Table 4 Community/organizational stakeholders (N = 16) prioritized perceived implementation facilitators during nominal group technique (NGT) meetings

Stakeholder NGT group 1 (n = 6)

18

36

100

 Qualified trainer that can motivate CSs

4

3,3,3,2

11

30.56

IC: Design quality and packaging

 A referral from doctors or nurse practitioners

2

3,2

5

13.89

P: Engaging; External change agents

 Promotion and awareness (e.g., newspaper, marketing, oncologist office, church, radio station, hospital website)

2

2,2

4

11.11

P: Engaging

 Grant money or other resources to fund program (e.g., pay for refreshment, trainer, donation, operational costs)

1

3

3

8.33

IC: Cost

 Training for start-up, train trainers

1

3

3

8.33

IS: Readiness for Implementation; Access to knowledge and information

 Buy-in from healthcare provider (trust doctors, nurse practitioners)

2

1,1

2

5.56

P: Engaging; External change agents

 A good location/safe area, convenient/easy access

2

1,1

2

5.56

IS: Readiness for Implementation; Available resources

 Financially feasible for participants

1

2

2

5.56

IC: Cost

 Person-centered/individualized

1

2

2

5.56

IC: Adaptability

 Transportation assistant, church, pick-up van, car pool

1

1

1

2.78

IS: Readiness for Implementation; Available resources

 Flexible schedule, duration

1

1

1

2.78

IC: Design quality and packaging

Stakeholder NGT group 2 (n = 5)

15

30

100

 Convenience (e.g., time, location)

3

3,3,3

9

30.00

IC: Design quality and packaging

 Good communication tools

2

2,2

4

13.33

IS: Readiness for Implementation; Available resources

 Dedicated team (e.g., personalized, whole structure of program)

2

3,1

4

13.33

P: Engaging

 Champion for program

1

3

3

10.00

P: Engaging; Champions; External change agents

 Physician/nursing staff engagement

2

2,1

3

10.00

P: Engaging; Champions; External change agents

 Accountability for CS and interventionist engagement

1

2

2

6.67

CI: Other personal attributes

 Community awareness (people need to know it's available to participate)

1

2

2

6.67

P: Engaging

 Use of incentives (e.g., T-shirt for CSs, incentives to interventionists)

1

1

1

3.33

P: Engaging

 Providing weekly/daily feedback about exercise progress to CSs

1

1

1

3.33

P: Reflecting and evaluating

 Use of UAB brand (e.g., experienced research team)

1

1

1

3.33

OS: Cosmopolitanism

Stakeholder NGT group 3 (n = 5)

15

30

100

 Physician buy-in (source of trust in program)

4

3,3,2,1

9

30.00

P: Engaging; External change agents

 Transportation assistance for CSs (e.g., gas card)

3

3,2,2

7

23.33

IS: Readiness for Implementation; Available resources

 Applying for funding to support staff (e.g., foundation, charitable)

1

3

3

10.00

IC: Cost

 Pair participants with each other or other support person

1

3

3

10.00

OS: Patient needs and resources

 Coordinator for entire program

1

2

2

6.67

P: Engaging; Formally appointed internal implementation leaders

 Reward for staying the course (e.g., gym membership for CSs, incentives to interventionists)

1

2

2

6.67

P: Engaging

 Advertisement (e.g., billboard; help understand program; help reach those out of treatment)

1

1

1

3.33

P: Engaging

 Involvement of CSs (Previous CSs would be a great resource of support)

1

1

1

3.33

P: Engaging; Champions

 Coordination with local gyms

1

1

1

3.33

IS: Readiness for Implementation; Available resources

 Convenient hours (e.g., options for those who work or can't drive at night)

1

1

1

3.33

IC: Design quality and packaging

Grand total (N = 16 stakeholder participants)

48

96