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Table 2 Description and data source for RE-AIM domain measures

From: Applying RE-AIM to examine the impact of an implementation facilitation package to scale up a program for Veterans with chronic obstructive pulmonary disease

RE-AIM domain

Domain operationalization

Data source(s)

Reach

• Number/type of clinicians who participated in the Academy

• Number of front-line clinicians who were trained after the Academy

• Administrative records of:

o Implementation team members and,

o Front-line clinician training completion

Effectiveness

• Academy impact on clinicians’ self-efficacy or perceived capability in accomplishing implementation tasks [24].

• Survey items assessing perceived capability completing implementation tasks before and after Academy participation.

o Scale of 1 = “not at all capable,” 5 = “moderately capable,” and 10 = “highly capable”

Adoption

• Proportion of clinicians that attended Academy sessions and used Academy resources

• Administrative program records of Academy completion,

• Survey items assessing session attendance and use of resources.

• Semi-structured interview informed understanding of participants’ reasons for participating in the Academy

Implementationa

• Clinicians’ perceptions of the acceptability and appropriateness of the Academy as an implementation package

• Acceptability conceptualized as satisfaction with the Academy content and delivery approach

• Appropriateness of the Academy = clinician’s perceived fit, usefulness, and practicality of the Academy with their VAMC [25].

• Survey items assessing Academy content and delivery approach, and relevance and usefulness of the Academy.

• Semi-structured interviews offered specific examples of what clinicians valued about the Academy and ways it facilitated or hindered implementation

Maintenance

• Clinicians continued use of Academy tools, resources, and information provided several months after participation

• Semi-structured interview items about ongoing use of Academy tools and resources and plans for the next 6 months

  1. aThe implementation dimension is different than the RE-AIM conceptualization and instead draws on Proctor Implementation Outcomes of acceptability and appropriateness