Table 1 Study measures along RE-AIM framework
RE-AIM Constructs | Measures | Methods | Purpose |
|---|---|---|---|
Reach | Patient demographics Population demographics Discussion of full implementation across all pediatric clinics to ensure universal implementation | Medical chart review Census data Medical chart review | 1.) Patients engaging with PSS compared to available population 2.) Characteristics of visit data from referred population |
Effectiveness | Referrals made Connection rate Ongoing implementation of sustainable long-term follow up (description of QoL survey) Can include analysis of outcomes by subgroups | Navigator contact Navigator contact | 1.) Analysis of connection rate by demographics, characteristics |
Adoption | Number of pediatric clinics involved Discussion of roll out to clinics Description of role of clinic in facilitating referral Count of referrals out of practices | Medical chart review Navigator contact | 1.) Which clinics are engaged with PSS 2.) How many services connect through PSS, streamlining connection |
Implementation | Discussion of adaptations made from initial grant/planning Differences between referring practices Number of navigators/role of navigators | REDCap NAVSAT Medical chart review | 1.) Fidelity to PSS processes and protocols, connection barriers 2.) Clinician adherence to screening and referral protocols |
Maintenance | Program timelines Changes in program over time Changes made to program evaluation and data collection overtime Long-term primary outcome changes (planning for long-term QoL assessment) | NAVSAT REDCap | 1.) Continued barriers or challenged with family engagement 2.) Resources required from navigators to support 3.) Team requirements for long-term sustainability |