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Table 3 Indicators for the interim evaluation of a health systems intervention to improve care during and after a pregnancy complicated by diabetes

From: Improving systems of care during and after a pregnancy complicated by hyperglycaemia: A protocol for a complex health systems intervention

RE-AIM Indicator Data Sources
Reach
- levels of participation and characteristics of participants
•Awareness of the Partnership and associated activities
•Role of participant and level of engagement with hyperglycaemia in pregnancy clients
Health professionals
Implementation team, enablers, champions
Effectiveness
- positive and negative consequences of the intervention
•Perceived level of effectiveness of resources/activities for improving management of hyperglycaemia in pregnancy
•Acknowledgement of factors that contribute to effectiveness/explanation of varying levels of effectiveness
Health professionals
Implementation team, enablers, champions
Adoption
- proportion and representativeness of settings and providers who have adopted the intervention (or components of it)
•Knowledge and/or resources have been adopted in practice or intended to be adopted (i.e. improved management practices adopted such as – follow-up plans, OGTT’s, Chronic Disease Management Plans)
•Issues related to not taking up Partnership activity opportunities and/or not implementing related activities
Health professionals
Implementation team, enablers, champions
Implementation
- the intervention is delivered as intended
•Extent that the Models of Care components*/implementation activities are being delivered as planned/expected, by whom and when
•Adaptations made to original implementation plan
Implementation team, enablers, champions
Maintenance
- practice or policy becomes routine and part of everyday culture and norms
•Extent that the Models of Care components*/implementation activities have been embedded into regular practice
•Intention to continue new practices beyond the project’s funding cycle
Health professionals
Implementation team, enablers, champions
  1. “The Partnership” - the Diabetes Across the Lifecourse: Northern Australia Partnership; OGTT – 75 gram oral glucose tolerance test
  2. *Models of Care Components: 1 – Increasing workforce capacity, skills and knowledge and improvement in the health literacy of health professionals and women; 2 – Improving access to culturally and clinically appropriate healthcare; 3 – Improving information management and communication; 4 – Enhancing policy and guidelines; 5 – Embedding the Diabetes in Pregnancy Clinical Register as a component with the Models of Care