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Table 1 Examples of applying tailored implementation strategies to target potential assumptions

From: Implementing nudges for suicide prevention in real-world environments: project INSPIRE study protocol

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?