Table 2.
Labor activity specification of dissemination and implementation strategies used in the HEI trial by the Proctor framework [24]
| Strategy [3] | Outcomea | Action | Actor | Action target | Temporality | Dose (frequency) | Dose (duration)c |
|---|---|---|---|---|---|---|---|
|
Develop packaged implementation blueprintb • BHF Online Training Resources and Program Package • Referral process |
Reach -Number, proportion, & representativeness of eligible family screened |
-Training activities on developing referral channels across media, school, and clinical sources. | -Electronic resource and research team | BHF-LC & BHF-PO | Early | One module that can be repeated | As needed |
|
Adoption -Objective count of the number of BHF cohorts initiated |
-Training material modification -Program resource provision |
-Electronic resource and Research team -Trifoia |
BHF-LC & BHF-PO | Early | 18 training modules | Duration of each programming & trouble shoot | |
|
Implementation -Observed adherence to protocol and increased facilitator capacity |
-Monitor training progress and the completion of knowledge & fidelity checklists | -Project coordinator | BHF-LC & BHF-PO | Early-mid | 18 training modules | Duration of each training session | |
|
Fund and contract • Network weaving (recruitment of community) • Obtain formal commitment |
Adoption -Objective count of communities & organizations responding to call for letter of intent -Objective count of communities & organizations responding RFA and contracted to implement BHF |
-Draft the LOI -Draft the full application -Review the application materials -Meetings to discuss the applications & make a decision -Contact with the awardees -Obtaining the written memorandums |
-Research team & CAB -Research team & CAB -Research team -Research team & CAB -Project coordinator -Project coordinator |
Interested communities | Early | One-time for interested community | Duration of the meetings/telecommunications |
|
Learning Collaborativeb • Network weaving (recruitment of BHF participants) • Consultee-centered training • Sustainability action planning |
Reach -Number, proportion, & representativeness of eligible family screened -Representativeness of participating low-income families |
-Document screening & engagement of low-income families -Create learning session materials that focus on identifying recruitment sources and channels to improve reach—with an emphasis on schools and clinics. -Delivery learning sessions that provide opportunities for community implementation teams to action plan recruitment procedures -Provide individual/group consultation on recruitment methods and outcomes -Follow up on action plans and outcomes using lighting report protocol -Provide action period consultation and reporting opportunities |
-Research team -Research team -Research team -Research team -Research team -Research team |
BHF-LC | Early-mid | Frequency of the sessions focusing on reach | Duration of the sessions |
|
Adoption -Objective count of the number of BHF cohorts initiated |
-Create learning session materials -Delivery learning sessions -Provide individual/group consultation -Conduct knowledge/fidelity checklist -Provide feedback at each learning session -Complete pragmatic evaluations |
-Research team -Research team -Research team -Research team -Research team -Research team |
BHF-LC | Mid-late | Frequency of the training sessions focusing on adoption | Duration of the sessions | |
|
Implementation -Observed adherence to protocol and family engagement at each BHF session -Instructor self-reported fidelity at each BHF session |
-Create learning session materials -Delivery learning sessions -Provide individual/group consultation -Conduct knowledge/fidelity checklist -Provide feedback at each learning session -Complete pragmatic evaluations |
-Research team -Research team -Research team -Research team -Research team -Research team |
BHF-LC | Mid-late | Frequency of the training sessions focusing on implementation | Duration of the sessions | |
|
Maintenance -Survey/checklist at 12 months -Objective count of sustained implementation of cohorts in the year following completion of the LC intervention |
-Develop sustainability needs assessment checklists -Develop funding matrix development tools -Develop key partner identification and engagement -Develop an ongoing assessment & feedback -Conduct sustainability needs assessment -Examine current and future resources, payer and payment models -Integrate into regular learning meetings & action periods |
-Research team & CAB -Research team -Research team -Research team & CAB -Research team -Research team & CAB -Research team |
BHF-LC | Late | Frequency of activities/events focusing on maintenance | Duration of the activities |
BHF Building Healthy Families, LC learning collaborative, PO Package only, CAB community advisory board, LOI Letter of intent
aCosts are divided among RE-AIM (reach, effectiveness, adoption, implementation, and maintenance) outcomes and are estimated with actions/activities specified for that specific outcome
bCosts are divided among implementation outcomes associated with the strategy, based on the activities specified in the action column
cPreparation time and travel time (if any) and post-session follow-up (e.g., summary note) are also included