Table 1.

The AA reflective tool development in brief

Phase 1 Pre-Delphi consultation Establishing common bases Operationalise the AA model	Research team identifies AA pillars and definitions from the literature Identification and recruitment of AA experts Consensus building on pillars and brainstorming about subpillars of AA through a facilitated face-to-face meeting
Phase 2 e-Delphi consultation Creation of the AA reflective tool (list of essential items to be assessed in the reflective tool by PHC practitioners/clinicians)	First round of consultation Panel expert agreements scores (from 1 to 9) on subpillars and definitions Suggestions/comments for modification or addition to subpillars
	Second round of consultation Global and individual feedback report from round 1 (Level of consensus achieved, global and individual expert panel scores) Panel expert agreement scores (from 1 to 9) on new propositions and modification emerging from round 1 Panel expert agreement scores (from 1 to 5) on the importance of each subpillar and the list of items to measure their level of implementation Panel expert agreement (yes/no) on suggested response scales Suggestions/comments for modification or addition of items
	Third round of consultation Global and individual feedback report from round 2 (Level of consensus achieved, global and individual expert panel scores) Consensus building on items by pillar and subpillar Suggestions for practical recommendations by item to provide to clinicians to improve their AA practice
Phase 3 Piloting, adjustment and development of a repository of recommendations To assess the tool and its applicability in different PHC environments	Questionnaire completion by PHC clinicians in different PHC settings Psychometric properties analyses Focus groups to receive feedback and improvement tips Final adjustments Development of a repository of recommendations with actionable guidance

AA, advanced access; PHC, primary healthcare.