Table 6 RE-AIM guided process evaluation framework

Reach

a) Examine enrollment rate; compare characteristics of eligible participants who enroll versus those who decline

b) Examine generalizability by comparing sample demographics with those of the target population

c) Compare participants who received at least 75% of the intended intervention with those who did not and examine differences between these groups

d) Record detailed information about reasons for, and time of drop-out; compare participants retained versus lost-to-follow-up to examine reasons for attrition

Efficacy

a) Assess improvement in primary and secondary outcomes between baseline and month 6 and examine dose-response association (i.e., whether dosage received relates to changes over time)

b) Examine unintended negative outcomes

Adoption

a) Using semi-structured interviews approach, assess Scripps’ stakeholders’ perceptions of the perceived feasibility and efficacy of intervention strategies

b) Difficulties with implementation

c) Satisfaction with the intervention, and

d) Additional benefits derived

Implementation

a) Examine intervention dose and fidelity via checklists completed by behavioral health nurse (Ready, Set, Action forms) and volunteer community mentors (Community Mentors Checklists) for each patient interaction and across the intervention

b) Assess participants’ engagement in the intervention through brief self-reports evaluating satisfaction with the intervention and number of scheduled calls completed

c) Assess Mi Puente participants’ subjective impressions of the content/format of the intervention and materials, satisfaction with knowledge gained, and challenges/barriers experienced via two focus groups (n = 20) to be conducted with participants following their completion of the 6-month study protocol

d) Assess volunteer community mentors’ self-report of satisfaction and conduct in-depth discussions to examine intervention acceptability, and barriers and enabling factors to program implementation

Maintenance

a) Assess number of Mi Puente participants involved throughout the study period

b) Reassess stakeholders’ support for more broadly implementing the intervention

c) Meet with community partners and other stakeholders to discuss dissemination of findings and intervention