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Table 1 Application of RE-AIM, level of evaluation, operationalization, and data sources

From: Protocol: examining the effectiveness of an adaptive implementation intervention to improve uptake of the VA suicide risk identification strategy: a sequential multiple assignment randomized trial

RE-AIM domain Operationalization Data sources QI vs research Evaluation time points
Level of evaluation: clinical innovation
Reach The absolute number and representativeness of veterans that received the primary, secondary screens, and CSRE. Administrative (CDW) data QI Follow-up 2
Effectiveness Whether veterans who receive the CSRE are more likely to receive a safety plan (SP) compared to veterans who screen positive on the primary screen only. Administrative (CDW) data QI Follow-up 2
Implementation Percentage of eligible veterans sampled at each facility who receive the different stages of VA Risk ID as intended; barriers and facilitators to implementation to fidelity. Administrative (CDW) data; key informant (KI) and debriefing interviews; surveys QI and research Baseline, follow-up 1, follow-up 2
Level of evaluation: implementation strategy   
Effectiveness Effect of A&F intervention on implementation of VA Risk ID to fidelity compared to IAU alone. Effect of A&F + EF intervention on implementation of VA Risk ID to fidelity compared to A&F alone. Administrative (CDW) data (primary), EPRP measures (secondary) QI Baseline, follow-up 1, follow-up 2
Adoption Number of sites randomized to the implementation interventions that participated. Characteristics of participating/non-participating sites and reasons for participating/not participating. Key informant (KI) and debriefing interviews QI and research Follow-up 1, follow-up 2
Implementation Percent of sampled instances of implementation intervention delivered to fidelity (i.e., met criteria for adherence). Fidelity checklists; KI and debriefing interviews QI Baseline, follow-up 1, follow-up 2
Maintenance Maintenance of adequate implementation following removal of A&F; sustained implementation of VA Risk ID for high performers Administrative (CDW) data (primary); EPRP measures (secondary) QI Follow-up 1, follow-up 2