 2 (90 min each); | Xp1 | Xp2 | |||||||||||
| Session 8 – Refresher training (180 min); | Xs8 | ||||||||||||
| Session 9 – Plan-Do-Study-Act cycle 3, plus engagement of physicians in the Sequential group (90 min); |
Xp3 M2 |
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| YEAR 2 (March 2018–March 2019) | MONTH | ||||||||||||
| Implementation strategy component | Actions conducted | 13 March | 14 April | 15 May | 16 June | 17 July | 18 Aug | 19 Sptb | 20 Octb | 21 Nov | 22 Dec | 23 Jan | 24 Feb |
| Continuation of … Strengthening of local leadership | Ongoing support meetings (4 h/meeting) | XLsm6 | XLsm7 | XLsm8 | XLsm9 | XLsm10 | |||||||
| Continuation of …Collaborative planning of the intervention program | Session 10 – Standardization of the local program (90 min) | Xs10■ | |||||||||||
| Ongoing sustainability Goals: to continually support and assess innovation being put into practice Discrete implementation strategies: Develop quality monitoring systems (ERIC 27); Audit and provide Feedback (ERIC 5); | Regular audits and ongoing facilitation sessions (6 sessions, 90 min each) |
Xms1 M4.1 |
Xms2 |
Xms3 M4.2 |
Xms4 M4.3 |
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| Ongoing supportive training | M3 | X M5 | |||||||||||
| YEAR 3 (March 2019–May 2019) | MONTH | ||||||||||||
| Implementation strategy component | Actions conducted | 25 March | 26 April | 27 May | 28 June | ||||||||
| Continuation of …Strengthening of local leadership | Ongoing support meetings (4 h/meeting) | XLsm11 | |||||||||||
| Continuation of … Ongoing sustainability | Regular audits and ongoing facilitation sessions (6 sessions, 90 min each) |
Xms5 M6 |
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X Completed, M Modification, ■ Type 2 diabetes prevention program initiation, X Lt Leader training, XLsm Leader support monitoring sessions, Xs Core implementation session at each center, Xp PDSA cycle session, Xms Regular audits and ongoing facilitation sessions