Table 1.

Description of the adapted reach, efficacy, adoption, implementation, and maintenance (RE-AIM) dimensions with examples of the focused interview questions that were used. Definitions and questions were adapted to the study aims.

Dimension	Definition	Sample Questions
Reach	The proportion of individuals willing to participate in tobacco screening and intervention and the parents that they would be willing to target	“How comfortable do you feel you are at screening and/or counseling parents to quit smoking?”
		“Is there a particular subset of smokers that you feel should take priority in getting smoking screening and/or cessation counseling?”
Effectiveness	The demonstration of the influence of an intervention on important outcomes, including how this affects compliance with the intervention	“What do you think would be measures of success in routine, universal tobacco screening?”
		“How important is it to show efficacy and how would the assessment of efficacy affect the amount of screening and counseling that you do?”
Adoption	The proportion and type of staff who would be willing to adopt the intervention steps and perceived barriers and solutions to adoption	“Who should administer each intervention component?”
		“What would the barriers be to conducting routine screening and counseling?”
		“How would screening and counseling affect patient flow, stress levels, work load, etc?”
		“What training and electronic support are needed?”
Implementation	The amount of time, technical support, and money necessary to make the intervention part of routine practice.	“What type of technical support would be required to make screening and counseling part of routine practice in the ED1?”
Maintenance	The extent of which participants will make and maintain this screening and counseling behavior change and the sustainability of the intervention in the ED setting.	“What kind of institutional support would be needed to maintain this intervention in the ED setting?”
		“Who would be responsible for monitoring this?”
		“What type and timing of training refreshers would be necessary?”
		“What would motivate practitioners to keep this part of routine practice?”

¹ED = Emergency Department