Table 3.
RE-AIM Constructs and Outcomes
| RE-AIM Domains | RE-AIM Definition | Study Operationalization | Results N = total eligible older adults of variable of interest, n (%) = sample (percent) of eligible with variable of interest |
||
|---|---|---|---|---|---|
| Initial Reach | The number and proportion of older adults who were screened and assessed for falls in 2018 | Percent of adults ≥65 with initiated screen | Older adults with initiated screen (N = 17,232) | ||
| 16,094 (93.4) | |||||
| Percent of adults ≥65 with completed screen | Older adults with completed screen (N = 17,232) | ||||
| 13,564 (78.3) | |||||
| Percent of adults ≥65 with screen score ≥4 with gait/balance measure | Embedded under adoption | ||||
| Maintenance of Reach | The number and proportion of older adults who were screened and assessed for falls in 2019, 2020, and 2021 | Percent of adults ≥65 with initiated screen | Older adults with initiated screen | ||
| 2019 (N = 18,308) | 2020 (N = 14,164) | 2021 (N = 15,695) | |||
| 16,467 (89.9) | 12,534 (88.5) | 13,716 (87.3) | |||
| Percent of adults ≥65 with completed screen | Older adults with completed screen | ||||
| 14,269 (77.9) | 10,602 (74.9) | 11,570 (73.7) | |||
| Percent of adults ≥65 with screen score ≥4 with gait/balance measure | Embedded under adoption | ||||
| Effectiveness | Not identified | Not identified | Not identified | ||
| Initial Adoption | The number and proportion of clinics and PTs, OTs, and SLPs that screened and assessed older adults for fall risk in 2018 | Clinic-level adoption (N varies by clinic)* | |||
| Range and percent of clinics with initiated screen | Clinic initiated screen—Range | ||||
|
n = 0–2,114 % = 0–98.8 | |||||
| Range and percent of clinics with completed screen | Clinic completed screen—Range | ||||
|
n = 0–1,659 % = 0–92.7 | |||||
| Therapist-level adoption | |||||
| Percent of PTs, OTs, and SLPs who initiated screen | Therapist-level initiated screen | ||||
| PT (N = 15,108) | OT (N = 1,369) | SLP (N = 635) | |||
| 14,234 (94.2) | 1,255 (91.7) | 507 (79.8) | |||
| Percent of PTs, OTs, and SLPs who completed screen | Therapist-level completed screen | ||||
| PT | OT | SLP | |||
| 12,174 (80.6) | 955 (69.8) | 355 (55.9) | |||
| Percent of PTs, OTs, and SLPs who completed a balance or gait outcomes measure on an at-risk older adult (screen ≥4) | Therapist-level completed balance/gait measure | ||||
| PT (N = 5,568) | OT (N = 257) | SLP (N = 151) | |||
| 3,219 (59.5) | 29 (11.6) | 12 (7.9) | |||
| Maintenance of Adoption | The number and proportion of clinics and therapists that screened and assessed older adults for fall risk in 2019, 2020, and 2021 | Clinic-level adoption maintenance (N varies by clinic)a | |||
| Clinic initiated screen—Range | |||||
| Range and percent of clinics with initiated screen | 2019 | 2020 | 2021 | ||
|
n = 0–2,173 % = 0–99.1 |
n = 0–1,410 % = 0–100 |
n = 1–1,525 % = 6.7–97.8 |
|||
| Range and percent of clinics with completed screen | 2019 | 2020 | 2021 | ||
|
n = 0–1,766 % = 0–94.4 |
n = 0–1,165 % = 0–96.6 |
n = 1,265 % = 0–94.1 |
|||
| Therapist-level adoption maintenance | |||||
| Percent of PTs, OTs, and SLPs who initiated screen | Therapist-level initiated screen | ||||
| 2019 | 2020 | 2021 | |||
| PT (N = 16,040) 14.784 (92.2) |
PT (N = 12,327) 11,088 (89.9) |
PT (N = 13,600) 12,129 (89.2) |
|||
| OT (N = 1,465) 1,307 (89.2) |
OT (N = 1,152) 915 (79.4) |
OT (N = 1,369) 1,075 (78.5) |
|||
| SLP (N = 648) 507 (78.2) |
SLP (N = 492) 363 (73.8) |
SLP (N = 607) 424 (69.9) |
|||
| Percent of PTs, OTs, and SLPs who completed screen | Therapist-level completed screen (same N in corresponding cells above) | ||||
| 2019 | 2020 | 2021 | |||
| PT = 12,875 (80.3) | PT = 9,576 (77.7) | PT = 10,361 (76.2) | |||
| OT = 943 (64.4) | OT = 654 (56.8) | OT = 829 (60.6) | |||
| SLP = 334 (51.5) | SLP = 252 (51.2) | SLP = 302 (49.8) | |||
| Percent of PTs, OTs, and SLPs who completed a balance or gait functional outcomes measure on an at-risk older adult (screen >4) | Therapist-level completed balance/gait measure | ||||
| 2019 | 2020 | 2021 | |||
| PT (N = 5,785) 3,219 (59.5) |
PT (N = 4,231) 2,298 (54.3) |
PT (N = 4,786) 2,563 (53.6) |
|||
| OT (N = 257) 29 (11.6) |
OT (N = 172) 19 (11) |
OT (N = 257) 21 (8.2) |
|||
| SLP (N = 150) 2 (1.3) | SLP (N = 86) 2 (2.3) |
SLP (N = 141) 5 (3.5) |
|||
| Implementation (Process and Strategies) | Implementation process and implementation strategies the health system utilized to integrate the STEADI initiative into outpatient rehabilitation | – Process and strategies involved in implementing STEADI initiative. Includes adaptations to STEADI – Chosen and directed by the health system |
|
||
| Maintenance | The extent to which STEADI initiative is sustained and becomes part of routine practices | Changes in clinic-level and provider-level adoption in 2019, 2020, 2021. | Embedded under maintenance of reach and maintenance of adoption | ||
Notes: OT = occupational therapist; PT = physical therapist; SLP = speech and language pathologist. Percentages may not total 100 due to rounding. Balance/Function Functional outcomes measure = Timed up and go, 30-second chair stand, miniBest Test, Berg Balance Scale, Functional Gait Assessment, Dynamic Gait Index, 6-minute walk, and 10-meter walk.
a Supplementary Table 3 provides detailed descriptive statistics by each clinic.