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Table 1 Components of implementation interventions

From: Implementation of self-management support in cancer care and normalization into routine practice: a systematic scoping literature review protocol

Component

Definition

Staff selection

Includes academic qualifications or level of experience of staff or peers selected to carry out the program, methods for recruiting and selecting practitioners to carry out the program.

Pre-service and in-service training

Strategies used to enhance understanding background information and rationale for key practices (may include communication channels), training on the program components and opportunities to practice new skills and receive feedback.

Ongoing coaching and consultation

A coach provides information, advice, encouragement, and opportunities to practice and use skills specific to the program or innovation; coaching for behavior change may target the practitioner, supervisory, or administrative support levels.

Staff performance assessment

Evaluation to assess the use and outcomes of skills taught in the training, and reinforced and expanded in coaching processes. Includes performance feedback for skill development and other measures for gauging implementation fidelity, or other assessments to ensure competent delivery of core intervention components.

Decision-support data systems

Process and outcome data, organizational fidelity measures, or collection of any data to support decision-making and progress in the implementation of the core intervention components over time.

Facilitative administration

Provision of leadership to support the overall processes of implementation and keep staff focused on achieving intervention outcomes. May include new policies and procedures, change in care structures (model of care or care processes), and promoting the climate and cultural shift required to support the change

Systems intervention

Strategies to work with external systems to ensure the availability of the financial, organizational, and human resources required to support the work of the practitioners.