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Table 5 Aim 3 PRISM contextual factors for qualitative comparative analysis

From: Implementing eScreening for suicide prevention in VA post-9/11 transition programs using a stepped-wedge, mixed-method, hybrid type-II implementation trial: a study protocol

PRISM construct

Proposed definitions

Program/intervention: Organizational perspective

• Readiness

• Addresses barriers of frontline staff

• Burden (complexity & cost)

• Usability and adaptability

• Team sees results

• Team is ready for change

• MCIS addresses barriers of staff

• Burden is manageable

• eScreening is usable and adaptable for the program

• Team sees results

External environment

• Regulatory environment

• Mandates from TCM or other VHA program office(s)

Implementation & sustainability infrastructure

• Dedicated team

• Adopter training and support

• Relationship & communication with adopters

• Adaptable protocols & procedures

• Plan for sustainability

• There is an identified eScreening team

• Team believes training and support were adequate

• Team has positive relationships communication

• Team feels protocols and procedures are adaptable

• There is a plan for sustainment

Recipients: Organizational characteristics

• Management support & communication

• Clinical leadership

• Systems & training

• Staffing & incentives

• Expectation of sustainability

• Management is supportive of eScreening and communicate support to frontline staff

• There is clear clinical leadership

• Process for training is known

• Staffing is adequate

• There is an expectation for sustained use