Recommendations include : 1 ) solicit explicit support from the highest levels of the organization through , for example , performance measures or clinical practice guideline recommendations ; 2 ) adopt the intervention incrementally starting within a specific treatment track or clinic to reduce staff and funding burden until local evidence of effectiveness and feasibility is available to support spread ; and 3 ) educate staff about the process , goals , and value/effectiveness of the intervention and engage them in implementation planning from the start to enhance investment in the intervention .