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. 2021 Apr 8;23(4):e22399. doi: 10.2196/22399

Table 4.

Inner Setting: determinants, tailoring, and identification of key aspects for implementation planning.

Construct and study results Considerations regarding determinants Tailoring and key aspects
Structural Characteristics: 2 outpatient clinics organized differently from each other Facilitator: knowledge about the different organization and staffing may be of importance for tailoring the intervention to fit each outpatient clinics (ie, the moderator functioning). Tailoring: one clinic designated a nurse to be the moderator, and the other clinic designated health support personnel
Network and Communication: weekly meetings for activity planning Facilitator: existing meetings were considered appropriate and feasible to discuss and evaluate the implementation process in the research project. Key aspect: use of existing weekly meetings to monitor implementation process
Culture: interest in innovations Facilitator: an interest in innovations may provide opportunities to interact with end users (here HCPsa) regarding the intervention. This has the potential to support a collaborative relationship between researchers and HCPs. Key aspect: a collaborative relationship
Tension for Change: improve patient follow-up Facilitator: HCPs perceived the current situation as demanding, which could contribute to strengthened motivation to change practice (ie, intervention implementation). Key aspect: monitoring the number of phone calls and the measurement of HRQoLb before and after intervention to visualize change
Leadership Engagement: the heads of the clinics were engaged and active Facilitator: by their participation in the research project, the heads of the clinics display their commitment and accountability, which may contribute to staff engagement and support a culture for change. Key aspect: providing anchoring and acceptance for the intervention and a change of practice

aHCP: health care provider.

bHRQoL: health-related quality of life.