Table 3 Implementation outcomes
Variable/Construct | Measure(s)/Metrics | Source | Method | |
|---|---|---|---|---|
RE-AIM Implementation Evaluation Framework | Reach | 1. Proportion of enrolled community members (study participants) engaged in the intervention 2. Proportion of eligible patients in community who express interest in the Kaiser bundle | EHR/Ad EHR/Ad | — — |
Effectiveness (of the clinical intervention) | Effect size of Kaiser bundle (BP control rate) | BP measurement | ||
Adoption | Number and proportion of delivery agents that deliver assigned component(s) of the Kaiser bundle to study participants (specific to FBO and CHC contexts) | EHR | — | |
Implementation | ||||
a. Acceptability | Acceptability of Intervention Measure (AIM) [50] 4-items (α = .85) | L, Im, PF | S | |
b. Appropriateness | Intervention Appropriateness Measure (IAM) [50] 4-items (α = .91) | L, Im, PF | S | |
c. Cost | Cost capture survey [61] time-driven activity-based costing methods [62] BP control services provided | Im, PF, R EHR | S — | |
d. Feasibility | Feasibility of Intervention Measure (FIM) [50] 4-items (α = .89) | L, Im, PF | S | |
e. Fidelity | FACITS system [63] to assess fidelity to the PF protocol (PF arm only) | Im, PF, Ad | S | |
Sustainment | CHCs: Clinical Sustainability Assessment Tool (CSAT)Short Form [64], 7 domains, 21 items total FBOs: Program Sustainability Assessment Tool (PSAT) Short Form [64], 8 domains, 40 items total Sustainment of Kaiser bundle activities, use of program tools, etc | L L EHR | S, I S, I — | |