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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

Reach

Proportion of ORCI providers and Champions who complete dedicated training

Direct observation

Proportion of stakeholders who agree with the importance of guideline-based practice

Questionnaire

Effectiveness

Assessment of whether each intervention component modified its targeted barrier(s)

Mixed Methods

Proportion of patients who complete guideline-concordant treatment

Clinical chart review

Cure rates for curable cancers

Clinical chart review

Survival prolongation for non-curable cancers

Clinical chart review

Patient-reported palliative benefit and quality of life associated with treatment

Questionnaire

Resource utilization as calculated by benefits per cost

Cost-effectiveness analysis

Adoption

Proportion of patients with a completed DST in chart

Clinical chart review

Assignment of one consultant per patient responsible for treatment decisions

Clinical chart review

Proportion of patients with a guideline-concordant treatment plan documented

Clinical chart review

Rates of consultant, resident, and nurse participation in team rounds

Direct observation

Implementation

Adequacy of staff, funding, and materials to complete implementation strategy

Direct observation

Maintenance

Self-reported ability of Implementation Champions to promote guideline-based practice on an ongoing basis

Questionnaire

Serial measurement of the “Effectiveness” and “Adoption” outcomes

Mixed Methods