Conflict of Interest Disclosures: Dr Douglas reported receipt of compensation related to the Peabody Treatment Progress Battery and a financial relationship with Mirah; there is a management plan to ensure that this conflict does not jeopardize the objectivity of her research. No other disclosures were reported.
ObjectiveAlthough tailored implementation methods are touted as superior to standardized, few researchers have directly compared the two and little guidance regarding the specific details of each method exist. Our study compares these methods in a dynamic cluster randomized trial seeking to optimize implementation of measurement based care (MBC) for depression in community behavioral health. This specific manuscript provides a detailed, replicable account of the components of each multi-faceted implementation method.ResultsThe standardized best practice method includes training, consultation, a clinical guideline, and electronic health record enhancements with the goal to optimize the delivery of MBC with fidelity. Conversely, the tailored, customized and collaborative method is informed by recent implementation science advancements and begins with a needs assessment, followed by tailored training that feeds back barriers data to clinicians, the formation of an implementation team, a clinician-driven clinic-specific guideline, and the use of fidelity data to inform implementation team activities; the goal of the tailored condition is to ensure the intervention and implementation strategies address unique factors of the context. The description of these methods will inform others seeking to implement MBC, as well as those planning to use standardized or tailored implementation methods for interventions beyond behavioral health.Electronic supplementary materialThe online version of this article (10.1186/s13104-018-3193-0) contains supplementary material, which is available to authorized users.
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