Protocol - Adoption of Genetic Services: Healthcare Settings
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.
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.
- Record the number of settings that you exclude from participation and why.
- Record the percent of eligible settings that agree to participate in your study.
- 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.
- Record reasons that settings/organizations refused to participate in the study.
Personnel and Training Required
|Specialized requirements for biospecimen collection||No|
|Average time of greater than 15 minutes in an unaffected individual||No|
Mode of Administration
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.
|caDSR Common Data Elements (CDE)||Genomic Medicine Implementation Genetic Services Adoption Checklist||7406466||CDE Browser|
Process and Review
Protocol Name from Source
Reach Effectiveness Adoption Implementation Maintenance (RE-AIM) Checklist for Study or Intervention Planning
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/
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.
|Variable Name||Variable ID||Variable Description||dbGaP Mapping|
Adoption of Genetic Services: Healthcare Settings
September 10, 2020
A checklist used to evaluate the characteristics of the healthcare settings willing to initiate a genetic service program.
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.
Adoption, genetic counseling, genetic testing, genomic testing, genetic services, uptake, Reach Effectiveness Adoption Implementation Maintenance, RE-AIM