Table 1.
Theoretical constructs, measures, data sources, and data collection timing
Construct | Measures | Source | Timing |
---|---|---|---|
Implementation support | Frequency, duration, and mode of PF contacts | PF contact logs | I |
Frequency, duration, and mode of academic detailing contact | Contact, webinar logs | I | |
Attendance at regional collaborative meetings | Attendance logs | I | |
Practice capacity for QI | Change Process Capacity Questionnaire | KI survey | B, E, F |
Adaptive Reserve Questionnaire | Provider/staff survey | B, E, F | |
Organizational readiness | Organizational Readiness for Change Questionnaire (ORIC) | Provider/staff survey | B |
Implementation Policies and Practices (IPPs) | Key Driver Implementation Scales | PF Ratings | I |
Implementation barriers, facilitators, and IPPs | KI interview | B, E | |
Implementation climate | Implementation climate questionnaire | Provider/staff survey | E, F |
Implementation effectiveness | ABCS measures/clinical measures | HIE | B, I, E, F |
Acceptability of implementation support | KI interview | E | |
Innovation effectiveness | Patient outcomes (communication, shared decision-making) | Patient survey | B, E |
Patient outcomes (healthcare utilization and mortality) | Claims data | B, E, F | |
Practice outcomes (e.g., financial benefits) | KI Interview | E, F | |
Inner context | Practice characteristics, patient population, EMR capabilities | KI survey, PF contact logs | B, E,F |
Outer context | External policies and incentives, market conditions | KI survey, KI interview, PF contact logs | B, E, F |
Because readiness is conceived as an organization-level construct, we will test whether sufficient inter-rater reliability and inter-rater agreement exist to aggregate individual responses to the practice level [22–26]. If tests do not justify aggregation, we will use a measure of intra-practice variability in readiness rather than a practice-level mean in our analysis [15, 16].
Source: PF practice facilitator, KI key informant; timing: B baseline, I intervention, E end of intervention, F 6 and 12 months post-intervention