Table 2 PVS-PREDIAPS implementation strategy and action timing mapping

Implementation strategy component

Actions conducted

1 Mar

2 Apr

3 May

4 June

5 July

6 Aug

7 Sept

9 Oct

9 Nov

10 Dec

11 Jan

12 Feb

Strengthening of Local Leadership Goals: to provide the local coordinator with interpersonal and organizational skills to support the implementation Discrete implementation strategies: Recruit, designate and train for leadership (ERIC 57); Conduct educational meetings (ERIC 15); Ongoing support for implementation (ERIC 55)

3-day leader training workshop (Lt _i) (5 h/session)

X _Lt1-3 

Ongoing leader support meetings (Lsm_i) (4 h/meeting)

X_Lsm1

X_Lsm2

X_Lsm3

X_Lsm4

X_Lsm5

Training in the clinical intervention Goals: to provide initial training in the recommended type 2 diabetes (T2D) prevention clinical intervention and the ICT support tool in the electronic health record Specific implementation strategies: Conduct educational and skill development meetings (ERIC 15 and 19); Changes in record systems (ERIC 12)

Session 1: Primary prevention of T2D in PC: evidence and recommended practice (90 min/session)

X_s1

M₁

X_s2

Session 2: ICT application for the promotion of healthy habits in the EHR (6 h/session)

Collaborative planning of the intervention program Goals: to plan the local program based on shared decision-making: objectives, actions, agents, work flow, organization and sharing out of tasks Discrete implementation strategies: Conduct local needs assessment (ERIC 18); Conduct educational and outreach meetings (ERIC 15); Conduct local consensus discussions (ERIC 17); Intervention mapping (ERIC 48, 51, and 59); Conduct ongoing training (ERIC 19); Plan-Do-Study-Act cycles (ERIC 14); Develop a formal implementation blueprint (ERIC 23).

Session 3 – Needs assessment and prioritization of areas for improvement (90 min);

X_s3

Session 4/5 – Planning T2D prevention program (180 min);

X_s4

X_s5

Session 6/7 – Plan-Do-Study-Act cycles 1 and 2 (90 min each);

Session 8 – Refresher training (180 min);

Session 9 – Plan-Do-Study-Act cycle 3, plus engagement of physicians in the Sequential group (90 min);

X_p3

M₂

 Implementation strategy component

Actions conducted

13 March

14 April

15 May

16 June

17 July

18 Aug

19 Sptb

20 Octb

21 Nov

22 Dec

23 Jan

24 Feb

 Continuation of … Strengthening of local leadership

Ongoing support meetings (4 h/meeting)

X_Lsm6

X_Lsm7

X_Lsm8

X_Lsm9

X_Lsm10

 Continuation of …Collaborative planning of the intervention program

Session 10 – Standardization of the local program (90 min)

X_s10■

 Ongoing sustainability Goals: to continually support and assess innovation being put into practice Discrete implementation strategies: Develop quality monitoring systems (ERIC 27); Audit and provide Feedback (ERIC 5);

Regular audits and ongoing facilitation sessions (6 sessions, 90 min each)

X_ms2

X_ms3

M_4.2

X_ms4

M_4.3

Ongoing supportive training

M₃

Implementation strategy component

Actions conducted

Continuation of …Strengthening of local leadership

Ongoing support meetings (4 h/meeting)

Continuation of … Ongoing sustainability

Regular audits and ongoing facilitation sessions (6 sessions, 90 min each)