Table 1.

Implementation Strategies Used During Stages of the Design Process

Implementation Strategies	Integration into Testing Program
Preimplementation phase (completed)
Access new funding	Town-wide fund-raising campaign to support equitable availability of testing
Assess for readiness and identify barriers and facilitators	Ongoing discussions with key stakeholders, with feedback about barriers and acceptability of strategies
Build a coalition	Identify stakeholders and champions throughout the district
Develop educational materials, capture and share knowledge, distribute educational materials	Develop and disseminate an educational program
Change record systems	Develop a system for collecting and reporting of results. Integrate informed consent process within existing infrastructure.
Conduct educational meetings and conduct educational outreach	Provide educational sessions to key stakeholders in the community
Conduct local needs assessment	Identify and define the need for testing within schools
Develop partnerships	Leverage existing relationships with educational and hospital leadership
Implementation phase (planned for future)
Facilitate relay of clinical data to providers	Create a new system for ordering testing within the schools, with direct reporting back to the schools to ensure closed-loop communication
Facilitation	Assistance and feedback form the return to school group, which included parental volunteers with expertise in key content areas
Identify and prepare champions	Find individuals dedicated to implementation of the testing program and overcoming indifference and challenge to the program
Identify early adopters	Find staff and students who utilized the testing program and learn from their experiences
Inform local opinion leaders	Inform influential school leadership about the testing program in hopes they will support staff and students to utilize the program
Intervene with consumers to enhance uptake and adherence	Develop strategies to encourage use of testing program
Make billing easier	Ensure that billing for test is simple
Prepare consumers to be active participants	Enable staff and students/families to ask questions & receive information about the testing program
Promote adaptability	Identify ways to tailor the program and foster sustainability
Promote network weaving	Build upon existing relationships and networks within and outside of the district to promote collaboration in implementation of the testing program
Provide local technical assistance	Deliver technical assistance related to implementation issues
Provide ongoing consultation	Consultation with local experts
Purposely re-examine the implementation	Monitor the program and adjust implementation
Sustainment (planned for future)
Stage implementation scale-up	Pilot model testing program with goal expansion to testing asymptomatic members of the index case followed by periodic routine surveillance screening
Use advisory boards and workgroups	Create a diverse group of stakeholders for input and advice
Use mass media	Publicize the testing pilot program