Table 2 Implementation outcomes measured in the trial
Outcome Definition | Role in analysis | Referent | Data source and measurement | Timing and frequency | Unit of analysis |
|---|---|---|---|---|---|
Unit of observation | |||||
Acceptability The perception among implementation stakeholders that a given treatment, service, practice, or innovation is agreeable, palatable, or satisfactory. | Independent variable | Selected stewardship interventions ROAD Home Strategy | Survey – acceptability of intervention measure; qualitative interviews | Post-intervention Once | Organization |
Individual implementation leads | |||||
Feasibility The extent to which a new treatment, or innovation, can be successfully used or carried out within a given agency or setting. | Independent variable | Selected stewardship interventions | Survey – feasibility of intervention measure; qualitative interviews | Post-intervention Once | Unit of analysis: organization Unit of observation: individual implementation leads |
Fidelity The degree to which an intervention was implemented as it was prescribed in the original protocol or as it was intended by the program developers. | Dependent variable | Selected stewardship interventions ROAD Home Strategy | Observations; document analysis; qualitative interviews | Pre-intervention intervention post-intervention Ongoing | Unit of analysis: organization Unit of observation: individual implementation leads |
Sustainment The extent to which a newly implemented treatment is maintained or institutionalized within a service setting’s ongoing, stable operations. | Dependent variable | Selected stewardship interventions | Survey: qualitative interviews; medical record review | Post-intervention Twice – end of intervention (survey, interview, medical record review) and 12 months post-intervention (survey, record review) | Unit of analysis: organization Unit of observation: individual implementation leads |