Table 1.

Implementation Strategy Summary

Intervention component	Component details	Resource use details	Data collection method for costing
Leadership and management	• Monthly meetings were held with management from antenatal services to elicit support. • Service managers distributed resources to staff and attended training sessions. • Performance measures related to the provision of the model of care were monitored and reported on.	Labour time: • Health district implementation support officer and manager. • Health service antenatal clinical staff and management.	• Resource use capture template
Local clinical practice guidelines	• A service level guideline and procedure document detailed the model of care, including assessment, brief advice and referral pathways. • The document was uploaded onto the health service’s policy directory, disseminated by managers to all staff via email and hard copies were placed in staff common areas.	Materials: • Guideline and procedure document development and provision. Miscellaneous: • Electronic dissemination. Labour time: • Health district implementation support officer and manager. • Health service antenatal clinical staff and management.	• Resource use capture template
Electronic prompt and reminder system	• Existing point-of-care and medical record systems used by maternity clinicians were modified to electronically prompt use of the AUDIT-C alcohol screening tool. • Brief advice scripts were displayed on the point-of-care system based on the woman’s AUDIT-C risk score and prompts and tools for referral to appropriate services.	Materials: • Computer-based intervention component. Labour time: • Health district implementation support officer and manager. • Health service antenatal clinical staff and management.	• Resource use capture template
Local opinion leaders/champions	• Project-specific Clinical Midwife Educators were appointed to support staff to uptake the model of care and provide support at a one-on-one, team and service level. • Additional local antenatal clinical leaders were engaged to provide encouragement and demonstrate required behaviours as required.	Labour time: • Health district implementation support officer. • Clinical midwife educator (CME) change champion.	• Resource use capture template
Educational meetings and materials	• Training was provided to all antenatal service clinicians via a 30-minute online training module and face-to-face sessions. Clinical Midwife Educators facilitated clinicians completing the online training and coordinate face-to-face training sessions. This included lecture style sessions, interactive, case-study based sessions and one-on-one sessions. • Clinicians were provided with written resources (hardcopy and electronic) to support the model of care, including standard drink measure charts and point-of care written prompts/reminders (e.g. stickers in charts).	Labour time: • Health district implementation support officer. • CME change champion. • Health service clinical staff. • Expert clinicians. Materials: • Educational tools and resources	• Resource use capture template • REDCap database
Academic detailing	• Data from both medical records and telephone surveys conducted with women who attended the antenatal services were used to provide feedback on adherence to the agreed model of care. • The Clinical Midwife Educators visited service teams in their antenatal clinics to provide feedback data and developed action plans to improve adherence.	Labour time: • Project support officer. • CME change champion. • Clinical service staff time.	• Resource use capture template • REDCap database
Monitoring and accountability	• Antenatal service managers reported, interpreted and monitored performance measures for the model of care. • These results were disseminated to antenatal service staff through team meetings, emails and other usual communication mechanisms. • Performance measures were built into the existing monitoring and accountability frameworks for antenatal services.	Labour time: • Health district implementation support officer. • Health service antenatal clinical staff and management. Miscellaneous: • Electronic dissemination.	• Resource use capture template