Table 2 Implementation Framework Elements Guiding Process Evaluation
Element | Key Question | Data Sources |
|---|---|---|
Reach | • Percentage approached who agree to participate? • Differences between participants and non-participants? • What influences willingness to participate? | • Patient screening database • Process log • Veteran exit interviews • SP self-reports |
Effectiveness | • What is the effect of the intervention? | • Study outcomes • Veteran exit interviews • Provider and mental health leadership interviews |
Adoption | • Greatest barriers to adoption? • Supports needed for clinics to adopt the intervention? | • Process log • Provider and mental health leadership interviews |
Implementation | • What supports are needed to ensure consistent intervention delivery? • What tools are needed for consistent intervention delivery? | • Process log • Provider and mental health leadership interviews fidelity monitoring • Veteran exit interviews • SP self-reports |
Maintenance | • What resources are needed to maintain the intervention? • What adaptations are needed to integrate into regular practice? | • Process log • Provider and mental health leadership interviews • Fidelity monitoring |