Table 1 Cost and outcome measures for the within-trial economic evaluation by the RE-AIM outcomes
Outcomes | Corresponding strategy | Cost of BHF-LC (CLC) | Cost of BHF-PO (CPO) | Outcome measure (E) | ACER/ICER | Interpretation |
|---|---|---|---|---|---|---|
Reach | -LC- consultee-centered training focusing on recruitment at schools and clinics -Develop a packaged implementation blueprint- referral process | -LC training and consultation sessions -BHF recruitment training -Recruitment activities | -BHF recruitment training -Recruitment activities | -Number, proportion, & representativeness of eligible families screened | CLC-CPO/ELC-EPO | Cost of per additional person recruited |
Effectiveness | -BHF program training and delivery | -All LC activities -BHF program training and delivery | -BHF program training and delivery | -Reduction in BMI z-scores | CLC-CPO/ELC-EPO | Cost per additional BMI z-score reduced |
Adoption | -Fund and contract | -Response to RFA from potential community stakeholders and organizations | -Response to RFA from potential community stakeholders and organizations | -Objective count of communities responding to RFA and contracted to implement BHF | Call/Eall | Cost per community adoption |
-LC- consultee-centered training with focus on BHF cohort adoption -Develop a packaged implementation blueprint- BHF online training resources & package | -LC training and consultation sessions -Online training and program packaging -BHF program training and delivery | -Online training and program packaging -BHF program training and delivery | -Objective count of # of BHF cohorts initiated | CLC-CPO/ELC-EPO | Cost per additional cohort initiated | |
Implementation | -LC- consultee-centered training with focus on implementation fidelity | -LC training and consultation sessions | None | -Average fidelity scores from the direct observation | CLC/ELC-EPO | Cost per additional changes in fidelity scores |
-Develop a packaged implementation blueprint- BHF online training resources & package | -Online training and program packaging | -Online training and program packaging | -Average knowledge check scores from BHF online training resources -Summarized implementation fidelity assessed via direct observation. | Call/Eall | Cost per knowledge score/unit of implementation fidelity | |
Maintenance- setting level | -LC- sustainability action planning | -LC training and consultation sessions | None | -Objective count of BHF cohort continued | CLC/ELC-EPO | Cost per additional 3rd cohort initiated |