Table 4 Key discussion items for the implementation strategies in the Pre-implementation, Implementation, and Post-implementation stages
Stage | Linked ERIC Strategies | Focus | Description |
|---|---|---|---|
Pre-implementation | Conduct a local needs assessment | Identifying Needs and Resources | Identify local needs, resources, and barriers among older adults to guide implementation planning and staff training |
Build a coalition | Team Building and Engagement | Conduct site visits and meetings to identify champions, build stakeholder coalitions, and involve staff early | |
Obtain Formal Commitments | Organizational Commitment | Secure written commitments from participant centres and staff clarifying roles and responsibilities to enhance readiness and accountability | |
Develop a formal implementation blueprint & Tailor strategies | Team Alignment and Expectations | Establish clear implementation goals, roles, responsibilities, timelines to ensure smooth logistic operations and care coordination | |
Conduct ongoing training | Capacity Building | Provide comprehensive training with clear referral criteria, structured pathways, standardized materials, and regular updates | |
Implementation | Organize implementation team meetings | Quality Assurance and Fidelity | Hold regular interdisciplinary case conferences and team meetings to ensure continuous quality improvement, fidelity checks, and problem-solving |
Facilitate & Purposely reexamine the implementation | Responsive Monitoring and Adaptation | Use real-time monitoring and rapid troubleshooting mechanisms to address emerging issues and adjust strategies | |
Shadow other experts | Peer Learning and Support | Enable less experienced implementers to learn from early adopters, enhancing skills and adherence to protocols | |
Post-implementation | Facilitate the relaying of clinical data to providers | Data Sharing | Coordinate systematic data sharing for ongoing client monitoring and evaluation |
Capture and share local knowledge | Local Contextual Learning | Document local experiences; share insights across centres to support scalability and continuous improvement | |
Promote network weaving | Sustainability and Scale-up | Leverage academic and inter-organizational networks to disseminate findings, promote long-term adoption, and enhance sustainability |