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Table 2 Potential covariates of re-engage implementation

From: Cluster randomized adaptive implementation trial comparing a standard versus enhanced implementation intervention to improve uptake of an effective re-engagement program for patients with serious mental illness

Covariates for all facilities

Data source

Construct from CFIR

Patient characteristics:

Administrative Data- NPR

 

• Gender

• Race

• Age

• Military service period

• Psychiatric Diagnoses

• Indication of a history of homelessness

• History of substance use disorder

Presence of PRRC at site

Administrative Data- MHS maintained

Inner Setting- Implementation Climate- Compatibility

Presence of LRC when Re-Engage was Rolled Out

Administrative Data- MHS maintained

Inner Setting- Readiness for Implementation- Available Resources

Facility Complexity

Administrative Data

Inner Setting- Structural Characteristics

Number of Vets on List

Re-Engage Program Records

Intervention Characteristics- Complexity

Overall facility size

Administrative Data

Inner Setting- Structural Characteristics

Number of SMI Vets associated with Facility

Administrative Data- NPR

Inner Setting- Structural Characteristics

Academic Affiliation of facility

Administrative Data- Ascertained via US News & World Report Med School Rankings

Inner Setting- Culture

Urban/Rural Facility

Administrative Data

Inner Setting- Structural Characteristics

Whether the site or VISN viewed Re-Engage as a research project

Technical Assistance Minutes

Either: Characteristics of Individuals- Knowledge & Beliefs about the Intervention OR Characteristics of the Intervention- Intervention Source

The performance of other VAs in VISN on SMI Re-Engage Implementation

Re-Engage Program Records

Outer Setting- Peer Pressure

Covariates for sites receiving enhanced REP

Data source

Construct from CFIR

Number of Facilitation Contacts with Site

Facilitator Notes

Process- Executing

Number of Facilitation Contacts with VISN Mental Health Leadership

Facilitator Notes

Process- Executing

Did the Facility adapt SMI Re-Engage and use a Team approach?

Facilitator Notes

Intervention Characteristics- Adaptability

Was there evidence that SMI Re-Engage was a priority in VISN or at site?

Facilitator Notes

Inner Setting- Implementation Culture- Relative Priority

Did the LRC perceive available time (or resources) in order to do the required aspects of the SMI Re-Engage program?

Facilitator Notes

Inner Setting- Readiness for Implementation- Available Resources

Does the VISN Mental Health Lead/seem to have a positive view of SMI Re-Engage?

Facilitator Notes

Characteristics of Individuals- Knowledge & Beliefs about the Intervention

Does the LRC at a site seem to have a positive view of SMI Re-Engage?

Facilitator Notes

Characteristics of Individuals- Knowledge & Beliefs about the Intervention

Does the VISN Mental Health Lead accurately understand SMI Re-engage?

Facilitator Notes

Characteristics of Individuals- Knowledge & Beliefs about the Intervention

Does the LRC accurately understand SMI Re-Engage?

Facilitator Notes

Characteristics of Individuals- Knowledge & Beliefs about the Intervention

Does the LRC feel capable of executing the tasks associated with SMI Re-Engage?

Facilitator Notes

Characteristics of Individuals- Self-efficacy

  1. Abbreviations: NPR the VHA National Psychosis Registry, CFIR the Consolidated Framework for Implementation Research, PRRC VA Psychosocial Rehabilitation and Recovery Center, MHS VHA Mental Health Services, VISN VA Veterans Integrated Service Network, SMI Serious mental illness, LRC Local recovery coordinator.