Table 3 PCP/system-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

Onboarding PCP video delivered via email by clinic administrator

Once

Acceptability, fidelity

Education about how to order/refer to CC appropriately (e.g., demonstrates ideal note), social/environmental effects (e.g., impact of inappropriate referrals on resources, wait times, impact on patient outcomes)

Instruction on how to perform behavior, Demonstration of behavior, information about social, environmental, and health consequences

Education, persuasion, training, modeling (continued learning/improvement)

X

X

X

X

X

EPIC Message by implementation staff and automated email from eSDM tool to PCP

Once/patient visit

Acceptability, fidelity, feasibility, sustainability

Summary report/decisional support to cue referral (delivered to PCPs and care managers) and Job aid on mental health management

Prompts/cues

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

X

X

X

X

X

-In EPIC

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

Available every encounter

Fidelity, feasibility, sustainability

-EPIC Smart phrase for treatment optimization

-eSDM tool with prompt to PCP/care managers

Adding objects to environment

Environmental restructuring, enablement (continued adaptation, improvement)

X

X

X

X

Zoom ID team meetings/emailed newsletter delivered by clinic mental health staff/administrators/implementation team

At least quarterly

Acceptability, feasibility, fidelity, sustainability

Feedback on screening, appropriate referral, attendance rates frequency, intensity, duration, and patient outcomes (clinic/care managers/providers)

Feedback on behavior and outcome(s) of the behavior

Education, persuasion, training (continued organizational learning, evaluation, improvement)

X

X

X

X

Clinic mental health staff/administrators/navigators

At least quarterly

Fidelity, feasibility, acceptability, sustainability

Triage patients based on eSDM tool input

Screening support and education

Quality improvement initiatives

Restructuring physical environment

Environmental restructuring, Enablement (continued adaptation, improvement)

X

X

X

X

Zoom ID team meetings delivered by clinic mental health staff/administrators/implementation team

At least quarterly

Acceptability, fidelity, sustainability

Review CC and DepCare implementation, brainstorm how to improve every 2–3 months, review key determinants of successful CC sustainability (e.g., how to identify and engage PCP champion, billing support, quality improvement), engages clinic directors/opinion leaders to provide feedback

Problem-solving, credible source

Enablement, Persuasion (continued stakeholder engagement, problem-solving, learning, evaluation adaptation, improvement)

X

X

X

X

X