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Protocol - Adoption of Genetic Services: Healthcare Settings

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Description

The adoption dimension of RE-AIM includes a four-item checklist used to evaluate the characteristics of settings that participate in offering genetic services or a new genetic services intervention.

Specific Instructions

This protocol can be used to assess adoption by healthcare settings. Use of the protocol depends on the intervention or goal of the study. Adoption can be reported by the setting (e.g., hospital, academic medical center, freestanding emergency room/urgent care, Veterans Administration, federally qualified health center, outpatient clinic, private practice). Adoption can also be reported by individuals (staff/providers) or confirmed in medical records or other documents. Characteristics of interest for the staff/providers may include age, gender, specialty, practice, setting, and years in practice.

The Genomic Medicine Implementation Working Group recommends that the same questions for settings are asked about providers. The user should replace the word “settings” with “providers” and note the characteristics of interest (for item 3) that were described earlier. 

This protocol is for Implementation Science purposes and should be used when interventions (e.g., genetic services, genetic testing or delivery interventions related to genetic services) are planned or being conducted.

Protocol
  1. Record the number of settings that you exclude from participation and why.

           ________________________

  1. Record the percent of eligible settings that agree to participate in your study.

          ________________________

  1. Compare differences between those settings participating and those not participating on relevant characteristics such as size of organization, type of business, previous health promotion programs, number of employees/students/constituents, any policies regarding the target behaviors of interest or other key variables.

           ________________________

  1. Record reasons that settings/organizations refused to participate in the study.

           ________________________

Availability

Available

Personnel and Training Required

None

Equipment Needs

None

Requirements
Requirement CategoryRequired
Major equipment No
Specialized training No
Specialized requirements for biospecimen collection No
Average time of greater than 15 minutes in an unaffected individual No
Mode of Administration

Program evaluation

Lifestage

Not applicable

Participants

Healthcare providers

Selection Rationale

The checklist was developed and successfully used by the Implementation Science Team at the National Cancer Institute (NCI) Division of Cancer Control and Population Sciences (DCCPS). It is widely used.

Language

English

Standards
StandardNameIDSource
caDSR Common Data Elements (CDE) Genomic Medicine Implementation Genetic Services Adoption Checklist 7406466 CDE Browser
Derived Variables

None

Process and Review

Not applicable

Protocol Name from Source

Reach Effectiveness Adoption Implementation Maintenance (RE-AIM) Checklist for Study or Intervention Planning

Source

National Cancer Institute. (2012). Reach Effectiveness Adoption Implementation and Maintenance (RE-AIM) Model Checklist for Study or Intervention Planning. Available at http://www.re-aim.org/resources-and-tools/measures-and-checklists/

General References

Gaglio, B., Shoup, J. A., & Glasgow, R. E. (2013). The RE-AIM framework: A systematic review of use over time. American Journal of Public Health, 103, e38–e46.

Glasglow, R. E., Klesges, L. M., Dzewaltowski, D. A., Estabrooks, P. A., & Vogt, T. M. (2006). Evaluating the impact of health promotion programs: Using the RE-AIM framework to form summary measures for decision making involving complex issues. Health Education Research, 21(5), 688–694.

Wu, R. R., Myers, R. A., McCarty, C. A., Dimmock, D., Farrell, M., Cross, D., Chinevere, T. D., Ginsburg, G. S., & Orlando, L. A. (2015). Protocol for the “Implementation, Adoption, and Utility of Family History in Diverse Care Settings” study. Implementation Science, 10, 163.

Wu, R. R., Myers, R. A., Sperber, N., Voils, C. I., Neuner, J., McCarty, C., Haller, I. V., Harry, M., Fulda, K. G., Cross, D., Dimmock, D., Rakhra-Burris, T., Buchanan, A. H., Ginsburg, G. S., & Orlando, L. A. (2019). Implementation, Adoption, and Utility of Family Health History Risk Assessment in diverse care settings: Evaluating, implementation processes and impact with an implementation framework. Genetics in Medicine, 21(2), 331–338.

Protocol ID

310201

Variables
Export Variables
Variable Name Variable IDVariable DescriptiondbGaP Mapping
PX310201_Adoption_Genetic_Service_Difference_Participate_Setting
PX310201030000 Compare differences between those settings more
participating and those not participating on relevant characteristics such as size of organization, type of business, previous health promotion programs, number of employees/students/constituents, any polici show less
N/A
PX310201_Adoption_Genetic_Service_Number_Exclude_Setting
PX310201010100 Record the number of settings that you more
exclude from participation. show less
N/A
PX310201_Adoption_Genetic_Service_Reason_Exclude_Setting
PX310201010200 Record why settings were excluded from more
participation. show less
N/A
PX310201_Adoption_Genetic_Service_Reason_Refuse_Participation
PX310201040000 Record reasons that settings/organizations more
refused to participate in the study. show less
N/A
PX310201_Adoption_Genetic_Servics_Percent_Eligible_Setting
PX310201020000 Record the percent of eligible settings that more
agree to participate in your study. show less
N/A
Genomic Medicine Implementation
Measure Name

Adoption of Genetic Services: Healthcare Settings

Release Date

September 10, 2020

Definition

A checklist used to evaluate the characteristics of the healthcare settings willing to initiate a genetic service program. 

Purpose

Adoption of the Reach Effectiveness Adoption Implementation and Maintenance (RE-AIM) framework is defined as the absolute number, proportion, and representativeness of healthcare settings that are willing to initiate a program at the system or provider level.

Keywords

Adoption, genetic counseling, genetic testing, genomic testing, genetic services, uptake, Reach Effectiveness Adoption Implementation Maintenance, RE-AIM

Measure Protocols
Protocol ID Protocol Name
310201 Adoption of Genetic Services: Healthcare Settings
Publications

There are no publications listed for this protocol.