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Table 1 RE-AIM measures

From: Integrating addiction treatment into primary care using mobile health technology: protocol for an implementation research study

Dimension

Measure

Source

Research question*

Frequency

Reach

Number of Seva patients (eligible, excluded, enrolled)

Patient survey

2

Pre

Characteristics of participating patients

Patient survey

2

Pre

EHR

2

Continuous

Qualitative assessment- reach

Interview- clinic director

1

Pre

Effectiveness

No. patients screened for HIV

EHR

3

Continuous

Healthcare utilization (hospitalizations, ER visits, and residential addiction treatment)

Patient survey

3

0 m, 6 m, 12 m, 18 m

EHR

3

Continuous

Treatment attendance

Patient survey

3

0 m, 6 m, 12 m, 18 m

EHR

3

Continuous

HIV risk behaviors

Patient survey

3

0 m, 6 m, 12 m, 18 m

Substance use

Seva

3

Weekly

Patient survey

3

0 m, 6 m, 12 m, 18m

Quality of life

Patient survey

3

0 m, 6 m, 12 m, 18 m

Qualitative assessment - effectiveness

Interview - clinic director

1

12 m

Adoption (setting)

Characteristics of participating clinics vs. general FQHC population

Publicly available uniform data system reports for FQHCs

2

Pre

Readiness for implementation

Staff survey

2

Pre, every 6 m

Adoption (staff)

Use of Seva by staff (including characteristics)

Seva log files

2

Continuous

Adoption (patient)

Use of Seva by patients (including characteristics)

Seva log files

2

Continuous

Adoption (staff and patient)

Qualitative assessment- adoption

Staff interviews

1

Pre, every 6 m

Patient interviews

1

12 m

Implementation

Stages of Implementation Completion

Staff interviews

1

Pre, every 6 m

Technology acceptance

Staff survey

2

Pre, every 6 m

Adaptations to protocol during intervention period

Staff interviews

1

Pre, every 6 m

Cost of intervention

Staff interviews

1

Pre, every 6 m

Coach logs

1

Continuous

Qualitative assessment - implementation

Interview with clinic director, coach

1

12 m

Maintenance

Sustainability score

Staff survey

1

Pre, every 6 m

Six-month follow-up on all effectiveness measures (see above) and use of Seva

Seva, Patient survey, EHR

1, 2, 3

Various

 

Qualitative assessment - maintenance

Interview - clinic director

1, 2

18 m

  1. Source: Re-aim.org; Measuring the Use of the RE-AIM Model Dimension Items Checklist
  2. *(1) How can Seva be implemented in primary care settings efficiently and effectively? (2) To what extent do patients and staff accept and use Seva? (3) How does Seva affect clinical care for patients and staff?