Table 1.
Definitions of IOF and RE-AIM outcomes.
| Implementation Outcome | Definition |
|---|---|
| a. Acceptability | IOF: The perception among implementation stakeholders that a given treatment, service, practice, or innovation is agreeable, palatable, or satisfactory RE-AIM: N/A |
| b. Adoption | IOF: The intention, initial decision, or action to try or employ an innovation or evidence-based practice RE-AIM: The number, proportion, and representativeness of organizations or settings that agree to deliver the intervention, as well as the number, proportion, representativeness, and expertise of individuals in those settings that would ultimately deliver the intervention |
| c. Appropriateness | IOF: The perceived fit, relevance, or compatibility of the innovation or evidence-based practice for a given practice setting, provider, or consumer; and/or perceived fit of the innovation to address a particular issue or problem RE-AIM: N/A |
| d. Attributable individual level impact | IOF: N/A RE-AIM: Population Prevalence X Individual Level Impact (see Row l. below for definition) |
| e. Attributable organizational level impact | IOF: N/A RE-AIM: Population Prevalence X Organizational Level Impact (see Row o. below for definition) |
| f. Composite individual and organizational level impact | IOF: N/A RE-AIM: Reach + Effectiveness (or individual level Maintenance) + Adoption + Implementation/4 Maintenance (see below for detailed equations) |
| g. Costs | IOF: The cost impact of an implementation effort and of implementation strategies RE-AIM: Costs related to implementation and cost-effectiveness assessment |
| h. Effectiveness | IOF: N/A RE-AIM: A measurement of the degree to which the intervention is producing its intended effects while assessing potential unintended consequences and changes in quality of life |
| i. Feasibility | IOF: The extent to which a new treatment, or an innovation, can be successfully used or carried out within a given agency or setting RE-AIM: N/A |
| j. Fidelity | IOF: The degree to which an intervention was implemented as it was prescribed in the original protocol or as it was intended by the program developers RE-AIM: A component of implementation |
| k. Implementation | IOF: Aligns with Fidelity RE-AIM: Measures of cost and the degree to which the intervention is implemented with fidelity |
| l. Individual level impact (RE1) | IOF: N/A RE-AIM: Reach X composite Effectiveness = (participation rate - median ESdifferential characteristics) X (median ESkey outcomes - median ESnegative outcomes - median ESdifferential impact) |
| m. Individual level impact efficiency | IOF: N/A RE-AIM: (Incremental cost of treatment - control)/(incremental RE1 of treatment - control) |
| n. Maintenance | IOF: Included as sustainability RE-AIM: Considered at both the individual (maintenance of health outcomes ≥6 months post-intervention) and the setting (the degree to which the intervention has been institutionalized or sustainably adopted) levels |
| o. Organizational level impact AI1 | IOF: N/A RE-AIM: (Organizational adoption rate - median ESdifferential setting characteristics) X (staff adoption rate X median ESdifferential staff characteristics) X (median component implementation rate across staff and Tx components - median ESdifferential implementation) |
| p. Penetration | IOF: The integration of a practice within a service setting and its subsystems. Later definitions included integration within service recipients (i.e., reach) (7) RE-AIM: A component of adoption and, if service recipients included, reach |
| q. Reach | IOF: Included if service recipients included in penetration RE-AIM: The absolute number, proportion, and representativeness of individuals who are willing to participate in a given initiative, intervention, or program, and reasons why or why not |
| r. Sustainability | IOF: The extent to which a newly implemented treatment is maintained or institutionalized within a service setting's ongoing, stable operations RE-AIM: Included as organizational maintenance of intervention implementation or institutionalization |