Table 3 Implementation measures based on Practical, Robust Implementation and Sustainability Model (PRISM) constructs

Reach

Ongoing Electronic Health Record (EHR) review

Proportion of patients who completed the decision coaching session with the patient navigator among patients consented and randomized to the TELESCOPE arm

Implementation (Fidelity)

Recordings of first 3 decision coaching sessions of each patient navigator, then a random 20% of each patient navigator’s remaining sessions

Fidelity checklist to evaluate patient navigators’ 1) telehealth technical skills (4 items), 2) content of SDM conversations (16 items), and 3) decision coaching skills (6 items)

Characteristics of the Recipients – Organizational Perspective

T0^a practice administrators survey

Site-level characteristics questions

T0 and T1^a clinician surveys

Demographic questions;

Organizational Readiness for Change (ORIC) measure [53];

Beliefs about LCS (adapted from LCS-12) [42]

T0 navigator survey

Organizational Readiness for Change (ORIC) measure [53]

Intervention Characteristics – Organizational Perspective

T1 clinician survey, T1 navigator survey

Acceptability of the intervention measure (AIM), intervention appropriateness measure (IAM), and feasibility of intervention measure (FIM) [54]

Intervention Characteristics – Patient Perspective

T1 patient survey (1 week follow-up survey after the scheduled clinic visit)

Ottawa Acceptability Measure [52]

Intervention – Organizational Perspective; Characteristics of Recipients – Organizational Perspective; Implementation and Sustainability Infrastructure;

External Environment

Semi-structured interviews with clinicians, practice administrators, navigators^b

Semi-structured interview guide will reflect PRISM constructs

Efficacy (Patients)

Ongoing EHR review

Proportion of patients obtaining lung cancer screening and tobacco treatment in each study arm