Table 1.
Dimension | Measure | Source | Research question* | Frequency |
---|---|---|---|---|
Reach |
Number of Seva patients (eligible, excluded, enrolled) |
Patient survey |
2 |
Pre |
Characteristics of participating patients |
Patient survey |
2 |
Pre |
|
EHR |
2 |
Continuous |
||
Qualitative assessment- reach |
Interview- clinic director |
1 |
Pre |
|
Effectiveness |
No. patients screened for HIV |
EHR |
3 |
Continuous |
Healthcare utilization (hospitalizations, ER visits, and residential addiction treatment) |
Patient survey |
3 |
0 m, 6 m, 12 m, 18 m |
|
EHR |
3 |
Continuous |
||
Treatment attendance |
Patient survey |
3 |
0 m, 6 m, 12 m, 18 m |
|
EHR |
3 |
Continuous |
||
HIV risk behaviors |
Patient survey |
3 |
0 m, 6 m, 12 m, 18 m |
|
Substance use |
Seva |
3 |
Weekly |
|
Patient survey |
3 |
0 m, 6 m, 12 m, 18m |
||
Quality of life |
Patient survey |
3 |
0 m, 6 m, 12 m, 18 m |
|
Qualitative assessment - effectiveness |
Interview - clinic director |
1 |
12 m |
|
Adoption (setting) |
Characteristics of participating clinics vs. general FQHC population |
Publicly available uniform data system reports for FQHCs |
2 |
Pre |
Readiness for implementation |
Staff survey |
2 |
Pre, every 6 m |
|
Adoption (staff) |
Use of Seva by staff (including characteristics) |
Seva log files |
2 |
Continuous |
Adoption (patient) |
Use of Seva by patients (including characteristics) |
Seva log files |
2 |
Continuous |
Adoption (staff and patient) |
Qualitative assessment- adoption |
Staff interviews |
1 |
Pre, every 6 m |
Patient interviews |
1 |
12 m |
||
Implementation |
Stages of Implementation Completion |
Staff interviews |
1 |
Pre, every 6 m |
Technology acceptance |
Staff survey |
2 |
Pre, every 6 m |
|
Adaptations to protocol during intervention period |
Staff interviews |
1 |
Pre, every 6 m |
|
Cost of intervention |
Staff interviews |
1 |
Pre, every 6 m |
|
Coach logs |
1 |
Continuous |
||
Qualitative assessment - implementation |
Interview with clinic director, coach |
1 |
12 m |
|
Maintenance |
Sustainability score |
Staff survey |
1 |
Pre, every 6 m |
Six-month follow-up on all effectiveness measures (see above) and use of Seva |
Seva, Patient survey, EHR |
1, 2, 3 |
Various |
|
Qualitative assessment - maintenance | Interview - clinic director | 1, 2 | 18 m |
Source: Re-aim.org; Measuring the Use of the RE-AIM Model Dimension Items Checklist
*(1) How can Seva be implemented in primary care settings efficiently and effectively? (2) To what extent do patients and staff accept and use Seva? (3) How does Seva affect clinical care for patients and staff?