Table 1.

Stakeholder forum organization and approaches.

Agenda item	Session description and worksheets⁎
Forum One Purpose: Draft a framework of behaviours and actions that would support deprescribing in long-term care (LTC)
Welcome	Introduction and goals for the Forum
A caregiver's perspective	Family caregiver shared perspectives about the shared responsibility for medication management in the context of a LTC home
Facilitators and challenges for deprescribing in LTC: Lessons learned from stakeholder consultations	Highlights from the environmental scan, including challenges and successful strategies to support deprescribing
Using the behaviour change wheel model to plan for deprescribing actions in LTC	Orientation to the concepts of behavioural problems, target behaviours and the COM-B model
Roundtable discussion: identifying and setting priorities for deprescribing behaviours in LTC	Participants assigned to small working groups designed to maximize diverse perspectives within each group; discussions structured to focus participants' energy on generating potential target behaviours for behavioural problems identified through the environmental scan; project team members circulated amongst the groups to provide guidance as needed; over a break, participants selected priority behaviours by voting using dots on flip charts (nominal group technique) Worksheet #1 – Identifying promising behaviours to support deprescribing Worksheet #2 – Specifying the target behaviour
Identifying actions that support deprescribing behaviour	Each working group was assigned one of the prioritized behaviours for which they freely generated details of supporting actions that could enable that behaviour Worksheet #3 - Identifying actions to support deprescribing behaviours
World café: arriving at prioritized actions	Using a World Café approach, participants assessed the appeal of the proposed supporting actions using the APEASE criteria (affordability, practicability, effectiveness, acceptability, side effects and equitability) to identify whether each action was very promising, promising or not promising Worksheet #4 – Prioritizing actions that facilitate behaviours to support deprescribing
LTC deprescribing framework overview	Summarized the day's activities and briefly revisited goal for the day
Implementation options – building a champion driven initiative for Fall	Introduced proposal to build a champion driven initiative to support action planning and behaviour change, including option to participate in planning next steps
Reflection and next steps	Summary and appeal for feedback
Forum Two Purpose: Create an implementation plan to support actions that enable deprescribing behaviour change
Welcome	Introduction and goals for the Forum
The June 2019 Deprescribing in LTC Forum – key results and next steps	Overview of the target behaviours and the actions identified at Forum One as being most promising to support those behaviours; relevant terms for the day clarified (e.g. target behaviour, supporting action, activities to make the action happen)
Generating momentum	Participant examples of activities undertaken since Forum One
Getting down to it – developing plans to make action happen	Participants assigned to working groups based on registration preferences and a desire to balance individual's expertise, perspective and the organizations they represented; a facilitator (staff, or member of the planning committee) was assigned to each working group to guide them through the process of generating an implementation charter Worksheet #1 – Implementation Charter
World Café – here is your chance to critique and build	Participants circulated through several small group discussions, using a World Café approach to discuss the risks and opportunities of the proposed implementation plans and identify participants interested in serving on implementation teams
Equipping the champions – how do we make this happen?	Large group discussion regarding potential implementation challenges
Focus on reach, adoption, sustainability and effectiveness: making change stick across XX LTC homes	Small group work to develop plans to maximize reach and adoption, ensure ongoing maintenance/sustainability of activities and brainstorm evaluation plans Worksheet #2 – Activity Planning and Evaluation
Reflection and next steps	Summary and appeal for feedback

^⁎Worksheets can be found in Supplementary File S1.