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Table 3 Implementation strategies and relation to COM-B constructs and content.

From: Implementation of the Swedish Guideline for Prevention of Mental ill-health at the Workplace: study protocol of a cluster randomized controlled trial, using multifaceted implementation strategies in schools

Implementation strategiesCOM-BContent
Educational meetingMotivationIntroduction by the research-team, including the aim and structure of the meeting
Psychological capabilityResearch-team presents the content of the guideline
Reflective motivationExercise 1: schools discuss if there is a need to adapt the recommendations to the school-context
Psychological capabilityExercise 2 (world-café): schools exchange knowledge regarding how they adhere to the recommendations of the guideline and possible barriers and facilitators of adherence.
Reflective motivationExercise 3: each school chooses a recommendation to implement and discusses the advantage of adhering to the recommendation.
Reflective motivationExercise 4: each school develops an action plan for the implementation of the chosen recommendation
Social opportunity MotivationExercise 5 (devils-advocate): in pairs - schools peer review each other’s action plan.
Psychological capability MotivationResearch-team presents the concepts of barriers and facilitators. Group discussion on what can influence the implementation of the formed action plans and on what can ensure a successful implementation.
Automatic motivationResearch-team asks each school to answer a set of motivational coaching questions aimed creating motivation for implementing the guideline.
Implementation teamSocial opportunityThe members of the implementation team provides social support within team.
Social opportunityThe implementation team provides social support, modelling and social comparison between teams.
Reflective motivationThe Plan-Do-Study Act cycles give implementation teams a structured approach to the implementation of the guideline’s recommendations.
Social opportunityThe communication plan will give implementation teams the opportunity to specify the support they need from the municipality’s educational board to facilitate the implementation process.
Workshop 1Reflective motivationIntroduction, each school describes which recommendation they chose to implement under the educational-meeting, and any activities that have already been undertaken.
Psychological capabilityResearch-team presents recommendation 1 and specified target-behaviors
Psychological capabilityResearch-team presents the concept of SMART-goals
Reflective motivationExercise 1 (PLAN): implementation team writes a SMART-goal for a recommendation they are planning to implement
Psychological capability, reflective motivationExercise 2 (PLAN): implementation teams conduct a planning exercise, specifying in small detailed steps how they are planning to reach their SMART-goal. The exercise results in a detailed action-plan describing the different steps, when they will be undertaken and who is responsible.
Social opportunityPlenary discussion on support and communication, both between the implementation teams and from the municipality’s educational board.
Workshop 2Reflective motivationEach implementation team briefly presents if they carried out their specified plan (DO), which barriers and facilitators influenced execution (STUDY) and what needs to be adapted in the plan (ACT).
Psychological capabilityResearch-team presents the concept of behavior-change and factors that can influence behavior change.
Reflective motivation, social opportunityExercise 1: in pairs - implementation teams discuss barriers that influenced execution (STUDY) and possible solutions to these barriers.
Reflective motivationExercise 2: on the basis of exercise 1 each implementation team adapts their action plan (ACT) or develops a new action-plan (PLAN)
Social opportunityPlenary discussion with a representative of the municipality’s educational board on support needed for successful implementation.
Reflective motivationEach implementation team briefly presents their (updated) plan (PLAN)
Workshop 3Psychological capability, automatic motivationResearch-team discusses the importance of having routines in place to ensure that implemented changes are sustained over time.
Reflective motivationEach implementation team briefly presents if they carried out their specified plan (DO), which barriers and facilitators influenced execution (STUDY) and what needs to be adapted in the plan (ACT).
Reflective motivationThe implementation team adapts their action plan (ACT) or develops a new action-plan (PLAN)
Reflective motivationExercise 1: (backward brainstorm) plenary exercise identifying barriers that hinder individuals from following routines. The exercise results in a consensus of what an optimal routine should look like.
Reflective motivationExercise 2: each implementation team choses a recommendation for which they would like to develop a routine.
Reflective motivationExercise 3: each implementation team develops a routine for the chosen recommendation - describing how the recommendation can become a reoccurring routine (PLAN), for example how can we ensure that the assessment of social and organizational risk at our workplace becomes a reoccurring event.
Workshop 4Reflective motivationExercise 1: implementation team reflects over how they currently work with recommendation 3.
Reflective motivation, social opportunityPlenary discussion on current adherence to recommendation 3.
Psychological capability, automatic motivationResearch-team presents recommendation 3 and specified target-behaviors
Reflective motivationExercise 2 (PLAN): implementation team writes a SMART-goal for recommendation 3.
Reflective motivationExercise 3 (PLAN): implementation team conduct a planning exercise, specifying in small detailed steps how they are planning to reach their SMART-goal. The exercise results in a detailed action-plan describing the different steps, when they will be undertaken and who is responsible.
Reflective motivationEach implementation team briefly presents their plan (PLAN)
Workshop 5Reflective motivationEach implementation team briefly presents if they carried out their specified plan (DO), which barriers and facilitators influenced execution (STUDY) and what needs to be adapted in the plan (ACT).
Psychological capability, automatic motivationResearch-team further presents recommendation 3 and specified target-behaviors.
Reflective motivationExercise 1: The implementation teams conduct an exercise related to recommendation 3. The exercise is aimed at supporting the implementation teams with prioritizing areas of their social and organizational work environment that need to be improved.
Reflective motivationExercise 2: The implementation team adapts their action plan (ACT) or develops a new action-plan (PLAN) aimed at the implementation of recommendation 3.
Reflective motivationExercise 3: The implementation team reflects over how they will continue with the implementation of the recommendations and adherence to the recommendations. Moreover, the implementation teams plans for the coming school-year, e.g. in what way will the implementation team continue, how often will they meet, are additional members needed etc.