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Table 4 RE-AIM implementation outcomes and measures

From: Protocol for the “Implementation, adoption, and utility of family history in diverse care settings” study

Outcomes Measure Source
Model reach Representativeness of patient population to general population Recruitment data (# enrolling/# invited); SES and demographics compared to overall population; compare across clinical settings and institutions
Effectiveness see Domains of Measures and Outcomes Table
Model adoption Representativeness of clinics agreeing to participate Recruitment data on clinic settings and characteristics as compared to general clinic settings at the institution; % of providers opting out and their characteristics compared to overall provider population in the clinics; formative evaluations on reasons for opting out
Implementation integrity % time intervention used as intended Formative evaluations, study coordinator tracking patient through steps in the model (ex. MeTree log-in vs completion), adaptations to the model, patient and provider FAQs derived during implementation, % time providers review CDS output
Implementation exposure % time intervention used Formative evaluations, study coordinator tracking patient through steps of the model
Maintenance and sustainability Cost to implement • EHR administrative data for utilization
Cost/effectiveness • Formative evaluations (clinic resource needs, successful elements for each setting, factors association with long-term adoption or not),
• % adoption at study end
• costs/disease prevented, early stage detected, or visits avoided