Decision-to-Implement Worksheet Ratings, by Intervention and Concept
| Item | Domain* | Intervention | Correlation With Likelihood of Implementation (P Value) | |||
|---|---|---|---|---|---|---|
| Ask-Advise-Connect (AAC)21 | Electronic Communications and Home Blood Pressure Monitoring to Improve Blood Pressure Control (e-BP)22 | Guide to Decide (GtD)20 | TEAMcare23 | |||
| Participants (n) | 7 | 6 | 7 | 6 | ||
| Agree or strongly agree that this intervention is: | ||||||
| Described clearly | Simplicity | 100% | 100% | 100% | 83% | −.186 (.363) |
| Addressing a common or high priority problem in my practice | Compatibility | 100% | 100% | 43%† | 100% | −0.401 (.052) |
| Simple to implement in my practice | Simplicity | 86%‡ | 17%§ | 29%§ | 33% | −0.634 (.001) |
| An improvement to the current way of doing things in my practice | Relative advantage | 86%‡ | 67%§ | 71%§ | 67%† | −0.084 (.716) |
| Something I could test in my practice prior to fully implementing | Trialability | 71%†§ | 83% | 43%† | 67%§ | −0.519 (.016) |
| Conducted in a setting similar to my practice | Compatibility | 29%†‡ | 83% | 43%† | 17%§ | −0.232 (.325) |
| Relevant to my patient population | Compatibility | 86%‡ | 83% | 29%¶ | 67% | −0.281 (.205) |
| Modifiable to meet the needs of my practice | Trialability | 71%‡§ | 100% | 43%¶ | 83% | −0.478 (.028) |
| Level of practice resources needed to implement this intervention (scale: 1 = low, 4 = high) | ||||||
| Additional training for practice staff | Compatibility | 2.5‡ | 3 | 3 | 3 | −0.338 (.098) |
| Changes to workflow, roles and tasks among team members | Compatibility | 3‡ | 3 | 3 | 4 | −0.191 (.359) |
| Technical assistance to modify the EMR or data systems | Compatibility | 3‡ | 3 | 4§ | 2 | −0.145 (.498) |
| New and/or additional financial investment/support | Compatibility | 2‡ | 3.5 | 2‖ | 2.5 | −0.366 (.103) |
| Support from practice/clinic leadership | Compatibility | 2.5‡ | 3 | 4 | 3 | −0.227 (.276) |
| Likelihood of implementation (scale 1 = low, 5 = high) | ||||||
| Median | 3.5‡ | 2.5 | 2 | 2.5 | ||
| Range | 3–4 | 2–4 | 1–3 | 2–5 | ||
↵* Domains ask the following questions (per Rogers18): relative advantage, “Is the innovation better than what was there before?”; compatibility, “Does the innovation fit with the intended audience, setting, and available resources?”; complexity, “Is the innovation easy to use?”; trialability, “Can the innovation be tried before making a decision to adopt?”; and observability, “Are the results of the innovation visible and easily measurable?”
↵† Two “don't know” or blank responses.
↵‡ One “N/A” response.
↵§ One “don't know” or blank response.
↵¶ Three “don't know” or blank responses.
↵‖ Four “don't know” or blank responses.