Table 4.
Intervention and Implementation quantitative and qualitative outcomes using the RE-AIM framework.
Intervention Outcomes | Implementation Strategy Outcomes | Level | Data Source | |
---|---|---|---|---|
REACH | Number of patients with an eligible clinic visit who complete electronic screening assessments | Number of screening assessments that are completed electronically either via portal or in-clinic on tablet | Patient | Appointment scheduling log; EHR-programmed data transferred directly into RedCap database |
Number of patients who were excluded | Patient and Clinic | Appointment scheduling log; Observations, field notes | ||
Number of patients who view the animation | Patient | EHR-programmed data transferred directly into RedCap database | ||
QUALITATIVE: What strategies do you think worked best to capture eligible patients? What could the clinical staff and providers have done better to reach more people? | ||||
EFFECTIVENESS | Number of patients who initiate PrEP (primary outcome) | Number of providers who document offering of PrEP | Patient and Providers | EHR chart review |
Number of PrEP prescriptions written | Providers | EHR discrete data element | ||
Number of patients who continue PrEP at 3-, 6-, 9-mos | Number of PrEP prescriptions written | Providers | EHR discrete data element | |
Number of patients who are tested for HIV | Number of providers who document offering of HIV test | Patient and Providers | EHR lab data for HIV testing; EHR chart review | |
QUALITATIVE: What surprised you about the outcomes of the training, counseling, clinical care and/or treatment you received? How would you like to see the data presented? | ||||
ADOPTION | Number of clinics that use electronic screening assessments | Clinic | Appointment scheduling log; RedCap database; Stakeholder feedback | |
Number of clinics that provide tablets to patients | ||||
Number of clinics that assist patients to complete electronic screening assessments | ||||
QUALITATIVE: What could the team have done better to reach and recruit more providers? What are your perceptions of the training that was offered? | ||||
IMPLEMENTATION | Number of providers who decline the recommendations included in the alert | Provider | EHR-programmed data transferred directly into RedCap database | |
Number of clinics that complete assessments in other EHR locations that are not a part of this project | Clinic | EHR chart review | ||
Observations, field notes | ||||
Checklists | ||||
QUALITATIVE: Do you think the interventions were delivered according to plan? What costs (including time and burden, not just money) need to be considered? | ||||
MAINTENANCE | Above measures at 6 months after sample size achieved and research staff no longer providing support | Provider | EHR-programmed data transferred into RedCap database; chart review | |
Clinic | ||||
QUALITATIVE: What is the likelihood that you would continue to support this intervention? What do you think would be needed for other women, providers, or staff to find this intervention meaningful? |