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Table 1 Multi-faceted intervention overview

From: Implementation of evidence-based practice for benign paroxysmal positional vertigo: DIZZTINCT– A study protocol for an exploratory stepped-wedge randomized trial

Implementation strategy components Component description
1. Local champions Local champions (ED providers) will be recruited and trained in BPPV testing and diagnosis. Each will participate in the CME session, follow-up sustainability session, and commit to help during routine care
2. Educational sessions. Interactive and hands-on sessions Sessions will review BPPV mechanisms and evidence, utilize videos, include hands-on demonstration, and address barriers from aim 1
3. Decision aid. Multi-media web-based decision aid application Includes high-yield text and videos on the BPPV processes and characteristic exam findings. Audit and Feedback – split out as its own row. Will also include individual- and group-level feedback on dizziness care process delivery over time
4. Referral resource Readily available list of outpatient, experienced, BPPV providers accepting referrals
5. Follow-up educational sessions Sessions, led by local champions, to facilitate adoption, implementation, and sustainability
6. Partnered development and other resources Other resources, identified by and developed by the local medical providers may be provided
  1. BPPV benign paroxysmal positional vertigo, CME continuing medical education, ED emergency department