Objective | Final evaluation question addressed* | Indicator | Data source | Data collection |
---|---|---|---|---|
REACH | ||||
Increase (FNQ) and sustain (NT) engagement of clinicians with the project | 3 | Health practitioner awareness of Partnership and activities | Health professionals | Interviews |
3 | Health practitioner attendance at Partnership education events | Project activity log | Surveys | |
3 | Use of project online health professional educational resources | Website | Activity log Metrics from website | |
Improve health practitioner awareness of DIP Clinical Register | 3 | Health practitioner awareness of DIP Clinical Register | Health professionals DIP Clinical Register | Interviews Surveys |
Increase (FNQ) and sustain (NT) coverage of the DIP Clinical Register | 1 | DIP Clinical Register coverage; trajectory of coverage over time | Comparison of DIP Clinical Register with health service data | Health service reports |
Determine the number and characteristics of women accessing and not accessing antenatal care | Number of women accessing antenatal care, including number and timing of visits | Health service electronic health records DIP Clinical Register Health service reports1 | Audit | |
EFFECTIVENESS | ||||
Enhance support for health practitioners | 1 | Health practitioner perception of support | Health professionals | Interviews |
4 | Health practitioner and champion reports of which activities have been useful in enhancing support | Champions | Surveys | |
Increase health practitioner awareness of and confidence in managing hyperglycaemia in pregnancy | 1 | Health practitioners perceived knowledge and confidence, and changes from Partnership formative work | Health professionals Health service electronic health records | Interviews Surveys |
1 | Rates of completion of recommended glucose screening in early pregnancy for high risk women | DIP Clinical Register Formative DIP Models of Care work | Audit | |
Earlier hyperglycaemia in pregnancy screening women at high risk | 1 | Rates of completion of recommended early pregnancy screening for high risk women | DIP Clinical Register | Audit |
Improved blood glucose levels for women with diabetes in pregnancy | 2 | Mean first- and third-trimester HbA1c and changes over time | DIP Clinical Register | Audit |
Improved birth and neonatal outcomes | 2 | Gestational age at delivery Mode of delivery Birth weight Large for gestational age Small for gestational age Macrosomia Neonatal obstetric trauma Neonatal hypoglycaemia requiring treatment Neonatal special care admission 5-minute APGAR score less than 5 Neonatal jaundice requiring treatment Neonatal respiratory distress | DIP Clinical Register | Audit |
Improve health practitioners’ awareness of postpartum guidelines | 1 | Health practitioner awareness of guidelines and changes over time | Health professionals Champions | Interviews Surveys |
Improve postpartum management, according to guidelines, following diabetes in pregnancy | 2 | Proportion of women completing postpartum glucose testing Postpartum weight, body mass index, waist circumference Proportion of women breastfeeding Proportion of women smoking Proportion of women prescribed contraception, or who have discussed contraception with a health practitioner Changes over time in all indicators | Electronic health records DIP Clinical Register | Audit |
Enhance communication between primary healthcare and hospital services | 1 | Health practitioner perception of communication between primary healthcare and hospital services | Health professionals | Interviews |
3 | Health practitioner and champion reports of which activities have contributed to changes | Champions | Surveys | |
Improve referral pathways and care coordination for services caring for women with hyperglycaemia in pregnancy | 1 | Health practitioner knowledge of referral pathways | Health professionals | Interviews |
1 | Health practitioner perception of improvements in care coordination | Champions | Surveys | |
3 | Health practitioner and champion reports of which activities have contributed to changes | |||
Improve discharge processes | 1 | Health practitioner perception of usefulness of discharge summaries | Health professionals | Interviews |
1 | Health practitioner and champion perception of impact of discharge processes on postpartum care | Champions | Surveys | |
ADOPTION | ||||
Enhance referrals to DIP Clinical Register | 1 | DIP Clinical Register coverage | Comparison of DIP Clinical Register with health service data Health professionals | Health service reports1 Interviews Surveys |
3 | Health service perceptions of referral process | |||
Improve practitioner use of DIP Clinical Register | 1 | Health practitioner use of DIP Clinical Register and reports | Health professionals | Interviews |
3 | Health practitioner reports of which aspects of reports are useful in practice | DIP Clinical Register | Surveys External use of DIP Clinical Register website, e.g. website metrics | |
Identify enablers and barriers impacting on adoption of project activities | 3 | Health practitioner, implementer and champion reports of enablers and barriers | Health professionals Implementers Champions | Interviews |
Determine acceptability and value of project activities •Are project activities socially appropriate/ acceptable? •What is the social importance of project outcomes? •Which project activities are perceived as valuable? | 4 | Health practitioner, implementer and champion perceptions of acceptability and value of project activities | Health professionals Implementers Champions Women | Interviews |
IMPLEMENTATION | ||||
Determine if project activities have been delivered as intended | 3 | Proportion of planned activities delivered | Project activity log Implementers | Interviews Audit of activity log |
Determine if project activities have been adapted, e.g. to fit local needs | 3 | Adaptations of planned activities and rationale | Implementers | Interviews |
Identify enablers and barriers impacting on implementation of project activities | 3 | Enablers and barriers as identified by implementation team | Implementers Health professionals Champions | Interviews |
MAINTENANCE | ||||
Sustain DIP Clinical Register through integration with other structures | 5 | Health practitioners and services perceptions of sustainability of the DIP Clinical Register Resources required and cost of maintaining DIP Clinical Register | Health professionals Champions Implementers Activity log | Interviews Surveys Cost-consequences analysis |
Identify project activities sustainable beyond project completion, and method for funding or integration into existing services | 5 | Health professional, champion and implementer perception of sustainability of project activities Resources required for project activity sustainability | Health professionals Champions Implementers Activity log | Interviews Cost-consequences analysis |