Testing the implementation and sustainment facilitation (ISF) strategy as an effective adjunct to the Addiction Technology Transfer Center (ATTC) strategy: study protocol for a cluster randomized trial

Table 6 Dose for each overarching strategy during the sustainment phase (months 13–18)

Blended Strategy and the discrete strategies that it encompasses	Month 1			Month 2			Month 3
	Training, coaching, or facilitation staff	ASO’s leadership staff	ASO’s BI staff	Training, coaching, or facilitation staff	ASO’s leadership staff	ASO’s BI staff	Training, coaching, or facilitation staff	ASO’s leadership staff	ASO’s BI staff
Addiction Technology Transfer Center (ATTC)
A. Centralized technical assistance	NA	NA	NA	NA	NA	NA	NA	NA	NA
B. Develop educational materials
C. Develop and organize quality monitoring systems
D. Develop tools for quality monitoring
E. Distribute educational materials
F. Conduct educational meetings
G. Make training dynamic
H. Audit and Provide feedback
I. Provide ongoing consultation
J. Create a learning collaborative
Implementation and sustainment facilitation (ISF)
K. Use an improvement and implementation advisor	1 h	1 h	1 h	1 h	1 h	1 h	1 h	1 h	1 h
L. Develop tools for quality improvement	+	+	+	+	+	+	+	+	+
M. Organize implementation team meetings	+	+	+	+	+	+	+	+	+
N. Identify and prepare champions	+	+	+	+	+	+	+	+	+
O. Assess for readiness and identify barriers	+	+	+	+	+	+	+	+	+
P. Conduct local consensus discussions	+	+	+	+	+	+	+	+	+
Q. Conduct cyclical small tests of change	+	+	+	+	+	+	+	+	+

Blended strategy and the discrete strategies that it encompasses	Month 4			Month 5			Month 6
	Training, coaching, or facilitation staff	ASO’s leadership staff	ASO’s BI staff	Training, coaching, or facilitation staff	ASO’s leadership staff	ASO’s BI staff	Training, coaching, or facilitation staff	ASO’s leadership staff	ASO’S BI staff
Addiction Technology Transfer Center (ATTC)
A. Centralized technical assistance	NA	NA	NA	NA	NA	NA	NA	NA	NA
B. Develop educational materials
C. Develop and organize quality monitoring systems
D. Develop tools for quality monitoring
E. Distribute educational materials
F. Conduct educational meetings
G. Make training dynamic
H. Audit and Provide feedback
I. Provide ongoing consultation
J. Create a learning collaborative
Implementation and sustainment facilitation (ISF)
K. Use an improvement and implementation advisor	1 h	1 h	1 h	1 h	1 h	1 h	1 h	1 h	1 h
L. Develop tools for quality improvement	+	+	+	+	+	+	+	+	+
M. Organize implementation team meetings	+	+	+	+	+	+	+	+	+
N. Identify and prepare champions	+	+	+	+	+	+	+	+	+
O. Assess for readiness and identify barriers	+	+	+	+	+	+	+	+	+
P. Conduct local consensus discussions	+	+	+	+	+	+	+	+	+
Q. Conduct cyclical small tests of change	+	+	+	+	+	+	+	+	+

The ATTC strategy’s is no longer provided during the 6-month sustainment phase. The ISF strategy is optional during the 6-month sustainment phase. Consistent with an organization-centered approach, any of the discrete strategies are options to use. However, if used the intensity (i.e., time) of the ISF strategy is limited to 1 h per month
NA not applicable, ASO AIDS service organization, BI brief intervention

ISSN: 1940-0640