Table 2 Labor activity specification of dissemination and implementation strategies used in the HEI trial by the Proctor framework [24]
Strategy [3] | Outcomea | Action | Actor | Action target | Temporality | Dose (frequency) | Dose (duration)c |
|---|---|---|---|---|---|---|---|
Develop packaged implementation blueprintb  • BHF Online Training Resources and Program Package  • Referral process | Reach -Number, proportion, & representativeness of eligible family screened | -Training activities on developing referral channels across media, school, and clinical sources. | -Electronic resource and research team | BHF-LC & BHF-PO | Early | One module that can be repeated | As needed |
Adoption -Objective count of the number of BHF cohorts initiated | -Training material modification -Program resource provision | -Electronic resource and Research team -Trifoia | BHF-LC & BHF-PO | Early | 18 training modules | Duration of each programming & trouble shoot | |
Implementation -Observed adherence to protocol and increased facilitator capacity | -Monitor training progress and the completion of knowledge & fidelity checklists | -Project coordinator | BHF-LC & BHF-PO | Early-mid | 18 training modules | Duration of each training session | |
Fund and contract  • Network weaving (recruitment of community)  • Obtain formal commitment | Adoption -Objective count of communities & organizations responding to call for letter of intent -Objective count of communities & organizations responding RFA and contracted to implement BHF | -Draft the LOI -Draft the full application -Review the application materials -Meetings to discuss the applications & make a decision -Contact with the awardees -Obtaining the written memorandums | -Research team & CAB -Research team & CAB -Research team -Research team & CAB -Project coordinator -Project coordinator | Interested communities | Early | One-time for interested community | Duration of the meetings/telecommunications |
Learning Collaborativeb  • Network weaving (recruitment of BHF participants)  • Consultee-centered training  • Sustainability action planning | Reach -Number, proportion, & representativeness of eligible family screened -Representativeness of participating low-income families | -Document screening & engagement of low-income families -Create learning session materials that focus on identifying recruitment sources and channels to improve reach—with an emphasis on schools and clinics. -Delivery learning sessions that provide opportunities for community implementation teams to action plan recruitment procedures -Provide individual/group consultation on recruitment methods and outcomes -Follow up on action plans and outcomes using lighting report protocol -Provide action period consultation and reporting opportunities | -Research team -Research team -Research team -Research team -Research team -Research team | BHF-LC | Early-mid | Frequency of the sessions focusing on reach | Duration of the sessions |
Adoption -Objective count of the number of BHF cohorts initiated | -Create learning session materials -Delivery learning sessions -Provide individual/group consultation -Conduct knowledge/fidelity checklist -Provide feedback at each learning session -Complete pragmatic evaluations | -Research team -Research team -Research team -Research team -Research team -Research team | BHF-LC | Mid-late | Frequency of the training sessions focusing on adoption | Duration of the sessions | |
Implementation -Observed adherence to protocol and family engagement at each BHF session -Instructor self-reported fidelity at each BHF session | -Create learning session materials -Delivery learning sessions -Provide individual/group consultation -Conduct knowledge/fidelity checklist -Provide feedback at each learning session -Complete pragmatic evaluations | -Research team -Research team -Research team -Research team -Research team -Research team | BHF-LC | Mid-late | Frequency of the training sessions focusing on implementation | Duration of the sessions | |
Maintenance -Survey/checklist at 12 months -Objective count of sustained implementation of cohorts in the year following completion of the LC intervention | -Develop sustainability needs assessment checklists -Develop funding matrix development tools -Develop key partner identification and engagement -Develop an ongoing assessment & feedback -Conduct sustainability needs assessment -Examine current and future resources, payer and payment models -Integrate into regular learning meetings & action periods | -Research team & CAB -Research team -Research team -Research team & CAB -Research team -Research team & CAB -Research team | BHF-LC | Late | Frequency of activities/events focusing on maintenance | Duration of the activities |