Protocol - Adoption of Genetic Services: Healthcare Settings

Add to My Toolkit

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.

  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.




Personnel and Training Required


Equipment Needs


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

Life Stage

Not applicable


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.



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


Process and Review

Not applicable

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/

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


Export Variables
Variable Name Variable IDVariable DescriptiondbGaP Mapping
Genomic Medicine Implementation
Measure Name

Adoption of Genetic Services: Healthcare Settings

Release Date

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