| Domain and constructs | Brief description |
| Outer setting | |
| External Policy & Incentives: Governmental directive to merge the organization Legal context | A broad construct that includes events that are external to the program or organization. In the context of the project, there was a merger. • Rules, regulations, professional standards governing clinical practices |
| Inner setting | |
| Networks and communications | • Nature and quality of formal and informal communications within the program: o quality and quantity of feedback among team members and across hierarchical levels o clear communication of mission and goals |
| Implementation climate | • The shared receptivity of clinicians to the use OMs and the extent to which that their use will be supported and expected within the clinical setting |
| Tension for change | • The degree to which clinicians perceive the current situation as requiring change |
| Compatibility | • How well the use of OMs fits with the needs and work practices of clinicians |
| Relative priority | • Clinicians’ shared perception of the importance of the implementation within the program |
| Goals and feedback | • The degree to which goals are clearly communicated, acted upon, and feedback to clinicians and alignment of that feedback with goals |
| Readiness for implementation | • Tangible and immediate indicators of program commitment on the decision to implement the use of OMs |
| Leadership engagement | • Commitment, involvement, and accountability of leaders and managers during the implementation |
| Access to knowledge and information | • Ease of access to digestible information and knowledge about the use of OMs and how to incorporate it into work tasks |
| Intervention characteristics | |
| Quality | • Clinicians’ perceptions of the quality and validity of selected OMs |
| Value of the systematic use of OMs* | • Clinicians’ perception of the advantages and value of the systematic use of OMs at the program level |
| Clinical value* | • Clinicians ‘perception of the advantages and value of using OMs at the clinical level |
| Applicability* | • The degree to which OMs can be applied or used with people with LLA under real-word conditions |
| Adaptability | • The degree to which OMs can be adapted to meet clinical needs |
| Characteristics of individuals | |
| Knowledge & beliefs about the intervention | • Clinicians’ attitudes towards OMs as well as their familiarity with facts and principles related to the use of OMs |
| Other personal attributes: motivation | • The degree to which clinicians expressed motivation to use the OMs |
| Implementation process | |
| Planning | • The degree to which a plan for the implementation of OMs is developed. o Communication and information: § clear communication of mission and goals o Involvement of clinicians at each step of the process |
| Engaging | • Attracting and involving appropriate individuals in the implementation and use of OMs o Formally appointed internal implementation leaders |
| Executing | • Carrying out or accomplishing the implementation according to plan. o Users training o Organizational support o Communication activities |
| Reflecting and evaluating | • Quantitative and qualitative feedback about the progress and quality of implementation |