Table 1 Summary of methods
Survey (quantitative data) N = 30 | Focus groups (qualitative data) N = 30 | In-depth interview (qualitative data) N = 20 | |
|---|---|---|---|
Participants | CHW, ET, RAs, and site leaders that participated in stakeholder meeting | Subpopulation of CHW, ET, RAs, and site leaders that participated in stakeholder meeting and volunteered for follow-up interviews | |
Procedure | Anonymous paper-based survey Duration: ~ 15–20 min | Two-step group discussion guided by questionnaire 1. Small focus groups based on the role (i.e., site leader, CHW, ET, RA) Duration: ~ 45 min 2. Large group discussion Duration: ~ 35 min | In-depth semi-structured interview based on an interview guide Duration: ~ 20–30 min |
Individual capacity | Self-reported knowledge about the project (how intervention is delivered) Self-reported skills (adequate training) Resources (adequate time) Motivation (intervention is useful to me and agency) Awareness (agency’s involvement improves well-being of population) | N/A | Would you be willing to continue to work on [exercise training] once partnering organizations are not involved? |
Overall barriers | N/A | What are the greatest barriers to maintain the program? | What are some of the issues that may arise for you after the trial ends to be able to continue to implement PM-SB? |
Overall facilitators | N/A | What supports would you need to maintain the program? | Is there anything you think [CHW] could do now to help ensure PM-SB continues to be implemented after the trial ends? |
Emerging themes | Purpose and goals of project are clear Intervention is perceived as impactful Adequate training and understanding of responsibilities but not enough time to fulfill them | Staff turnover is a barrier to implementation Restructuring was disruptive leading to feelings of burnout Trainings and intervention are successful. Capacity building strategies for long-term adoption should include adapting tools Obtaining funds is critical for continuation of intervention | Staff turnover is a barrier to implementation, burnout and compensation are related issues Trainings can be adapted to include a train the trainer model and continue to include methodologies that utilize: technology, role-play and cultural adaptations Funding strategies to overcome financial obstacles such as reimbursing through Medicare and Medicaid should be implemented |