Table 2 Measures and data sources for SMARTER CRC scale-up
Measure | Sub-measures | Data sources | Timeline | Framework | |||
|---|---|---|---|---|---|---|---|
Baseline | Mid-ECHO | ECHO endpoint | 6-month post ECHO | ||||
Engagement Organizational-level participation; characteristics of participating organizations/staff; participant satisfaction with scale-up activities | N organizations/staff who attend (1) ECHO learning collaborative series (by session), (2) patient navigation workshop, (3) post-ECHO webinars; N organizations/staff who request technical assistance | Registration & attendance for ECHO learning collaborative series | √ | √ | RE-AIM; CSAT | ||
Patient navigation workshop and webinars | √ | ||||||
Technical assistance requests | √ | √ | |||||
Participant objectives and satisfaction with the following: (1) the ECHO learning collaborative series, (2) patient navigation workshop, (3) post-ECHO webinars | Baseline ECHO series survey | √ | |||||
ECHO series endpoint survey | √ | ||||||
Post patient navigation workshop survey | √ | ||||||
Post-webinar survey | √ | ||||||
Topics of participants’ questions during ECHO learning collaborative series, patient navigation workshop, post-ECHO webinars, and technical assistance | ECHO session observation notes | √ | √ | ||||
Technical assistance meeting notes | √ | √ | |||||
Key-informant interviews | √ | ||||||
Adoption Number, proportion, representativeness of settings/staff who implement program, by program component: (1) mailed FIT test and (2) patient navigation; reasons for adopting program | N, type of organization (health plan, clinic, other) and staff (care coordinator, navigator) that implement the program, by core component (“form”) (mailed FIT, patient navigation) or peripheral component to improve CRC screening, follow-up or referral to care (“function”) | 6-month post-ECHO survey | √ | RE-AIM; PSAT | |||
Reason(s) for adopting program, by component; implementation strategies; program sustainability | 6-month post-ECHO survey & key-informant interviews | √ | |||||
Adaptation How organizations modified CRC program components: (1) what program component or components were modified, (2) nature of the modification(s), and (3) reasons/rationale modification(s) were made | N, nature of program modifications, by program component | 6-month post-ECHO survey | √ | CSAT; PSAT; FRAME; Going to Full Scale | |||
Key-informant interviews | √ | ||||||
Reason(s) modifications were made, by modification; implementation strategies; program sustainability | Key-informant interviews | √ | |||||