Table 1 Implementation strategy summary

Leadership and management

• Monthly meetings will be held with management from antenatal services to elicit support.

• Service managers will be asked to distribute resources to staff and attend training sessions.

• Monitoring and reporting of performance measures related to the intervention.

Local clinical practice guidelines

• A service-level guideline and procedure document will detail the model of care, including assessment, brief advice and referral pathways.

• This document will be uploaded onto the health service’s policy directory, disseminated by managers to all staff via email, and hard copies will be placed in staff common areas.

Electronic prompt and reminder system

• Existing point-of-care and medical record systems used by maternity clinicians will be modified to electronically prompt the use of the AUDIT-C alcohol screening tool.

• Brief advice scripts will be displayed on the point-of-care system based on the woman’s AUDIT-C risk score, and prompts and tools for referral to appropriate services.

Local opinion leaders/champions

• Project-specific clinical midwife educators appointed to support staff to uptake the model of care and provide support at a one-on-one, team and service level.

• Additional local antenatal clinical leaders will be engaged to provide encouragement and demonstrate required behaviours as required.

Educational meetings and materials

• Training will be provided to all antenatal service clinicians via a 30-min online training module and face-to-face sessions. Clinical midwife educators will facilitate clinicians in completing the online training and coordinate face-to-face training sessions. This will include lecture-style sessions, interactive sessions, case study-based sessions and one-on-one sessions.

• Clinicians will be provided with written resources (hardcopy and electronic) to support the model of care, including standard drink measure charts and point-of care written prompts/reminders (e.g. stickers in charts).

Academic detailing

• Data from both medical records and telephone surveys conducted with women who attended the antenatal services will be used to provide feedback on adherence to the agreed model of care.

• The clinical midwife educators will visit service teams in their antenatal clinics to provide feedback data and develop action plans to improve adherence.

Monitoring and accountability

• Antenatal service managers will report, interpret and monitor performance measures for the model of care.

• These results will be disseminated to antenatal service staff through team meetings, emails and other usual communication mechanisms.

• Performance measures will be built into the existing monitoring and accountability frameworks for antenatal services.