Table 3.

Implementation Measures

Construct	Measure/Indicator
Adoption	Decision to participate in effectiveness study (yes/no)
Implementation	ESDM provider adherence measures [ESDM Fidelity; NDBI Fidelity]; Adaptations to Evidence-Based Practice Scale
Sustainment	Ongoing use of ESDM [PRESS; interviews with managers and providers]
ESDM Appropriateness, Feasibility, Acceptability	Perceived fit of ESDM with agency, provider, and family [AIM; interviews] Caregiver engagement in intervention [session attendance]
Provider Characteristics	Perceived self-efficacy [Autism Self-Efficacy Scale] Provide background experience, previous EBP training
Organization Characteristics	Financing structure and reimbursement; # autistic clients under age 5; Implementation Climate Survey