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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