Harms
The shift in the monthly IP team conferences from the planned in-person to virtual team meetings resulted in the need for additional access to secure virtual technology and the ability to use it effectively to communicate and share information within the team. The teams were concerned that the shift to virtual meetings might impact team collaboration. Several mitigation strategies were used to address these impacts. The IP teams used a web-based collaborative platform (Microsoft Share Point) to securely store study documentation, share them within the team, and keep track of changes or revisions. The Care Coordinator at each of the sites took on the additional responsibility of setting up and maintaining the web-based collaborative platform and trained the members of the intervention team on the use of this software as needed.Redeployment of members of the intervention team to deal with COVID-19 issues resulted in different doses of the intervention being offered to participants within and across sites and stopping the trial early at one of the sites. These pandemic-related changes could have resulted in a negative impact on the effectiveness of the intervention.