Dimension | Original definitions | Current study | ||
---|---|---|---|---|
Definition | Variable | Measurement | ||
Reach | The absolute number, proportion and representativeness of individuals who are willing to participate in a given initiative | The proportion of patients who receive healthy lifestyle promotion in the last 6 months | Proportion of patients | Patient questionnaire |
Effectiveness | The impact of an intervention on important outcomes, including potential negative effects, quality of life, and economic outcomes | Self-reported attitudes and competency among staff regarding healthy lifestyle promotion and the coordinated care model | Proportion of staff | Staff questionnaire |
Adoption | The absolute number, proportion, and representativeness of settings and intervention agents who are willing to initiate a program | The proportion of staff who engage in healthy lifestyle promotion practice including referring patients to specialized staff on a daily basis | Proportion of staff | Staff questionnaire |
Implementation | At the setting level, implementation refers to the intervention agents’ fidelity to the various elements of an intervention’s protocol | Implementation of the Lifestyle team protocol: Multi-disciplinary structure, team manager, referral procedure, and team meetings | Implementation data | Manager interviews |
Maintenance | At the individual level: the long-term effects of a program on outcomes after 6 or more months after the most recent intervention contact. | Reach, effectiveness, adoption and implementation outcomes five years after the Lifestyle teams were implemented. | Reach, effectiveness, adoption and implementation variables and data. | Patient and staff questionnaires |
Manager interviews |