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Table 3 Overview of the aspects of the national implementation that are evaluated and the related measurement

From: GLA:D® Back: implementation of group-based patient education integrated with exercises to support self-management of back pain - protocol for a hybrid effectiveness-implementation study

Process Definition/Measurement Data Source
Spread (promotion of GLA:D Back)
Newsletter from professional organisations
Information to GLA:D Knee/Hip deliverers
Description of GLA:D Back in magazine for general practitioners
Information on the GLA:D Back web site
Use of social media
The extent to which the intended promotion activities are delivered (Table 2) Web sites, social media, e-mails
Clinician reach The proportion of chiropractors and physiotherapists, on a contract with the universal health insurance, participating in GLA:D Back courses.
Profile of enrolled clinicians.
Course registration
Penetration and adoption (extent of implementation) Geographical penetration measured as the number of municipalities with at least one GLA:D Back deliverer.
Rate of adoption will be measured as the proportion of clinics with trained clinicians offering GLA:D Back (defined as having entered at least five patients in the clinical registry) within 6 months of course participation.
The number of patients starting GLA:D Back
GLA:D Back registry
Fidelity (quality of implementation) The extent to which the core elements of the clinical intervention are delivered Observations in selected clinics
Patient 4 month surveys
Determinants of implementation The domains of knowledge, skills, beliefs about capability, beliefs about consequences, innovation, patients, intentions, organisation, social influences, social context, and behavioural regulation are captured by the Determinants of Implementation Questionnaire (DIBQ) [16]. Clinician surveys
Patient participation Proportion of patients enrolled in GLA:D Back that complete the program
Profile of enrolled patients and of completers/non-completers
Reasons that patients do not want to participate
Patient surveys in the GLA:D Back Registry
Clinician surveys