Table 1.
RE-AIM evaluation indicators and corresponding measures for the implementation strategy and clinical intervention
| Implementation strategy—physician level | Data source | Time of collection |
|---|---|---|
| Reach: physician participation rate (invited/agreed), sample characteristics and representativeness compared to eligible physician population (training baseline) | Physician (n = 305) baseline questionnaire | Pre-training |
| Effectiveness: changes in physician attitudes, normative beliefs, perceived control, and intentions towards PA counseling | Physician (n = 305) end of training questionnaire | Post-training |
| Adoption: adoption rate of training course across the 13 sanitary regions | Training session direct observation | Training delivery period |
| Implementation: degree to which the three learning modules were delivered as intended, physician rating of training quality, and time and cost of training sessions | Training session direct observation | Training delivery period |
| Maintenance: changes on physician attitudes, normative beliefs, perceived control and intentions, and self-reported counseling behavior in the longer-term | Physician (n = 186) follow-up questionnaire | Three to six months after receiving the training |
| Clinical intervention—patient levela | Data source | Time of collection |
|---|---|---|
| Reach: patient participation rate (invited/agreed), sample characteristics, and representativeness compared to eligible patient population | Patient pre-consultation questionnaire (n = 687) | Before consultation |
| Effectiveness: changes in PA and quality of life within patients and between groups | Patient pre-consultation and post-consultation questionnaire (n = 687) b | Before consultation and one month after consultation |
| Adoption: degree to which the 5-As were adopted and recorded in medical charts | Pre-post training medical chart review (n = 1700) among trained physicians (n = 36) | One month before and 1 month after physician training |
| Implementation: | ||
| 1. Degree to which the 5-As were implemented after training 2. Implementation of the 5-As intervention among prompted/unprompted physicians |
1. Post-training medical chart review (n = 849) 2. Post-consultation patient survey (n = 687) |
1. One month after training 2. Right after receiving clinical intervention |
| Maintenance: | ||
| 1. Changes on patient PA and quality of life in the long term 2. Sustained implementation of the 5-As in the long term |
Patient follow-up questionnaire (n = 687)b | Six months after receiving clinical intervention (12 months after physician training) |
aThe clinical intervention was implemented 6 months after the physician training was delivered
bIntent to treat sample (n = 687) with imputation performed for patient outcomes. Reports on PA counseling received are based on intervention participants with complete data (baseline n = 456; 6 months n = 360)