Table 1 PRISM domains, elements, and anticipated modification/development focus

Intervention perspectives—organization

Perceived ease of use and usability

x

x

x

Perceived adaptability

x

x

Ability to observe results

x

x

Burden on frontline staff workload and cost

x

x

x

Barriers of frontline staff for delivery and access

x

x

x

Relevance to frontline staff scope of practice

x

x

x

Flexibility with frontline staff tasks

x

Perceived familiarity of intervention by organization staff

x

x

Awareness of the intervention within the organization

x

x

Organization staff agreement with intervention focus, processes, and outcomes

x

Perception of frontline staff to achieve anticipated outcomes through intervention delivery

x

x

Inertia of previous practice

x

x

Frontline staff self-efficacy and motivation to deliver intervention

x

x

Perceived ability of intervention to engage staff and clients

x

x

x

x

Organization readiness for the intervention

x

Alignment with organization mission and change capacity

x

x

Need for inter-department coordination

x

x

Strength of evidence base for clinical target area

x

Intervention perspectives—client

Perception of intervention’s ability to benefit client regardless of clients’ stage of change

x

Perception of intervention’s ability to provide client choices

x

Addresses barriers to client’s ability to follow advice and set collaborative goals/action plans

x

Seamless transition between program elements

x

x

Intervention addresses barriers to service use and access

x

x

Minimizes client burden

x

Intervention ability to set collaborative goals and action plans with clients

x

Ability to provide client feedback on successes and failures

x

Concerns about confidentiality

x

x

External environment

Community resources for referrals

x

x

x

x

Fiscal and regulatory requirements

x

x

Pay or satisfaction

x

x

Competition among other organizations

x

x

Recipient characteristics—organization

Use of existing staffing and capacities

x

x

x

x

Clinical risk management policies

x

x

x

x

Supervision structure

x

Culture of “risk-taking”

x

Organizational health

x

x

x

x

Management support and communication

x

Shared goals and cooperation

x

Data and decision support tools

x

Recipient characteristics—client

Mental health needs

x

x

x

Knowledge and beliefs

x

x

x

Demographic characteristics

x

x

x

Competing demands

x

x

x

Implementation infrastructure

Performance data

x

Dedicated implementation team

x

Adopter training and support

x

x

x

Relationship and communication between adopters and bridge researchers

x

Adaptable protocols and procedures

x

Facilitation of sharing of best practices

x

Plan for sustainability

x