Table 3 CAB-informed ERIC implementation strategies
Barrier | ERIC | Action | Justification | |
|---|---|---|---|---|
Category | Strategy | |||
Logistical challenges | Provide interactive assistance | Provide local technical assistance | Integra develop and finalize referral processes and address logistical challenges | Integra ACO will run the VeggieRx program long term |
Capacity | Adapt and tailor to context | Promote adaptability | Provide delivery of vegetables to all patients via 3rd party vendor (CartwheelRI) | Patients would find VeggieRx more acceptable and appropriate if VeggieRx offered delivery |
Provider awareness | Train and educate stakeholders | Conduct educational meetings | Integra to conduct meetings with staff who facilitate program referrals to orient them to the referral process | Integra will facilitate the referral process, providing practices with updates |
User-friendliness of vegetables/ Spanish language | Distribute educational materials | Distribute materials to patients (in English and Spanish) about VeggieRx and referral process | Patients receive a card or email with VeggieRx information | |
Provider awareness | Distribute educational materials | Distribute materials to providers about VeggieRx and how to make referrals | Distributing educational materials will help providers and staff learn about VeggieRx | |
User-friendliness of vegetables/Spanish language | Develop educational materials | Add tips about vegetable shelf-life, storage, and preparation to existing materials in both English and Spanish; include links to online videos/resources | Patients identified lack of familiarity with certain vegetables | |
Logistical challenges | Provide ongoing consultation (track strategies) | Schedule regular check-ins on the use of implementation strategies and troubleshoot/answer questions about challenges that arise related to employing the blueprint | Tracking implementation strategy usage is a critical component of implementation measurement | |
Provider awareness | Support clinicians | Remind clinicians | Champions to provide prompts to providers to screen patients for program | Providers may need prompts/reminders to ensure they remember to refer appropriate patients to the VeggieRx program |
Logistical challenges | Engage consumers | Intervene with patients/consumers to enhance uptake and adherence | During intake process, assess patients’ needs related to social determinants of health (SDOH) and make referrals to resources that can address these needs | Ensure that patients receiving vegetable delivery appropriately and satisfactorily address their SDOH needs |
Logistical challenges | Change infrastructure | Change record systems | Change to two-part referral system with integra relaying all patient information to southside | Methods to improve referral systems will likely help providers more easily make referrals to (adopt) the program |