Table 1 Examples of applying tailored implementation strategies to target potential assumptions
Barrier identified via contextual inquiry | Underlying assumption | Behavioral insight | Implementation strategy to be tested | Plan for testing variations of the implementation Strategy | Sample questions for rapid prototyping evaluation |
|---|---|---|---|---|---|
Clinicians report “forgetting” as a barrier to routine screening | Clinicians intend to screen and would do so more often if they remembered | Cognitive load | Clinicians nudged to screen via posters or text reminders prior to session times | Test different posters hanging in the hallway with various framed messages and in different locations; send text reminders before appointment times to nudge clinicians to screen | Did you notice the poster in the hallway? Did you notice the text message before your sessions? What was it like having a reminder to screen? |
Clinicians do not perceive that others in their organization routinely engage in brief intervention to address suicide risk | Clinicians do not believe that brief interventions for suicide risk are the norm in their practice and therefore use these interventions infrequently | Social norms | Weekly leaderboard of clinicians engaging in safety planning for suicide prevention with clients identified to be at suicide risk | Vary timing of the email, who sends it (clinic leader vs. research team), and presentation of the results | Did you open the email? What were your thoughts when you saw the leaderboard? |