Increasing risk-concordant cardiovascular care in diverse health systems: a mixed methods pragmatic stepped wedge cluster randomized implementation trial of shared decision making (SDM4IP)

Table 1 Study process schedule

	Enrollment of health systems/sites	Usual care	Active	Maintenance
Time period	-t1	t0	t1	t2
Enrollment:
Clinician consent	X
Patient consent				X
Intervention
CV Prevention Choice in the EHR		X	X	X
Training of internal facilitators		X
Identify implementation strategies		X
Implement identified strategies			X
Monitor implementation strategies and dose change as applicable			X
Evaluations
Site visit	X		X	X
Observations	X		X
Video-recorded encounters				X
Assessments
Utilization collection		X	X	X
Interview stakeholders	X		X
Interview clinicians	X		X	X
Stakeholder survey	X
Attitudes toward EHR	X
Organizational Readiness to Change	X
Implementation feasibility	X
Clinician Survey	X		X
Attitudes about SDM	X		X
Attitudes towards EHR	X
Organizational Readiness to Change	X
Implementation feasibility	X
Impressions and use of CV Prevention Choice			X
SDM Normalization (NOMAD Scale)			X
Patient Survey				X
CARE Measure				X
SDMQ-9 Scale				X

-t1 – Completed within the quarter prior to CV Prevention Choice being available in the EHR
t0 – From the time CV Prevention Choice is the EHR until the system cross-over to active implementation per the randomization scheme (2–4 quarters after starting)
t1 – Starts at time of crossover (5–7 quarters after crossover)
t2 – At the end of active implementation, the maintenance phase starts and will last for two quarters

ISSN: 2662-2211