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Table 2 Implementation outcomes and proposed method of collection

From: Implementation of clinical guidelines for osteoarthritis together (IMPACT): protocol for a participatory health research approach to implementing high value care

Outcome

Definition

Method of Collection (Level of analysis)

Acceptability

Satisfaction with various aspects of the programme

Survey on beliefs (Providers and patients);

Survey on satisfaction at 3 months and 12 months post-programme (Providers and patients)

Interview with providers: “Were you satisfied with the programme?”

Interview with patients: “Were you satisfied with the programme?”

Adoption

Uptake and utilisation of the programme

Registry: Recording the number of referral sources, sites trained vs. sites implementing, trained physiotherapists and participant registrations from private and primary care settings (Providers and patients)

Appropriateness

Perceived fit, relevance, or compatibility of the programme for a given setting, provider, or consumer; and/or to address a particular issue or problem

Survey on beliefs (Providers and patients);

Survey on satisfaction at 3 months post-programme (Providers and patients)

Interview with providers: “How compatible is the GLA:D programme in your setting?”

Interview with providers and patients: “Does the programme address a particular issue or problem?”

Cost

The financial impact of the implementation

Survey on barriers from WP1 (Providers and patients), Health utilisation and sick leave/medication use survey at 3 months and 12 months post-programme (Patients)

Cost-effectiveness analysis

Interview with providers and patients: “Have there been any cost implications?”

Feasibility

The extent to which the programme can be successfully used or carried out within a given setting

Collected with a survey at training course with strategies to overcome specific feasibility barriers discussed (Providers)

Fidelity

The degree to which the programme is implemented as it was prescribed in the original protocol

Interview with providers: “Did you make specific changes to the original programme? What did you change?”

Penetration

The integration of a practice within a service setting and its subsystems

Registry: recording the number screened during the study period and reporting of the absolute number and proportion of those who participated in the program as well as the number of referral sources (Providers);

Sustainability

The extent to which the implemented programme is maintained

Number of sites still running the programme at 12 months and by the end of the project (Providers);

Physical activity and exercise participation at 3 and 12 months (Patients)

Interview with providers: “Do you intend to continue delivering the programme?”

Interview with patients: “Do you intend to continue doing the exercises?”