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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