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Table 1 Implementation strategies

From: Comparison of implementation strategies to influence adherence to the clinical pathway for screening, assessment and management of anxiety and depression in adult cancer patients (ADAPT CP): study protocol of a cluster randomised controlled trial

Strategy Both Core and Enhanced implementation strategies arms Enhanced implementation strategies arm only
 Awareness campaign • Roadshow presentation by ADAPT staff at the site 8 weeks before “go-live”
• Poster displayed prominently 4 weeks prior to and at “go-live,” (T0)
• Email from site champion to all staff 1 week before “go-live” (T0)
• Additional posters at 4-monthly intervals during implementation
• Newsletters emailed to site staff at 2, 4, 6, 9 and 12 months
 Champions • Champion identification and role definition
• Provision of email templates for champion to send staff
• Inclusion of champion contact details in all staff communication
• Additional proactive contact with Champions at monthly intervals to discuss progress, provide audit reports and discuss additional implementation strategies as needed
 Academic detailing and support • Sites provide with a written report summarising change readiness data from baseline staff interviews at T0
• Tailoring of the ADAPT Portal to site requirements during engagement meetings
• Study close meeting with all key staff to discuss sustainability of the ADAPT CP
• Sites provided with a verbal report of these data, at T0, T1 and T2
• Quarterly review of ADAPT Portal configuration to confirm allocated responsibilities and service tailoring
 Reporting • Monthly written reports on Portal statistics • Presentation and highlighting of issues from monthly reports in face-to-face meetings with site
 Technological support • IT support for the ADAPT Portal