Table 4 Resources and implementation strategies to address barriers
ERIC cluster | ERIC strategies | Cumulative percent | New implementation strategy or resource | Target audience |
|---|---|---|---|---|
Adapt and tailor to content | Promote adaptability | 183% | Promote adaptability through team-directed program modifications to improve fit (e.g., adding a pictograph to the consent form, adding at home for sample collection) Marketing team developed a toolkit to guide tailored strategies for different clinics/patients/communities to improve reach Marketing team tailor materials to emphasize specific health benefits and education on how participants can benefit from prevention measures to enhance reach | Providers Participants Community Groups |
Tailor strategies | 125% | |||
Develop collaborator interrelationships | Identify and prepare champions | 108% | Study team protocolized stepped approach of relationship-building with identified key messengers at each step (e.g., meetings with clinic director, slide deck for meetings to identify tailored workflows, individualized champion MyChart messages to potential participants) to identify and prepare champions to improve effectiveness and implementation Marketing team incorporates messaging and marketing from leadership that highlights compatibility of program with other broader initiatives at institution to improve implementation and maintenance Marketing team identified and showcased stories of early adopters to enhance reach | Participants Implementation Teams |
Conduct local consensus discussions | 107% | |||
Capture and share local knowledge | 103% | |||
Model and simulate change | 83% | |||
Identify early adopters | 76% | |||
Engage consumers | Involve patients/consumers and family members | 93% | Study team facilitated a community advisory board (CAB) provide guidance, participant testimonials to enhance representativeness and reach Study team encourages participants to engage with website prior to singing up to enhance participant understanding of the program and program reach | Participants |
Provide interactive assistance | Facilitation | 93% | Study team offers assistance via telephone or email for both patients and different clinical staff members to enhance adoption and effectiveness Study team provides coordinator training of new collection site staff members to build staff readiness to enhance adoption and effectiveness Study team coordinators are available to provide training to new staff as needed to enhance adoption and effectiveness | Participants Clinical Staff |
Train and educate collaborators | Create a learning collaborative | 100% | Study team conducted ongoing training by offering lunch and learns, provide updates on program status, community outreach toolkit to enhance maintenance | Researchers Providers Program Leadership |
Conduct ongoing training | 77% | |||
Provide ongoing consultation | 77% | |||
Use evaluative and iterative strategies | Assess for readiness and identify barriers and facilitators | 140% | Implementation and evaluation team conduct pre-implementation surveys with work group members and clinical site champions and staff to assess for readiness and identify barriers and facilitators Implementation and evaluation team conducted cyclical small test by starting with a pilot phase and expanding to other MUSC locations to improve reach and implementation Implementation team and marketing received patient/consumer feedback through the CAB guidance, workgroup meetings, and tracking marketing activities to improve reach | Implementation Teams Participants |
Conduct cyclical small tests of change | 133% | |||
Conduct local needs assessment | 116% | |||
Obtain and use patients/consumers and family feedback | 94% |