Table 2 RE-AIM implementation outcomes

Reach

• EHR data

• Proportion of clinicians who accessed CV Prevention Choice

• Characteristics of participants versus non-participants

Effectiveness

• Clinician survey

• Clinician interviews

• Survey of attitudes about SDM [40]

• Perceptions of effectiveness of CV Prevention Choice, and unintended consequences of its use

Adoption

• EHR data

• Clinician interviews

• Proportion of eligible clinicians who used CV Prevention Choice

• Factors affecting adoption of CV Prevention Choice and implementation strategies

Implementation (fidelity and challenges)

• Video-recorded encounters

• Post-encounter patient surveys

• Clinician and stakeholder interviews

• Periodic reflections and strategy tracking/change logs

• Observations and workflow mapping

• Fidelity checklist applied to video-recorded clinical encounters [25]

• CARE Measure and Shared Decision Making Questionnaire-9 [61, 62]

• Self-reported assessments of implementation challenges and adaptations to delivery

Maintenance and normalization

• EHR data

• Clinician survey

• CV Prevention Choice use at start and end of implementation step-down stage

• Repeated CV Prevention Choice use with the same patients

• NoMAD survey [58,59,60]