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Table 1 Results applied to the RE-AIM framework

From: A single-site pilot implementation of a novel trauma training program for prehospital providers in a resource-limited setting

Dimension

Quantitative measures

  

Index

Data

Data quality

Difficulty of collection

Missing data

Key feasibility

index

Reach

(Did we reach the target audience?)

Participating learners (%)^

92/109 = 84%

+++

+

Rarely

Yes

Effectiveness

(Individual level outcomes resulting from the program.)

Change in providers’ knowledge scores (post − pre = difference, %)

52% − 6% = 46%

++

++

Rarely

-

Change in providers’ skills scores (post − pre = difference, %)

39% − 12% = 27%

++

++

Rarely

-

Change in providers’ self-efficacy ratings (post − pre = difference, %)

42% − 21% = 21%

+

++

Rarely

-

Improved quality noted in 5 item core bundle of care (%)$

3/5 = 60%

+

+++

Often

Yes

Clinically improved patients’ shock indices (%)

38% − 28% = 10%

+

+++

Occasional

-

Learner evaluations with satisfaction score ≥ 7 out of 10 (%)

485/526 = 92%

+++

++

Rarely

Yes

Facilitator evaluations with mean satisfaction scores ≥ 7 out of 10

145/156 = 93%

+++

++

Rarely

Yes

Adoption

(Indications that stakeholders and users within the institution will adopt this program.)

Participating facilitators (%)

10/12 = 83%

+++

+

Rarely

Yes

Facilitators surveyed who would participate again (%)

5/6 = 83%

++

+

None

Yes

EMS leaders surveyed responding HEET is a good fit for WCG EMS (%)

8/8 = 100%

+++

+

None

Yes

Implementation fidelity

(Did we implement the program as we intended?)

Proportion of content delivered as originally planned (%)*

90%

++

+

None

Yes

Number of training modules delivered as originally planned (%)*

6/8 = 75%

++

+

Rarely

Yes

Proportion of trainings starting with 15 min of intended (%)

127/164 = 77%

++

+

Occasionally

Yes

Proportion of sessions (trainings & evals) lasting 15 min or less (%)

131/164 = 80%

++

+

Occasionally

Yes

Average of key implementation feasibility indices (SD)=

83% (SD = 10.3)

   

Average of all RE-AIM implementation indices (SD) =

68% (SD = 27.7)

   
  1. K-A-S knowledge-attitudes-self-efficacy, WCG Western Cape Government, SD standard deviation
  2. ^Learner participation defined by those completing ≥ 75% of training modules. $Learner and facilitator patient charts were included in clinical outcomes analyses. *Index that was subjectively determined through conversation with implementation team. +Compare mean return rate of forms in first 2 modules versus last 2 weeks of implementation
  3. Data quality: + is low; ++ is average; +++ is high. Difficulty of data collection: + is easy; ++ is moderate; +++ is difficult
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Pilot and Feasibility Studies

ISSN: 2055-5784