# Applying the Cognitive Walkthrough for Implementation Strategies Methodology to Inform the Redesign of a Selection-Quality Implementation Toolkit for Use in Schools

**Authors:** Kelsey Dickson, Olivia Michael, Amy Drahota, Aksheya Sridhar, Jessica Tschida, Jill Locke

PMC · DOI: 10.21203/rs.3.rs-4505754/v1 · Research Square · 2024-07-22

## TL;DR

This paper shows how the CWIS method can improve a toolkit for implementing educational strategies in schools by identifying usability issues and redesign solutions.

## Contribution

The study demonstrates the practical application of CWIS to redesign an implementation toolkit for school settings.

## Key findings

- End users found ACT SMARTS acceptable but identified usability issues.
- Eleven usability issues were identified with corresponding redesign solutions.
- CWIS proved useful for tailoring implementation strategies to user and setting needs.

## Abstract

Implementation strategies are key to enhancing translation of new innovations but there is a need to systematically design and tailor strategies to match the targeted implementation context and address determinants. There are increasing methods to inform the redesign and tailoring of implementation strategies to maximize their usability, feasibility, and appropriateness in new settings such as the Cognitive Walkthrough for Implementation Strategies (CWIS) approach. The aim of the current project is to apply the CWIS approach to inform the redesign of a multifaceted selection-quality implementation toolkit entitled ACT SMARTS for use in middle and high schools.

We systematically applied CWIS as the second part of a community-partnered iterative redesign of ACT SMARTS for schools to evaluate the usability and inform further toolkit redesign areas. We conducted three CWIS user testing sessions with key end users of school district administrators, school principals, and educators.

Our CWIS application revealed that end users found ACT SMARTS acceptable and relevant but anticipate usability issues engaging in the ACT SMARTS process. Results informed the identification of eleven usability issues and corresponding redesign solutions to enhance the usability of ACT SMARTS for use in middle and high schools.

Results indicated the utility of CWIS in assessing implementation strategy usability in service of informing strategy tailoring and redesign to improve alignment with user and setting needs. Recommendations regarding the use of this participatory approach are discussed.

## Full-text entities

- **Diseases:** HCD (MESH:D008224), autism (MESH:D001321), DDBT (MESH:D013736), ISUS (MESH:C538175), CWIS (MESH:D003072)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

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## References

35 references — full list in the complete paper: https://tomesphere.com/paper/PMC11302685/full.md

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Source: https://tomesphere.com/paper/PMC11302685