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Table 3 Dose 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

 

Aggregate

Median

Agency 1

Median

Agency 2

Median

Agency 3a

Median

Agency 4

Median

Agency 5

Median

Agency 6

Median

Overall dose scores

3.0

3.0

3.0

1.5

3.0

3.0

3.0

Phase 1: Exploration

†

†

†

†

†

†

†

Phase 2: Adoption

3.0

3.0

3.0

1.5

3.0

3.0

3.0

 Evaluate fit

3.0

3

3

3

3

3

3

 Evaluate feasibility

3.0

3

3

3

3

3

3

 Evaluate clinical utility and validity

3.0

3

3

0

3

3

3

 Evaluate training requirements

3.0

*

3

*

2

*

3

 Evaluate funding source

3.0

3

1

3

3

3

1

 Evaluate benefits and costs

1.0

-

3

0

0

3

1

 Validate adoption decision

3.0

3

3

0a

3

3

0

Phase 3: Preparation

2.5

3.0

2.5

 

2.5

0

2.0

 Gather and review treatment materials

1.0

1

1

 

0

0

1

 Evaluate prospective adaptations

3.0

3

3

 

3

0

3

 Develop adaptation plan

1.5

3

N/A

 

N/A

0

N/A

 Develop training plan

3.0

3

3

 

3

1

3

 Develop implementation plan

2.0

1

2

 

2

3

0

Phase 4: Implementation b

3.0

3.0

3.0

 

3.0

3.0

3.0

  1. Dose scoring ranges from 0 (Nothing completed) to 3 (Mostly/All completed [5–6 items]). N = 6 implementation teams
  2. aAgency implementation team made the decision to not adopt an EBP, therefore, did not progress past Phase 2
  3. bDose scoring for phase 4: implementation from responses to amount completion for implementation evaluation surveys (see Additional file 1: Appendix B)
  4. †Denotes that this is not applicable for the fidelity domain
  5. *Agency implementation team indicated that there were no training requirements while completing form
  6. - indicates missing data