Table 3 RE-AIM outcome measures
RE-AIM Dimension and Description | Measures | Data sources |
|---|---|---|
Reach Degree to which target population is exposed to intervention | • Number of eligible caregivers/children • % of caregivers/children who consent to participate • % of caregivers/children who complete study follow-up • Representativeness of caregivers/children who enrolled compared to overall population of screened and eligible caregivers/children • Reasons why caregivers/children decline participation | • Study database derived from EHR clinical data and study records • Caregiver questionnaire implemented via REDCap at baseline • Brief non-participant survey administered via phone or online for caregivers who decline participation |
Effectiveness Intervention success in changing patient outcomes | • Improvement in primary and secondary outcomes by study arm • Heterogeneity of effects across caregiver/children subgroups • Attrition by study arm and by caregiver/children subgroups | • Analytic plan for the primary and secondary outcomes is discussed in Statistical Analyses |
Adoption Degree to which interventions are taken up by decision makers (e.g., clinics, providers) | • % of PCPs adopting the intervention by study arm • Representativeness of PCPs who adopt the Intervention compared to the overall population of providers eligible to participate | • PCP attendance at a virtual study training at baseline • Clinic leaders via interview |
Implementation Degree to which intervention was delivered as intended, adaptations, and drivers of adaptations | Across Implementation Agents •Implementation input and processes, including challenges to implementation noted by study team and stakeholders • Adaptations to intervention components and study protocol • Decision-maker who initiated adaptation and reasons for adaptation Agent Implementation • PCPs’ and health coach’s self-reported barriers to completing intervention components • % and characteristics of participating PCPs who utilize FNPA (arms 2 and 3) Caregiver Receipt of Intervention • Caregivers’ self-reported barriers to participating in intervention components • % and characteristics of participating caregivers who complete FNPA (arms 2 and 3) • % and characteristics of participating caregivers who complete Food Care sessions and who attend the virtual grocery store tour (arm 3) | • Study records such as meeting minutes • Adaptation tracking spreadsheet • PCP study questionnaires implemented via REDCap • Health coach questionnaire implement via REDCap • Caregiver questionnaires implemented via REDCap |
Maintenance Degree to which the intervention is sustained across settings and patients | • Plan and commitment from health system and community partners to continue or expand intervention • % of PCPs maintaining use of FNPA in 12 months following intervention completion • % of participating caregivers who return to the clinic for a 12-month follow-up WCV • % of caregivers completing FNPA at 12 months (arms 2 and 3) | • Study database derived from EHR clinical data and study records • Stakeholder discussions with health system leaders and community partners |