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Table 1 Broad barrier prompts for contextualisation discussions

From: A South African experience in applying the Adopt–Contextualise–Adapt framework to stroke rehabilitation clinical practice guidelines

  What is required to effect change? In minimum standard of care In higher standard of care Training required? If so what, and for whom?
Organisation
 • Resources
 • Type of workforce
Responses should identify and address specific local issues In the least resourced environment for care provision (eg community clinics) In a well resourced environment for care provision (eg metropolitan tertiary hospital) Who requires additional training to implement each recommendation? What training is required, and how should it be delivered?
Service delivery
 • Legislative responsibilities/constraints
 • Availability of workforce
Responses should identify and address specific local issues In the least resourced environment for care provision (eg community clinics) In a well resourced environment for care provision (eg metropolitan tertiary hospital) Who requires additional training to implement each recommendation? What training is required, and how should it be delivered?
Communication
 • People
 • Resources (phone, internet, fax)
Responses should identify and address specific local issues In the least resourced environment for care provision (eg community clinics) In a well resourced environment for care provision (eg metropolitan tertiary hospital) Who requires additional training to implement each recommendation? What training is required, and how should it be delivered?
Clinical care
• Availability of workforce
 • Type of workforce
 • Capacity of workforce
 • Available equipment
 • Other available resources
Responses should identify and address specific local issues In the least resourced environment for care provision (eg community clinics) In a well resourced environment for care provision (eg metropolitan tertiary hospital) Who requires additional training to implement each recommendation? What training is required, and how should it be delivered?