Table 1 RE-AIM Framework for Evaluating NHCRCSP Patient Navigation Program
From: Assessing the implementation of a patient navigation intervention for colonoscopy screening
Element | Definition | Indicator | Data Source |
|---|---|---|---|
Reach | Ability to engage the priority population | Mode of navigator communication Geographic location of patients Methods of recruitment Number and characteristics of patients Challenges to reach | NHCRCSP program data Program documents Interviews |
Efficacy | Program impact on health outcomes | Colonoscopy completion and other outcomes Stakeholder perception of efficacy | NHCRCSP program data Interviews |
Adoption | Program uptake by target organizations | NHCRCSP Champion Number and geographic location of contracted endoscopy sites Partnerships Provider-site champions Adoption challenges | NHCRCSP program data Program documents Interviews |
Implementation | Consistent delivery of program | Dose (time spent, number of days navigated) Fidelity with 6-topic protocol PN characteristics and training Monitoring and quality assessment Patient satisfaction Stakeholder perceptions of implementation Implementation challenges | NHCRCSP program data Program documents Interviews Navigator observations Navigator call notes |
Maintenance | Extent program becomes institutionalizing | Resources Infrastructure Partnerships Staff turnover Challenges to maintenance | Program documents Interviews |