Overview of study design
The purpose of the survey was to develop a pre-implementation understanding of organizational context of clinics participating in the CLARO RCT. The target population for the survey was clinic staff in the primary care clinics, including clinicians. The intent was to survey as many staff members from each healthcare system as possible, and to gather data from staff working in a range of clinic roles, as compared to taking a sampling approach.The survey included informed consent language that explained the survey to respondents and specified that their participation was voluntary, that they could skip items or stop taking the survey at any time, that personal data would be kept confidential, and that data were for research use only and would not be shared with outside parties. Those invited to take the survey were entered into a sweepstakes for the chance to win one of 13 $100 gift cards for at least one winner per clinic.To pre-test the survey, some CLARO team members and representatives from the healthcare systems were invited to test the survey and provide feedback about question wording and the length of time it took to complete the survey.