Table 1 Description of implementation strategies

Pre-implementation

Barriers and facilitators

During this stage, the literature was reviewed. The researchers assessed local needs, resources, barriers and facilitators to develop specific implementation strategies. Perspectives of clinicians on internal resources were measured by the “Survey of Organizational Attributes for Primary Care”.

Support materials

All the support material for the intervention was prepared.

Management and quality control systems

Mechanisms for effective communication and the case report form were defined and piloted. A checklist (online database) was developed and piloted to monitor the implementation progress in each Primary Health Care centre.

Facilitation and leadership

The facilitator (member of the research team) and the leader (member of the primary care team) of the implementation were designated.

Commitment of stakeholders

Formal commitments were established with the managers (at the macro, meso and micro levels), professionals of the centres involved and community partners.

Training

Training activities were conducted, specially training in motivational interview

Collaborative modelling

Local sessions to adapt and tailor the intervention to the specific context through shared decision making.

Implementation

Collaborative learning

The facilitator and the implementation leader monitored implementation processes, identified opportunities for improvement and optimised implementation.

Commitment of main stakeholders

Audit and feedback techniques were used with the main stakeholders to maintain the commitment and the motivation.

Training

Health professionals received continuous training in motivational interview.

Post-implementation

Management and quality control systems

The implementation evaluation was conducted using qualitative and quantitative methodologies