Table 2 Components of low-touch and high-touch support
Package | Activity | Description |
|---|---|---|
Low-touch/foundational REP (resources available to all sites for full study period) | Toolkit | Standardized program materials and training curriculum to educate delivery teams about the Group PT intervention and implementation process, including recorded webinars, implementation handbook, and Group PT delivery guide. |
SharePoint | Secure SharePoint for access to Group PT implementation support materials (e.g., patient materials, marketing templates, guides for documenting patient outcomes), and standardized materials to facilitate monitoring sites’ progress. | |
Pre-developed electronic health record (EHR) templates | Consult, initial evaluation, and class participation EHR templates developed with clinical guidance to facilitate Group PT delivery and collection of patient-reported outcomes. | |
Data reports | Monthly reports to assist sites with tracking their implementation activity (e.g., patient enrollment, attendance, and satisfaction). Quarterly reports will be sent with patient outcomes (e.g., PROMIS scores and chair rise improvement). | |
Learning collaborative | Office hour calls and Microsoft Teams channel designed to capture and share local knowledge through networking. Office hour calls will be specific to each cohort of sites; they will include a short, structured presentation on a relevant topic to each phase of implementation plus unstructured time for sites to ask questions and give feedback to each other. The Teams channel will provide an outlet to communicate asynchronously with individuals from different cohorts. | |
High-touch/enhanced REP (resources available to non-adopting and/or non-sustaining sites) | Foundational resources | No change to accessing resources outlined above as part of low-touch support. |
Technical assistance | Direct access to Function QUERI implementation facilitators for technical assistance as needed. | |
External facilitation | Tailored, one-on-one calls approximately every 3 to 4Â weeks between site implementation teams and a trained practice facilitator with the goal of promoting interactive problem solving in the context of a supportive interpersonal relationship. Discussion may focus on key barriers to implementation, available assets to leverage, and actionable tasks to monitor and improve delivery. |