Table 7 Implementation
Outcome | Measure | Sample | Data collection procedures and Timing/Frequency |
|---|---|---|---|
Fidelity and Completeness to the intervention | % of participants receiving adequate dose of the intervention (Retention for at least 2 of 3 planned visits for both children and caregivers) | ANav Intervention visits with enrolled Children and Caregivers | ANav Intervention Task Tracking (ongoing) |
Quality of intervention delivery | Rubric of quality level for each intervention function (high, acceptable, below, unacceptable) Qualitative assessment of patient-centered communication by intervention visit recordings Family Perspectives on intervention delivery quality | School nurse (identification of students with asthma for ANav) and ANav (other functions) ANav intervention visits with caregivers Families | Research team assessment based on ANav data captured for each intervention function Zoom/audio-recordings of intervention visits reviewed by research team qualitative data analyst Annual family interviews |
Family satisfaction with core intervention functions and net promotor score for the BACK program [55] | Annual family program evaluation survey | ||
Fidelity and Completeness of the Implementation Strategy | % implementation strategies completed during each school year as defined in the implementation blueprint, with a focus on Training, Facilitation, and the Enhanced implementation strategies | ANavs | Annual assessment of the rate of implementation strategy completion for that school year: informed by ANav task tracking and training and meeting attendance, and agenda and minutes from meetings (e.g. communities of learning and practice, CAB, SAB, annual research mtg, periodic reflections) |
Quality of implementation strategies | Perspectives of nurse, family and ANavs on implementation strategy success as defined by enhanced communication and engagement, care coordination, sufficient training, and tailor and adapting to context as appropriate | School Nurse and Family ANav | Annual interviews of purposive sample: school nurse, family caregiver Annual interviews: all ANavs |
Quantitative assessment of overall program satisfaction and satisfaction with program implementation resources | Family, School nurse, ANav | Annual program evaluation survey | |
Adaptations to intervention and implementation strategies | Modifications to design or delivery of BACK core functions for intervention, implementation strategies, or study design | ANav | Ongoing assessments at weekly ANav COPLs and specifically assessed during quarterly periodic reflections by ANav using a research team tracking tool |
Cost | Resources used | Supplies used for BACK | Invoices |
Cost outputs—School staff time and ANav time | School staff involved in BACK implementation, ANav | Ongoing ANav activity tracking, annual Navigator and school nurse surveys, invoices, attendance at school Nurse and Navigator COPLs | |
Cost inputs – reimbursement | School district administrators | Study team annual tracking |