Exploration Phase | |
1. Appropriate selection of EBT for population & gap in best practice [60] | |
2. EBT format and training to fidelity can be replicated with multiple agencies [4, 5, 61, 62] | |
3. Assessment of “readiness” for implementation: Appropriate selection of agencies based on implementation capacity [12, 13, 61] | |
Preparation Phase | |
4. Within selected agencies, selection of appropriate staff (defined team composition, including implementation champions) [13, 63] | |
5. Attention to implementation process as part of variance of treatment outcomes [6,7,8, 10, 18, 64] | |
7. Challenges to training within service delivery structure [66,67,68] | |
8. Organizational readiness, culture, & processes addressed in preparedness & prework [16, 69] | |
9. Data monitoring capacity at practitioner & agency level [70] | |
10. Use of technology to integrate practice into care [71] | |
Implementation Phase | |
11. Multi-level agency-level organizational readiness to fully implement [72] | |
13. Recommended use of adult learning methods & behavioral rehearsal in training [75,76,77] | |
14. Consideration of an appropriate coaching model in training and consultation calls [78] | |
15. Day-to-day challenges of using assessment to guide practice [79] | |
16. Day-to-day challenges to implementing a new treatment within service delivery structure [80,81,82,83] | |
18. Application of quality improvement as a practice change model [25, 26, 30, 31] | |
Implementation Phase AND (Planning for) Sustainment Phase | |
19. Mechanisms to assist & monitor model fidelity [18, 19, 21, 26, 85] | |
20. Necessary capacity to use of data at the agency level [3, 86, 87] | |
21. Applied use of metrics to assess and guide progress [31, 88, 89] | |
22. Use of outcomes (clinical, functional, implementation) [17] | |
23. External community stakeholders involved at key levels for referrals, community support & involvement in adoption & sustainment of EBT in community [90,91,92] | |
24. Attend to barriers & facilitators of EBT’s sustainability prior to end of training & implementation [93] | |
25. Involvement and support of senior leaders for facilitating agency decisions and navigating across leadership on behalf of EBT [92, 94,95,96] | |
26. Therapist turnover during & after implementation process [72, 97] | |
28. Model-specific supervision during & post training [5, 67, 100,101,102] | |
29. Current & future use of EBT expert consultation & ongoing education for clinicians [103, 104] |