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Table 1 List of Implementation Strategies Included in the BWS Choice Experiment

From: Community stakeholder preferences for evidence-based practice implementation strategies in behavioral health: a best-worst scaling choice experiment

Category Strategy Name Definition
Financial Incentives EBP certification bonus Receipt of a 1-time bonus for verified completion of a certification process over a 1-year period, in which clinicians: attend four, 1-day booster training sessions; pass a multiple-choice knowledge test; and submit one tape of a session with a client where they use the EBP.
Compensation for use of EBP per session Receipt of additional compensation (in addition to regular paycheck) upon verification of using the EBP in sessions with clients for whom it is appropriate (i.e., per session), up to a specified amount per year.
Compensated time for EBP preparation Ability to bill for any verified time clinicians spend preparing to use the EBP (e.g., reviewing the protocol, preparing materials for session, reviewing client homework, etc.), up to a specified amount per year.
Clinical Consultation Expert-led EBP consultation 1-h, monthly, web- or phone-based consultation, with up to 5 other clinicians, for 1 year led by an expert EBP trainer.
Peer-led EBP consultation 1-h, monthly web- or phone-based conference, with up to 5 other clinicians, for 1 year led by a clinician with experience implementing the EBP in Philadelphia.
Expert in your back pocket (on call) Network of EBP trainers on call via phone or web chat for same-day, 15-min consultations to problem-solve issues with implementing the EBP.
Clinical Support Tools Web-based resource center/ mobile app Includes: (a) video examples of how to use specific techniques for the EBP, (b) “session checklists” with steps outlined for using the EBP techniques in session, and (c) downloadable worksheets and measures needed to use the EBP.
Electronic evidence-based screening instrument inventory Evidence-based screening instruments included in an electronic medical record, completed electronically by clients in the waiting room (e.g., tablet); results are automatically scored and immediately available so clinicians can assess treatment needs and track client progress.
Clinician Social Support and Networking EBP-focused online forum Confidential site available only to registered clinicians who use the EBP, where clinicians can login and post questions and answers about using the EBP, share tips, and identify resources for using the EBP.
Community-based EBP mentoring program One-on-one mentoring program, where clinicians are matched with a local peer clinician who works with the same population to support each other in implementing the EBP.
Performance Feedback / Social Comparison EBP Performance benchmark leaderboard Posted where only agency staff can view it, recognizing clinicians in the agency who met a benchmark for EBP implementation each month (based on 3 randomly selected sessions).
EBP Performance benchmark email Available only to the clinician and his/her supervisor, reporting whether s/he met a benchmark for EBP implementation each month (based on 3
randomly selected sessions).
Client Supports Client mobile app/ texting service Provides clients with reminders to attend sessions, prompts to complete homework assignments, and clinician-tailored messages about practicing EBP skills.
Improved waiting room Create a relaxing waiting room (e.g., physical appearance, sensory experience) that helps prepare the client to enter the session ready to work on EBP content.