Author/year	McCluskey 2016
Brief name	Out‐and‐About Program
Recipients	Occupational therapists and physiotherapists
Why (rationale, theory or goal of elements essential to the intervention)	The goal of the behaviour change programme was to increase the number of outings delivered to stroke survivors during outpatient stroke rehabilitation. The need for the study was based on stroke clinical practice guidelines recommending multiple escorted outdoor journeys for stroke survivors and research demonstrating stroke survivors did not receive this. By providing a behaviour change programme to staff it was hoped they would conduct more escorted therapy journeys with patients and these outings would increase the likelihood of patients taking more outdoor journeys in real life, ultimately increasing community participation. Evidence cited by authors for uptake: Logan PA, Gladman JRF, Avery A, Walker MF, Dyas J and Groom L. Randomised controlled trial of an occupational therapy intervention to increase outdoor mobility after stroke. Br Med J 2004; 329: 1372–1377. National Stroke Foundation. Clinical guidelines for stroke management 2010. Melbourne, Australia: National Stroke Foundation, 2010. Authors stated: "People faced with difficulties in community transport and mobility should undertake tailored strategies such as multiple escorted outdoor journeys (which may include practice crossing roads, visits to local shops, bus or train travel), help to resume driving, aids and equipment, and written information about local transport."
What (materials) (any physical or informational materials used in the intervention and where these can be accessed)	Printed copy of the National Stroke Foundation's 'Clinical guidelines for stroke management 2010' provided. Written feedback from audit of team medical files about number of outings delivered during therapy to 15 pervious stroke survivors. Printed training materials associated with delivered workshop also provided, including: a screening checklist of questions to ask people with stroke about outings, usual modes of travel before and after their stroke and driving intentions; strategies for progressing outings from 'easier' to 'more challenging' while walking, taking a bus or train or using a motorised scooter; the approved return to driving process and legislation; links to local transport resources and service providers; a checklist for teams to record the number of outings delivered during a stroke participant's rehabilitation. A copy of printed education materials can be accessed in the supplementary file in study publication.
What (procedures) (procedures, activities, processes, or a combination of these, used in the intervention, including enabling or support activities)	Workshop: a 2‐hour workshop involving: a description of supporting evidence and clinical practice guidelines; provision of verbal feedback from audit of team medical files about number of outings delivered during therapy to 15 pervious stroke survivors; summary of barriers identified during pilot study and identification of local barriers to providing outings; identification of enablers to providing more outings; presentation of 2 case studies demonstrating how 6 outings might be provided by a team to stroke survivors; summary of the process and steps involved in the trial. Barrier identification. 20 minutes with staff dedicated to feedback of audit results and identification of barriers and enablers. Strategies to overcome barriers were discussed. Audit and feedback: information provided to staff in training sessions in graphed, verbal and written form based on number of outings and outdoor‐related sessions per stroke survivor, total number of therapy sessions provided, duration of therapy, time to first therapy session and stroke severity. Comparisons were provided with other teams in control and experimental groups. Booster workshop: a 1‐hour workshop where identical slides handout from initial workshop were represented. The booster session also involved representation of the original feedback from audits of medical files to existing and new staff and discussion of barriers to stroke survivor outings, and how team barriers were being addressed. A copy of presentation slides, case studies and audit criteria can be accessed in the supplementary file in study publication.
Who provided (expertise, background and any specific training given)	Dr Annie McCluskey (first author) delivered all workshops. Annie McCluskey is an occupational therapist, health services researcher and educator with > 30 years' experience in stroke and brain injury rehabilitation. Printed educational materials were designed and prepared by Dr Annie McCluskey, Prof Louise Ada (physiotherapist) and Ms Aspasia Karageorge (psychology graduate).
How (modes of delivery, f2f, internet etc. and whether provided individually or in a group)	Workshops were presented f2f to a group of therapists and therapy assistants.
Where (type of location where intervention occurred, infrastructure or relevant features)	Workshops were held at each individual site.
When and how much (number of times the intervention was delivered, over what time period including number of sessions, their schedule, duration, intensity or dose)	Initial workshop (2 hours) and booster workshop (1 hour) 12 months later.
Tailoring (if intervention was planned to be personalised or adapted, then describe what, why, when and how)	20‐minute discussion with teams as part of workshops on barriers and enablers to change. No formal tailoring processes described.
Modification of intervention throughout trial (if intervention was modified during course of study, describe changes (what, why when and how)	High staff turnover (up to 50%) resulted in need for booster workshop at 12 months, this event was not planned in original protocol.
Strategies to improve or maintain intervention fidelity (how and by whom, and if any strategies were used to maintain or improve fidelity)	Not described.
Extent of intervention fidelity (If intervention adherence or fidelity assessed, describe extent to which intervention was delivered as planned)	Not described.