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Table 5 Indicators of process, outcome, and impact classified using the RE-AIM framework

From: Development of a theory-driven implementation strategy for cancer management guidelines in sub-Saharan Africa

ReachProportion of ORCI providers and Champions who complete dedicated trainingDirect observation
Proportion of stakeholders who agree with the importance of guideline-based practiceQuestionnaire
EffectivenessAssessment of whether each intervention component modified its targeted barrier(s)Mixed Methods
Proportion of patients who complete guideline-concordant treatmentClinical chart review
Cure rates for curable cancersClinical chart review
Survival prolongation for non-curable cancersClinical chart review
Patient-reported palliative benefit and quality of life associated with treatmentQuestionnaire
Resource utilization as calculated by benefits per costCost-effectiveness analysis
AdoptionProportion of patients with a completed DST in chartClinical chart review
Assignment of one consultant per patient responsible for treatment decisionsClinical chart review
Proportion of patients with a guideline-concordant treatment plan documentedClinical chart review
Rates of consultant, resident, and nurse participation in team roundsDirect observation
ImplementationAdequacy of staff, funding, and materials to complete implementation strategyDirect observation
MaintenanceSelf-reported ability of Implementation Champions to promote guideline-based practice on an ongoing basisQuestionnaire
Serial measurement of the “Effectiveness” and “Adoption” outcomesMixed Methods