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Table 3 Aim 2 MCIS Data Elements guided by RE-AIM outcomes of PRISM

From: Implementing eScreening for suicide prevention in VA post-9/11 transition programs using a stepped-wedge, mixed-method, hybrid type-II implementation trial: a study protocol

RE-AIM Dimension

Proposed Measures

Data Source(s)

Data Type

Level

Adoption

Absolute number, proportion of clinics & providers who are willing to initiate a program compared to eligible non-participants

• % of TCM Clinic staff that attend the eScreening training and RPIW

• RPIW Invitation

• Attendance count

• Quant

• Provider & Clinic

• Barriers and facilitators to adoption

• Observation

• Staff Survey

• Staff Interview

• Qual

• Quant

• Qual

• Clinic

• Strategies used to increase adoption (including non-TCM interest)

• Observation

• Staff Interview

• Qual

• Clinic

• Reasons for or against adoption

• Staff Interview

• Qual

• Provider & Clinic

Implementation

The intervention agents' fidelity to elements of an intervention's protocol (includes consistency of delivery as intended), adaptations to the intervention, & replication cost

• % of TCM Clinics & providers that use eScreening for screening

• eScreening Query

• Quan

• Provider

• Documented adaptations to eScreening or the MCIS (including non-TCM implementation)

• Adaptation tracking log

• Qual

• Clinic

• Barriers & facilitators to implementation

• Observation

• Staff Interview

• Qual

• Clinic

• Acceptability and feasibility of eScreening and MCIS

• Staff Survey

• Staff Interview

• Quant

• Qual

• Provider & Clinic

• Implementation agents (internal external facilitators) time (cost)

• Time tracker

• Quant

• Clinic

Maintenance

Extent to which eScreening becomes institutionalized or part of the routine practices

• % of TCM clinics and providers that use eScreening 9 months post-MCIS

• eScreening Query

• Quant

• Provider & Clinic

• Barriers & facilitators to sustained use

• Staff Interview

• Qual

• Clinic

  1. Quant Quantitative, Qual Qualitative, RPIW Rapid Process Improvement Workshop, TCM Transition Care Management, MCIS Multicomponent Implementation Strategy