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Table 1 Original and adapted plan for the module delivery

From: Developing a co-production strategy to facilitate the adoption and implementation of evidence-based colorectal cancer screening interventions for rural health systems: a pilot study

 

Original plan

Adaptation

Team Composition

• Having an interdisciplinary team including decision-makers, implementers, and support staff

• Clinic A team included 3 providers (2 physicians and 1 APRN) and a nurse care manager hired by the ACO

• Clinic B team included 1 lead physician, 1 clinical data coordinator, 1 nurse care coordinator, 1 referral/scheduling coordinator, and 1 care manager

Format

• 15–20 minutes video lectures through learning management system (LMS) followed by 30-minute live-streaming conference call/video

• Clinic A prefers to receive information (video links and surveys) via email rather than using web based LMS.

• Clinic B adopted LMS.

Learning approach

• Participants are expected to watch video individually and come to live-streaming session for group discussion.

• Clinic A prefers to watch the video together followed by group discussion in a reserved conference room (group learning approach).

• Clinic B prefers to watch lecture video individually followed by group discussion via live-streaming conference (hybrid learning approach)

Delivery

• Deliver all 8 sessions in a monthly interval (8 months).

• Up to 3 weekly reminders to complete video lectures prior to live-streaming sessions

• Delivered sessions in a monthly interval except the two months affected by COVID-19 (10 months)

• Clinic A: 7 sessions were delivered (Skipped session 2 after receiving feedback that they would like to minimize basic definition parts and jump right into the EBI examples).

• Clinic B: All 8 sessions were delivered as planned.