106 4.2.2 Implementation Strategies

To be an effective implementation facilitator:

• Ask questions to assist the client in determining the stage of readiness for change
• Identify the system: key people, reporting relationships
• Identify allies and potential allies

Where do key influencers and decision-makers sit with respect to your proposed program?

• Be clear about goals, strengths and weaknesses
• Analyze from the adversary’s point of view
• Express empathy – builds trust
• Emphasize self-efficacy – you believe in them

Implementation strategies include the following:

• Involve others (patients, clinicians, leaders etc.)
•  Recruit, designate and train leaders for the change effort
•  Facilitator/Champions/Local Opinion Leaders
•  Obtain and use stakeholder feedback (e.g. participants)
•  Tailor implementation to address barriers (e.g. timing)
•  Promote adaptability of intervention (unless fidelity is the goal)
•  Use small tests of change