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Table 3 Summary of Outcome Measures for Evaluation of STAR Program Implementation

From: Protocol for a two-arm pragmatic stepped-wedge hybrid effectiveness-implementation trial evaluating Engagement and Collaborative Management to Proactively Advance Sepsis Survivorship (ENCOMPASS)

   

Implementation time point

Assessment

Evaluation tool

Pre

8 m

20 m

32 m

Post

CFIR Construct Assessed

 Outer setting (Patient Needs and resources, Cosmopolitanism, external policies/incentives)

Administrative leaders

CFIR interviews

X

   

X

Providers

CFIR interviews

X

   

X

 Inner Setting (networks/communication, implementation climate, readiness)

Administrative leaders

CFIR interviews

X

   

X

Providers

CFIR interviews

X

X

X

X

X

Navigators

CFIR interviews

 

X

X

X

 

 Intervention (evidence strength/quality, relative advantage, adaptability, trialability, complexity)

Administration

CFIR Interviews

 

X

X

X

 

Providers

CFIR Interviews

 

X

X

X

 

Navigators

CFIR Interviews

 

X

X

X

 

 Individuals (knowledge and beliefs about intervention, self-efficacy)

Providers

Knowledge survey

Self-Efficacy survey

 

X

X

X

 

Navigators

Knowledge survey

Self-Efficacy survey

 

X

X

X

 

Patients and

Caregivers

Knowledge survey

Self-Efficacy survey

 

X

X

X

 

Process (execution)

Navigators

Focused ethnography

 

X

X

X

 

Other outcomes assessed

 Reach, Adoption, and Maintenance

Patients (Reach)

1) Navigator use per eligible patients

2) risk prediction for those enrolled

 

X

X

X

X

Providers (Adoption)

# of providers with pts. enrolled

 

X

X

X

X

 Effectiveness

Healthcare utilization

90-day mortality or readmission

X

   

X

 Cost

Health system

Clinical trial data

    

X

Societal

Extrapolated

    

X

  1. CFIR Consolidated Framework for Implementation Research