Table 2.
Implementation mapping steps | Application in the SAVE-study |
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1.Conduct a needs and assets assessment and identify adopters and implementers |
• Review of lessons learned in the process of the stepwise start-up of the SAVE-study, from phase I-III • Identify a feasibility process for start-up of new sites |
2.Identify adoption and implementation outcomes, performance objectives, and determinants, create matrice of change |
• Identify roles and responsibilities for clinic decision makers, stakeholders, facilitators (the local SAVE-team), adopters and end-users (see Table 3) • Identify implementation outcomes for managers, adopters and parents experiencing the SAVE-method (see Table 3) • Defining determinants of the implementation (see Fig. 3) |
3.Choose theoretical models, select or create implementation strategies |
• Selection of the PARIHS framework and the implementation outcomes evaluation framework • Development of the logic model of the SAVE-study (Fig. 3) |
4.Produce implementation protocol and materials |
• Develop data collection aids, instruction videos, CEPS-simulation exercises and lectures to train involved staff • Setting up a multidisciplinary implementation group (MIG) and develop the implementation protocol • Arrange workshops using an adoption of the Delphi model to identify questionnaires to be used when evaluating implementation outcomes • Testing of implementation toolkit when starting up additional sites |
5.Evaluate implementation outcomes | • Plan evaluation of clinical and implementation outcomes |