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Table 3 Implementation strategy component, based on barriers and facilitators from our pilot work with target patient population and clinics

From: Implementing the DEcision-Aid for Lupus (IDEAL): study protocol of a multi-site implementation trial with observational, case study design

Component Barriers (B) and facilitators (F) from pilot study addressed through implementation strategy
Standardized capacity-building activities
 Education, training, technical assistance Training staff on iPad and DA use (F); keeping iPads charged (B); IRB concerns (B)
 Clinic champion Staff time shortage/buy-in (B); convincing multiple providers (B); change fatigue (B)
 Refresher training course Knowledge retention (F)
Tailored, clinic-targeted activities
 DA reminder in patient intake process Coordinating/training front desk staff (F); slowing clinic flow (B)
 Audit and feedback Engaging clinic staff and maintaining engagement (F); training front desk staff (F)
 Team huddles/clinic meetings Staff time shortage/buy-in (B); failure to systematically apply DA into existing processes (B)
Tailored, patient-targeted activities
 Pre-visit patient portal message with DA link Length of the DA (B); need to complete other surveys during the visit (B)
 Paper-based version of the lupus DA Too much information at once (B); patient mood, language, background, and understanding (B)
 Clinic poster about the lupus DA Understanding/interest (B)
 DA information via waiting room TV/kiosk Language/literacy/understanding/interest (B)