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Table 3 List of implementation outcome measures included as part of the BEHAVIOUR study

From: Brief physical activity counselling by physiotherapists (BEHAVIOUR): protocol for an effectiveness-implementation hybrid type II cluster randomised controlled trial

Implementation outcomes

Delivery of physical activity counselling

Delivery of multi-faceted implementation strategy

Definition of outcome

Measurement tool

Definition of outcome

Measurement tool

Reach

Reach of the delivery of physical activity counselling will be measured in three ways: (1) Proportion of eligible new physiotherapy patients who receive physical activity counsellinga; (2) Percentage of patient participants that are from culturally and linguistically diverse backgrounds; (3) Percentage of community physical activity providers referred to from number identified within the study.

1. Study screening logb

2. Audit of baseline data records

3. Audit of study developed activity directory and physiotherapy medical notes.

The reach of the delivery of the multi-faceted implementation strategy will be measured in two ways: (1) the Proportion of the different types of clinical physiotherapy teams across the district that participate in the implementation strategies; (2) the Number of new community physical activity providers identified and added into the study-specific activity directory.

1. Study recruitment log;

2. Audit of activity directory

Adoption

The percentage and representativeness of providers (clinical teams) that will adopt physical activity counselling, will be measured by (1) The number of clinical teams across the district who participated compared to the number invited to participate; (2) Percentage of eligible physiotherapists within clinical teams who participated in the study (participated in implementation strategies and attempted to deliver physical activity counselling to their patients).

1. Audit of study records kept by research team

2. Study-specific training and resources log

Number of physiotherapy clinicians or managers across the district that contribute content, resources or teaching within the multi-facted implementation strategy.

Study-specific training and resources log

Dose delivered

The dose of physical activity counselling will be measured across immediate and waitlist groups by physiotherapist self-reported proportion of time spent on physical activity counselling within total usual care sessions for recruited patient participants in the trial.

Study screening log and hospital occasion of service statisticsb

Average dose (hours) per clinical team of implementation strategies delivered (education and training, audit and feedback, facilitation sessions, learning collaborative, tailored strategies for community referral).

Study-specific training and resources log

Fidelity (adherence)

The fidelity of physical activity counselling (elements included) delivered to patient-participants will be measured across immediate and waitlist groups in two ways, self-report and audit.

1. Physiotherapist self-report study checklistb

2. Audit of EMR of all patient-participantsb

Fidelity of multi-facted implementation strategy delivered will be measured by the percentage of implementation strategies that are implemented as prescribed in the study protocol including modes of delivery; COM-B domains, categories and intervention functions; proposed content and behaviour change techniques.

Study-specific checklist

Sustainability (maintenance)

The sustainability of physical activity counselling (elements included) will be measured in intervention clinical teams in a random sample of patients (5 per team) after the patient recruitment period.

Audit of EMR

Percentage of clinical physiotherapists from immediate implementation group involved in delivering implementation strategies or providing resources to waitlist implementation group.

Study-specific training and resources log

  1. EMR Electronic medical record
  2. aPrimary implementation outcome; bData collected for immediate and waitlist groups and between-group difference calculated