Table 2 Adherence to the ACT SMART Implementation Toolkit in aggregate and by individual agency implementation team
From: Fidelity to the ACT SMART Toolkit: an instrumental case study of implementation strategy fidelity
| Â | Aggregate M% (SD) | Agency 1 M% (SD) | Agency 2 M% (SD) | Agency 3a M% (SD) | Agency 4 M% (SD) | Agency 5 M% (SD) | Agency 6 M% (SD) |
|---|---|---|---|---|---|---|---|
Overall adherence scores | 90% (11.3) | 90.8% (14.5) | 93.3% (14.9) | 91.7% (14.4) | 89.5% (17.4) | 88.0% (26.8) | 85.3% (20.2) |
Pre-implementation | 100% | 100% | 100% | 100% | 100% | 100% | 100% |
 Agency first contacted | 100% | 100 | 100 | 100 | 100 | 100 | 100 |
 Agency interest indicated | 100% | 100 | 100 | 100 | 100 | 100 | 100 |
 Agency recruitment meeting | 100% | 100 | 100 | 100 | 100 | 100 | 100 |
 Orientation meeting attendance | 100% | 100 | 100 | 100 | 100 | 100 | 100 |
Phase 1: Exploration | 83% (18.0) | 66.7% (57.7) | 66.7% (57.7) | 100% | 100% | 100% | 66.7% (57.7) |
 Recruit for agency assessment | 83% (40.8) | 100 | 0 | 100 | 100 | 100 | 100 |
 Agency assessment link sent | 100% | 100 | 100 | 100 | 100 | 100 | 100 |
 Staff response rate ≥ 75% | 67% (51.6) | 0 | 100 | 100 | 100 | 100 | 0 |
Phase 2: Adoption | 92% (17.8) | 87.5% (35.4) | 100% | 75.0% (46.3) | 87.5% (35.4) | 100% | 100% |
 Treatment selection | 100% | 100 | 100 | 100 | 100 | 100 | 100 |
 Evaluate fit | 100% | 100 | 100 | 100 | 100 | 100 | 100 |
 Evaluate feasibility | 100% | 100 | 100 | 100 | 100 | 100 | 100 |
 Evaluate clinical utility and validity | 83% (40.8) | 100 | 100 | 0 | 100 | 100 | 100 |
 Evaluate training requirements | 100% | 100 | 100 | 100 | 100 | 100 | 100 |
 Evaluate funding source | 100% | 100 | 100 | 100 | 100 | 100 | 100 |
 Evaluate benefits and costs | 50% (54.8) | 0 | 100 | 0 | 0 | 100 | 100 |
 Validate adoption decision | 100% | 100 | 100 | 100a | 100 | 100 | 100 |
Phase 3: Preparation | 74% (19.5) | 100% | 100% | Â | 60% (54.8) | 40% (54.8) | 60% (54.8) |
 Gather and review treatment materials | 60% (54.8) | 100 | 100 |  | 0 | 0 | 100 |
 Evaluate prospective adaptations | 80% (44.7) | 100 | 100 |  | 100 | 0 | 100 |
 Develop adaptation plan | 50% (70.7) | 100 | N/A |  | N/A | 0 | N/A |
 Develop training plan | 100% | 100 | 100 |  | 100 | 100 | 100 |
 Develop implementation plan | 80% (44.7) | 100 | 100 |  | 100 | 100 | 0 |
Phase 4: Implementation | 100% | 100% | 100% | Â | 100% | 100% | 100% |
 Carry out adaptation plan | 100% | 100 | N/A |  | N/A | N/A | N/A |
 Carry out training plan | 100% | 100 | 100 |  | 100 | 100 | 100 |
 Carry out implementation plan | 100% | 100 | 100 |  | 100 | 100 | 100b |