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Table 1 Reworded external validity items and extent of reporting by item (n = 39 studies) *

From: External validity in healthy public policy: application of the RE-AIM tool to the field of housing improvement

  

Large extent

Some extent

Unclear

Not at all

A Population: Representativeness of target population, setting & reach of intervention

1

Are data presented on variations in participation rate in improved housing interventions by a) setting b) delivery staff/organisations c) residents (for intervention among general target population not study area)

0

0

0

39

2

Is the intended target audience for adoption clearly described

11

18

8

2

3

Is the intended target setting for adoption clearly described?

4

27

5

3

4

Is there analysis of the baseline socio-demographic and ‘condition tested’ (health status) of evaluation participants versus non-participants? (relating to evaluation population only)

0

0

2

37

B Intervention: Implementation & adaptation

5

Are data presented on consistency of implementation of intervention & its different components?

0

2

2

35

6

Are data presented on the level of training of experience required to deliver the programme or quality of implementation by different types of staff?

0

1

1

37

7

Is information reported on whether/how the intervention is modified to individuals/households within the study?

5

6

0

11

8

Are data presented on mediating factors or processes (mechanisms) through which the intervention had an impact?

2

12

4

21

C Outcomes for decision making

9

Are the reported health (even if only one measure of health is comparable) outcomes comparable to wider policy/other studies?

23

14

0

2

10

Have additional outcomes of potential adverse impacts been reported? e.g. socio-economic impacts

4

21

1

13

11

Have authors demonstrated consideration of variation in reported health outcomes (key outcome of interest) by population sub-groups, or intervention setting/delivery staff?

2

4

1

32

12

Is there sensitivity analysis of dose–response/threshold level required to observe health effect (effect on key outcome of interest not proxies)?

3

4

1

31

13

Are data on costs presented? Are standard economic/accounting methods used?

2

19

0

18

D Maintenance and institutionalisation of intervention

14

Are long term effects reported? (12 months or longer since exposure to the intervention)

10

13

4

11

15

Are data reported on the sustainability (or reinvention or evolution) of programme implementation and intervention, at least 12 months after the formal evaluation?

0

0

0

29

16 a

Is the drop-out rate/attrition reported?

19 (Yes)

10 (N/A)

16 b

Are data on attrition by baseline health status of dropouts reported and are analyses conducted of the representativeness of remaining sample at time of final follow-up (or main follow-up time point- as appropriate)?

0

0

0

29 (10 N/A)

  1. (adapted from Green LW, Glasgow RE. Evaluating the Relevance, Generalization, and Applicability of Research: Issues in External Validation and Translation Methodology. Eval Health Prof 2006;29(1):126–153.)
  2. * see Additional file 1 for full details of external validity assessment tool.