. Author manuscript; available in PMC: 2022 Oct 1.

Published in final edited form as: Psychiatr Serv. 2021 Jun 15;72(10):1199–1208. doi: 10.1176/appi.ps.202000086

Table 2.

RE-AIM Measures for Mixed-Methods Data Collection

DOMAIN	DEFINITION	PROVIDER^*
*Implementation Impact Outcomes*
Reach ^*	Those who access care, or initiate SBIRT (numerator) out of the number of people in need (denominator) who are all individuals that screen positive in the mwTool (men ≥4; women ≥3^35,54-56) Characteristics of those reached vs. not^* (gender, age, health outcomes and urbanicity)	Community Health Worker (CHW)/Patient (Pt)
Adoption- Clinic and Staff Level	Number of clinics/CHW using SBIRT (numerator) over those expected (denominator, all in each district)^**.	Research Assistant (RA)/ CHW
Clinics	Characteristics of clinics adopting vs. not in both conditions^** (Urbanicity: rural/urban; number of CHW; patients’ characteristics (i.e., comorbidities; access barriers); Evidence-Based Practice Attitudes Scale - 15 items⁵⁷; Ready Set Change (organizational readiness for change)⁵¹; The Reach, Effectiveness, Adoption, Implementation, Maintenance (RE-AIM) Planning Tool, 27- item scale^26,58,59; The Program Sustainability Assessment Tool, 40-items⁶⁰,⁶¹)
Staff (Causal Model^33,62)	Characteristics of CHWs adopting vs. not in both conditions^** (age; gender; Work; Self-efficacy, 10 items^{63– 65}; Intentions (2-items; 7-point scale) asking how willing and how likely one is to use each SBIRT component^66,67; Attitudes towards each component of SBIRT (6 standard semantic differential scales)⁶⁸; Norms or perception that other people like them will use the SBIRT (6 standard item stems); and Self-Efficacy (two statements) measuring CHWs’/supervisors’ perceptions of their skills and abilities to perform SBIRT
Implementation Fidelity ^**	Consistency of implementation across time in both conditions. Characteristics of Clinics/CHW as described above in Adoption	RA/CHW
Maintenance	Use over two years. Number of clinics using SBIRT^ Adaptations to protocols^ Characteristics of Clinics/CHW as described above in Adoption^**	RA/CHW
Clinical Effectiveness Outcomes
Symptoms ^*	AUDIT^54,56,69 – 10-item instrument developed by the WHO	CHW/Pt
Functioning ^*	Short Form Health Survey 12 (SF-12)^37–40	CHW/Pt
Other Health Related	Through electronic medical records	CHW/Pt
Outcomes ^*	(e.g., HIV viral load, adherence to care for HIV/TB)
Cost Effectiveness Outcomes
Cost (Effort and Time) ^**	Cost as milestones are accomplished (Stages of Implementation Completion Scale (SIC; 8-stages of implementation: Readiness or Pre-Implementation, Adoption	RA/CHW
	or Implementation, and Sustainability/Competency)³⁰ & Cost of Implementing New Strategies (COINS; Mapping Implementation Resources Using the SIC)⁷⁰

recorded by CHWs or Supervisors as clinical record; de-identified aggregate collected every 6 months – using mSBIRT or REDCap

^**

administered by Research assistant - REDCap (secure data capture/management web tool) will be used for data management

Note: Qualitative methods will assess all domains in satisfaction, barriers/facilitators, community engagement/priority given to alcohol services