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Table 4 Implementation plan based on expert recommendations for implementing change (ERIC)

From: Implementation of Coach McLungsSM into primary care using a cluster randomized stepped wedge trial design

ERIC element

Element description for Coach McLungsSM implementation

Use data experts

Director of data analytics will lead team to acquire, manage, and report data generated by implementation effort

Provide local technical assistance

Practice rollouts will be conducted by the lead research team with the implementation team providing technical assistance

Audit and provide feedback

Develop individual primary care practice feedback summaries including CFIR results and combined performance at other implementation and control sites and report out to practices at 6- 12- and 18- months post-implementation based on their preferences which include but no limited to: email, webinars, lunch-and-learn meetings and Skype conference calls

Use an implementation advisor

An implementation team will advise on the use of implementation frameworks and evaluation plan

Implementation facilitation

The lead reach team are both experienced practice facilitators with both Coach McLungsSM and the previous paper-based asthma SDM toolkit

Assess for readiness and identify barriers and facilitators

Organization readiness assessment will take place at the system and practice level using the ORIC tool and elements from CFIR. Practice leadership, providers and patients will be surveyed and/or interviewed to evaluate barriers and facilitators

Develop an implementation blueprint

Manual of operation procedures will be developed to guide implementation strategies and goals

Organize implementation teams

The lead reach team will organize the implementation teams

Conduct educational outreach and ongoing training

Rollouts include kick-off lunch-and-learns consisting of 45-min training in patient/provider SDM communication, asthma guidelines and inhaler use refresher, and the use of Coach McLungsSM. Additional education training is based on practice needs and interest

Conduct educational meetings

The SAC will meet regularly, and other educational sessions will be targeted towards multiple stakeholders e.g. providers, practices adopting Coach McLungsSM, administration, community members, patients/caregivers

Engage community resources

Connect practices and patients to community resources with community partners