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Table 2 Patient-targeted multi-component implementation strategy for promoting collaborative care enrollment: behavior change techniques, intervention functions, mode of delivery as well as targeted behavioral constructs and implementation outcomes

From: A theory-informed, rapid cycle approach to identifying and adapting strategies to promote sustainability: optimizing depression treatment in primary care clinics seeking to sustain collaborative care (The Transform DepCare Study)

Mode of delivery/actor

Dose

Implementation outcome targeted

Strategy

Behavior change techniques

Intervention function (aligned DSF tenet)

COMB

construct

Psych capability

Social opportunity

Physical opportunity

Reflective motivation

Automatic motivation

eSDM tool/brochure via iPad/phone/computer/mailer in waiting room/home delivered by text/email/in-person by implementation staff/navigator

Once/patient visit

Acceptability, usability, fidelity

Patient activation, psychoeducation, and referral with flexible modality (takes place of warm handoff)

Connect to alternative treatment options/modalities (Provide therapy options by phone/online/video/self-help);

Tool with Spanish language option, low literacy considerations

Adding objects to environment

Environmental Restructuring (continued adaptation/improvement)

X

X

X

 

X

eSDM Tool/brochure delivered by text/email/in-person by implementation staff/navigator

Once/patient visit

Fidelity, sustainability

eSDM tool prior to PCP visit to facilitate conversation, reminder of need for treatment

Prompts/cues

Environmental restructuring/education (continued adaptation, improvement, learning)

X

X

X

X

 

eSDM Tool (patient video/content hub)/brochure delivered by text/email/in-person by implementation staff/navigator

Once/patient visit

Acceptability

English/Spanish minority patient modeling engagement, going to treatment, and impact on relationships/life;

Information on how to engage in treatment, talk to provider/therapist

Demonstration of behavior, information about social and environmental consequences

Persuasion, modeling, education (continued learning, improvement)

X

X

X

X

X

eSDM Tool (care manager video)/brochure delivered by text/email/in-person by implementation staff/navigator

Once/patient visit

Acceptability

Care manager describes CC, provides psychoeducation and treatment options

Credible source

Persuasion (continued learning, improvement)

 

X

X

X

X

eSDM Tool (patient/care manager video/content hub)/brochure delivered by text/email/in-person by implementation staff/navigator

Once/patient visit

Acceptability

Care manager/patient/content hub discuss ability to do treatment/improve, motivational messaging, health consequences (e.g., pain)

Verbal persuasion about capability, Information about health consequences

Education, persuasion, enablement (Continued learning)

X

X

 

X

X

  1. Abbreviations CC Collaborative care, DSF Dynamic Sustainability Framework, eSDM Electronic shared decision making, PCP Primary care providers