Adoption and Reach 

Outcomes from the Consolidated Framework for Implementation Research (CFIR) and Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) frameworks measured uniquely for each project.

Intervention Reach

Definition: The absolute number, proportion, and representativeness of individuals who are willing to participate in a given initiative, intervention, or program, and reasons why or why not.  

 (From the RE-AIM Model Dimension Items Checklist)  

Reach    
Exclusion Criteria (% excluded or characteristics)    
Percent individuals (clients, patients) who participate, based on valid denominator (not of volunteers who indicate interest)    
Characteristics of participants compared to non-participants or to target population    
Use of qualitative methods to understand reach and/or recruitment    

Intervention Adoption  

Definition: (Setting levels) The absolute number, proportion, and representativeness of settings and intervention agents (people who deliver the program) who are willing to initiate a program, and why. Note that adoption can have many (nested) levels- for example, staff under a supervisor under a clinic or school, under a system, within a community.  

 (From the RE-AIM Model Dimension Items Checklist)

Adoption – Setting Level     
Setting Exclusions (% or reasons)     
Percent of settings approached that participate (valid denominator)     
Characteristics of settings participating (both comparison and intervention) compared to either: non-participants or some relevant resource data     
Adoption – Staff Level     
Staff Exclusions (% or reasons)     
Percent of staff invited that participate     
Characteristics of staff participants vs. non-participating staff or typical staff     
Use of qualitative methods to understand staff participation     

Implementation Strategies Adoption

Definition: The absolute number, proportion, and representativeness of settings and recipients who received the implementation strategy. 

Adoption – Setting Level     
Setting Exclusions (% or reasons)     
Percent of settings approached that participate (valid denominator)     
Characteristics of settings participating (both comparison and intervention) compared to either: non-participants or some relevant resource data     
Adoption – Staff Level     
Staff Exclusions (% or reasons)     
Percent of staff invited that participate     
Characteristics of staff participants vs. non-participating staff or  typical staff     
Use of qualitative methods to understand staff participation