Table 2

Implementation strategies to be tailored to each clinical team for the PROMOTE-PA study

Implementation strategy	Mode of delivery/where/length	Content
Education and training*	Online resource hub accessible through website. All clinical teams in the intervention group will be given access to the online resource hub. Approximate total time to review all content=4 hours. Clinical teams will also be offered the option of face-to-face training	The online resources contain information, case studies and training videos supporting each of the different physical activity promotion options (coaching, referral, prescription and transition programmes). Additional resources include: Short educational videos/webinars presenting simulated clinical scenarios of health professionals delivering physical activity promotion targeting knowledge gaps identified in PROMOTE-PA part 1 pre-implementation study. Links to health professional and patient-facing resources on physical activity benefits, disease-specific considerations, examples of different physical activity options. Resources will include links to available resources, for example, Moving Medicine: https://movingmedicine.ac.uk/; WHO: https://www.who.int/health-topics/physical-activity; and copies of study developed resources
Tailored strategies to address community referral barriers	Referral strategies will be tailored and determined with each clinical team to address their specific context and the barriers they have with community referrals for their patients	Example referral strategies include: An Activity Directory available on the online resource hub. It provides a comprehensive geographical map and list of community physical activity opportunities across the included local health districts. Provide training in finding physical activity opportunities, help to develop links with physical activity providers, develop referral resources. Explore and develop new models of service delivery where indicated to support patients transitioning from hospital-based to community-based physical activity opportunities. These programmes could use existing staffing and partnerships with community physical activity facilities. Develop systems of referral to the PROMOTE-PA Linkage Programme (developed specifically for this study) and new physical activity programmes that support patients in transitioning from hospital-based to community physical activity programmes. Integrate these new referral systems into the clinical workflows for the team
Experts and clinical mentors (external to clinical team)	Mixed delivery—online and face-to-face options. Tailored to each team	Could include presentations and training (eg, how to do physical activity promotion, advice on specific considerations when promoting PA to different populations, how to navigate health professional time constraints) and Q&A sessions/discussions on incorporating physical activity promotion into clinical practice
Clinical champions (internal member of clinical team)	Mix of face-to-face and online support delivered to clinical champions, tailored to each team	Identifying and supporting clinical champions to drive implementation of physical activity promotion into routine practice. Physical activity champions could be identified at the individual team level or site-wide depending on contextual factors. Support offered could include to identify/modify/develop resources for their team (eg, enhancing connections with local community PA options), identify and connect with appropriate physical activity opportunities, and modify clinical assessment forms to include physical activity information to collect

*Education and training will be provided to all clinical teams in the intervention group. The remaining strategies will be offered to all clinical teams and tailored to the needs of each team as required.
PA, physical activity; PROMOTE-PA, Promotion of Physical Activity by Health Professionals.