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Table 1 EMPOWER QUERI Implementation Evaluation: Summary of Methods (Reprinted with permission from Huynh et al. [76])

From: Periodic reflections: a method of guided discussions for documenting implementation phenomena

Replicating Effective Programs (REP) Phase PHASE 1 Pre-Conditions PHASE 2 Pre-Implementation PHASE 3 Implementation Phase 4 Maintenance & Evolution
Month 1 2 3 4 5 6 1 2 3 4 5 6 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 1 2 3 4
Provider and Administrator Interviews
 • Phase 1: Intervention planning, needs assessment, and acceptability;
 • Phase 2: Factors likely to affect adoption, acceptability, feasibility, satisfaction, penetration/reach.
 • Phase 4: Experiences of intervention/implementation; adaptations made in practice; suggestion for future adaptations to inform effectiveness and spread.
    X     X                 X  
Provider Surveys
 • Measuring Organizational Readiness for Patient Engagement (MORE)
          X                    
Patient Interviews
 • Phase 3: Factors likely to affect adoption, acceptability, feasibility, satisfaction, penetration/reach.
 • Phase 4: Experiences of intervention/implementation; challenges, problem-solving, and suggestions for change/adaptation.
             X              X  
Patient Surveys (pre and post-intervention)
 • Primary outcomes: Program engagement and retention; change in targeted symptom or risk reduction behavior;
 • Secondary outcomes: Satisfaction (at f/u only), global health, out of role days;
 • Potential moderators: engagement, patient demographics, social support, mental health.
             X           X     
Periodic Reflections
 • History and trajectory of implementation events
 • Activities and interrelationships, including stakeholder engagement;
 • Adaptations to intervention components and/or implementation strategies;
 • Contextual factors with potential impact for implementation.
       X X X X X X X X X X X X X X X X X X X X X X X X X
Administrative Data
 • Referral monitoring
 • Patient engagement
 • Patient outcomes
            X X X X X X X X X X X X X X X X     
Text Analysis
 • Review of changes occurring to intervention components and/or implementation strategies per T1 (Baseline) proposal materials and subsequent institutional review, amendments, and other study documentation.
                            X