|RE-AIM dimension||Current project definition||Time point measured|
|Reach||The number, proportion and representativeness of (a) practitioners who participate in each tier of training; (b) practitioners who participate in supervision/mentoring; (c) practitioners who participate in a FASD practitioner network; (d) children who are assessed; (e) caregivers, families and other key stakeholders who receive support, advocacy or follow-up.||All items will be measured post implementation.|
• knowledge regarding (a) risks of alcohol use during pregnancy; and (b) FASD.
• practitioner level of confidence and proportion who: (a) routinely ask individuals of reproductive age and/or pregnant women and their support networks about alcohol use; (b) provide individuals of reproductive age and/or pregnant women and their support networks with information about alcohol use; or (c) routinely provide individuals of reproductive age with information about effective contraceptive use if not planning pregnancy
• practitioner confidence and proportion who routinely ask parents/caregivers of children presenting with developmental concerns about prenatal alcohol exposure as a part of their developmental assessment
• practitioner competence for each tier of the assessment process
• participation in assessments or referral for assessments
Children and families
Qualitative information will be collected regarding:
• awareness of FASD
• knowledge of child development stages
• ability to access neurodevelopmental services
• satisfaction regarding the services accessed
• changes in child/family functioning reported by caregivers following access to services in the community.
Practitioner items will be measured at multiple stages throughout implementation.|
Child and family items will be measured post implementation
|Adoption||The number, proportion and representativeness of settings that adopted the Yapatjarrathati Assessment Protocol||Measured post implementation|
The extent to which assessments were delivered according to the prototype, and the extent to which training was delivered as intended; the time and cost involved for both training and assessment.|
The number of iterations required to finalise each prototype will be documented for (a) educational tools, (b) assessment process, and (c) training process as an indication of fidelity to user-centered design.
Qualitative information will be collected regarding the facilitators and barriers to implementation (assessment and training) from multiple perspectives: caregivers and family members; other key stakeholders; government and non-government organisations (NGOs).
|Process variables will be measured throughout implementation.|
At the setting level: the number, proportion and representativeness of organisations that incorporate tiered assessments into their ongoing usual care.|
At the individual level: the number, proportion and representativeness of practitioners that (a) continue to implement tiered assessments; (b) provide referrals for neurodevelopmental assessments training; engagement in practitioner network 6-months post-training
At the community level: Awareness and ability to access Yapatjarrathati Project services
|All items will be measured at 6 month follow up.|