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Table 1 MIDAS measures showing data sources and timepoints by aim

From: Maintaining Implementation through Dynamic Adaptations (MIDAS): protocol for a cluster-randomized trial of implementation strategies to optimize and sustain use of evidence-based practices in Veteran Health Administration (VHA) patients

Aim

Type

Source

Aim 1: Primary outcome

 Service outcomes

  Proportion of potentially inappropriate medications

Quantitative

CDW administrative data

Aim 2: Secondary outcomes

 Service outcomes

  VIONE trial

   Potentially inappropriate use of proton pump inhibitors (PPIs), aspirin, and central nervous system (CNS) active medications (e.g., muscle relaxants), analyzed one at a time

Quantitative

CDW administrative data

   Monthly medication costs for all drugs

Quantitative

CDW administrative data

   Number of pharmacist medication reviews

Quantitative

CDW administrative data

  DOAC trial

   Dashboard flags including potential mis-dosing, potential medication interactions, or concern for nonadherence

Quantitative

CDW administrative data

  CBTI Trial

   Prevalence of any CBTI receipt

Quantitative

CBTI note templates completed by CBTI therapists

   Mean CBTI sessions completed

Quantitative

CBTI note templates completed by CBTI therapists

   Referrals to CBTI among primary care patients actively following with the clinic who are not in hospice/palliative care

Quantitative

Consult requests in the medical record or by monthly therapist reports

 Patient outcomes

  VIONE trial

   Number of inappropriate medications by patient

 

CDW administrative data

Aim 3: Exploratory outcomes

 Employee behavioral outcomes

  Continuous quality improvement assessment

Quantitative

LEAP and AD participants

  Workgroup cohesion and engagement scale

Quantitative

LEAP and AD participants

  QI skill application

Quantitative

LEAP participants

 Employee experience

  Burnout

Quantitative

LEAP and AD participants

  Best places to work

Quantitative

LEAP and AD participants

 Process evaluation

  Pragmatic Context Assessment Tool

Qualitative/quantitative

LEAP participants

  Semi-structured interviews

Qualitative

Purposive sample of LEAP and AD participants

  How often the provider uses the dashboard

Quantitative

CDW administrative data

  Rates of new DOAC starts compared to warfarin starts

Quantitative

CDW administrative data

  Fidelity

Qualitative/quantitative

Academic Detailer and Champion/LEAP Coaches

  Provider satisfaction

Qualitative/quantitative

LEAP and AD participants

  Intentions

Qualitative/quantitative

LEAP participants

  Detailing visit documentation

Qualitative/quantitative

Academic detailer and champion

  Coaching documentation

Qualitative/quantitative

LEAP Coaches

  Semi-structured interviews

Qualitative

Purposive sample of LEAP and AD participants