Table 1.
Construct | Selected dimensions | Potential measures | Example of model application |
---|---|---|---|
Primary care provider serving as a champion for medication-assisted treatment (MAT) in her clinic | |||
Champion perceptions of the innovation | • Relative
advantage • Compatibility • Complexity |
Kegler et
al. (2018)
Huijg et al. (2014) |
Survey the champion on perceptions of the relative advantage, compatibility, and complexity of MAT |
Champion Commitment | Willingness to allocate timeWillingness to put reputation at stake | Howell et al. (2005)Holt et al. (2007) | Survey the champion about her level of commitment to the champion role (e.g., willingness to allocate time to champion activities). |
Champion experience and self-efficacy | • Experience and self-efficacy with the
innovation • Experience and self-efficacy with leading organizational change |
Huijg et al.
(2014)
Tucker et al. (2009) |
Survey the champion on her knowledge, experience, and self-efficacy related to the innovation and leading organizational change |
Organizational support for the champion | • Available resources • Leadership support |
Walker et
al. (2019)
Helfrich et al. (2009) |
Survey of the champion about her perceptions about support she is receiving from her clinic leadership for performing the champion role (e.g., reward/recognition for the role, necessary resources, dedicated time) |
Champion performance | Pre-implementation • Communicating the need for and benefits of the innovation • Convening stakeholders • Securing needed resources Implementation • Facilitate users’ development of knowledge and skills • Troubleshoot problems • Monitor use of the innovation |
Standardized reporting template provided to the champion to
document activities, such as • Resources allocated to the implementation effort • Number of consultations held with peers to answer questions • Problems identified by users and actions taken |
In the pre-implementation phase, the champion uses the standardized reporting template to document actions taken for communicating the need for and benefits of MAT, stakeholder meetings, and resources secured for the implementation effort |
Peer perceptions of the champion |
Pre-implementation
• Expresses enthusiasm and confidence • Persists under adversity • Gets the right people involved • Relative advantage • Compatibility • Complexity Implementation • Coordinating activities • Troubleshooting problems |
Howell et
al. (2005)
Kegler et al. (2018) Huijg et al. (2014) Aarons et al. (2014) Helfrich et al. (2009) Ehrhart et al. (2015) |
In the pre-implementation phase, clinicians who are intended users of MAT in the clinic complete a survey about the champion’s enthusiasm, persistence, and ability to engage the right people in the implementation. The survey also includes items about their own perceptions about the relative advantage, compatibility, and complexity of MAT |
Champion impact |
Pre-implementation
• Acceptability • Appropriateness • Feasibility • Organizational readiness for change Implementation • Implementation climate • Adoption • Penetration • Fidelity • Implementation costs |
Weiner et
al. (2017)
Holt et al. (2007) Shea et al. (2014) Jacobs et al. (2014) |
In the pre-implementation phase, intended users of MAT respond to a survey about the acceptability, appropriateness, and feasibility of MAT as well as their clinic’s readiness for implementing MAT |