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Table 2 Measurements and data sources proposed for the implementation evaluation based on RE-AIM and CFIR

From: Mixed-methods approach to evaluate an mHealth intervention to increase adherence to triage of human papillomavirus-positive women who have performed self-collection (the ATICA study): study protocol for a hybrid type I cluster randomized effectiveness-implementation trial

 

Quantitative outcomes

Qualitative evaluation

Data source

Reach: representativeness of women reached by the intervention (quantitative data)

% of eligible women who accepted to participate in the study

Sociodemographic information of participant/nonparticipant women

 

CRT database (Trial form)

Effectiveness in increasing women’s adherence to triage (quantitative and qualitative data)

Primary outcome: percentage of women with triage smears 120 days after test results are registered in SITAM

Reasons for adherence/nonadherence to triage

CRT database (SITAM)

HPV+ Women Survey

Adoption by CHWs of the strategy of visiting HPV+ women after receiving SMS messages and e-mailsa

Acceptability of the intervention by adopters

% of CHWs that visited at least one HPV+ woman after receiving the SMS message and e-mail

% of CHWs that agreed with programmatic incorporation of the mHealth intervention

CFIR construct: knowledge and beliefs about the intervention; perceived self-efficacy

CRT database (Trial form + Automated Messaging System Monitoring Registry)

Self-administered semi-structured survey of CHWs

Implementation of intervention activities according to protocol (quantitative data)

Acceptability of the intervention by women (quantitative and qualitative data)

Barriers and facilitators to implementing and administering the intervention (qualitative data)

% of randomized CHWs that participated in training

% of SMS messages that reached a valid phone number

% of e-mails that reached a valid e-mail address

% of CHWs who sent confirmatory e-mails

% of women who accept and are satisfied with the intervention

Woman level: experience and perception of the intervention; acceptability of SMS messages, pertinence of frequency, reception time, and content of SMS messages

Stakeholder/CHW level: CFIR constructs: relative advantage; adaptability; complexity and cost. patient needs and resources and external policies and incentives

Structural characteristics; tension for change, relative priority and available resources, access to knowledge and information

Automated Messaging System Monitoring Registry and Training Attendance List

HPV+ Women Survey

Semi-structured interviews with stakeholders and self-administered semi-structured survey of CHWs

Maintenance

 

Intention to incorporate the strategy

Interview with stakeholders

  1. CFIR Consolidated Framework for Implementation Research, CHW community health worker, CRT cluster randomized trial, HPV human papillomavirus, RE-AIM Reach, Effectiveness, Adoption, Implementation, and Maintenance, SITAM national screening information system