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Table 3 Overall assessment of implementation strength

From: Effect of the Growth Assessment Protocol on the DEtection of Small for GestatioNal age fetus: process evaluation from the DESiGN cluster randomised trial

 

Site 7

Site 8

Site 9

Site 10

Site 11

Fidelity

Degree of concordancea with Perinatal Institute guideline

Low

High

Medium

Medium

High

Proportion of staff trained within each professional group

Face-to-face target

> 75%

> 75%

> 75%

> 75%

> 75%

E-learning target

< 75%

< 75%

> 75%

< 75%

< 75%

Proportion of women risk stratified according to GAP

87.5% (105/120)

78.6% (92/117)

84.2% (105/121)

83.2% (99/119)

84.4% (98/116)

Reach

Proportion of women with a GAP-GROW chart in the notes

62.2% (74/119)

98.3% (115/117)

93.3% (131/121)

96.6% (115/119)

94.2% (113/120)

Dose

Proportion of low-risk women who had at least the minimum expected number of fundal height measurements performed and plotted on GROW

8.2% (4/49)

53.2% (42/79)

34.4% (31/90)

31.4% (22/70)

18.1% (15/83)

Proportion of low-risk women referred for growth scan when definite plot deviation

40.0% (4/10)

79.2% (19/24)

80.9% (17/21)

66.7% (10/15)

61.2% (19/31)

Proportion of high-risk women who had at least the minimum expected number of growth scans performed and plotted on GROW

0.0% (0/33)

16.7% (8/48)

2.9% (1/35)

12.8% (6/47)

5.3% (2/38)

  1. aDegrees of concordance defined in Table 1