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Table 2 Implementation evaluation

From: Evaluating a multicomponent program to improve hypertension control in Guatemala: study protocol for an effectiveness-implementation cluster randomized trial

RE-AIM/ PRISM dimension

Patient level

Healthcare provider (HCP) level

System level


Number of participants per health district

Representativeness of target population



See Fig. 3




Number of HCPs who participate in training sessions/total HCPs

Representativeness of HCPs who participate in training sessions

Number of health districts, health centers and posts that participate in training sessions/total

Representativeness of health districts that participate in training sessions

Implementation (fidelity, adaptation)

Documentation of home-based BP measurement on patient’s card

Number of health coaching sessions received

Characteristics of training workshops for HCPs

Application of HTN algorithm by HCP

Extent to which implementation strategies (patient lists, audit and feedback, collaborative team meetings, supervision, and coaching sessions) are implemented

Specific modes of implementation by different providers

Types and frequency of delivery adaptation made

Availability of intervention inputs: medications, monitors, materials, staff

Specific modes of implementation in different sites

Maintenance (sustainability)

Sustained BP control, medication adherence, lifestyle changes, quality of life, stages of behavior change at 18 months

Sustained HTN knowledge over time

Intention to continue implementation beyond study period

Adaptations needed in order to continue implementation

Intention to continue beyond study period

Adaptations needed in order to continue implementation



Adaptations by healthcare providers to make the intervention and implementation strategies fit to their context

Changes at the national, state and health district level to be able to implement the intervention and implementation strategies

Sustainability infrastructure


Policies or programs related to HCP hiring, training or retention

Supervision infrastructure

Audit and feedback

Support and resources from MOH leadership to implement intervention

Medication availability

Information system

BP monitors


  1. HTN hypertension, BP blood pressure, MOH Ministry of Health