Table 1 Standard implementation outcomes and their measurement methods
Implementation outcome | Description | Measurement | Data source | Time point |
|---|---|---|---|---|
Appropriateness | The extent to which the WHCa is congruent with the culture of the clinic setting | Focus group discussions | Clinic staff, community women, administrators | Formative |
Organizational Readiness | Texas Christian University organizational readiness for change [46] | Interventionists and administrators | Pre-implementation | |
Comprehensive Services Linkage Referrals | Self-report | Participants of the WHC | 6-month follow-up | |
Comprehensive Services Linkage Referrals | Research staff report | Clinic and research staff | Daily | |
Acceptability | Feedback on the modified WHC | Focus group discussions | Clinic staff and administrators | Multiple time points from mid- to post-implementation |
Client satisfaction | The Client Satisfaction Questionnaire (CSQ-8) [47] | Participants of the WHC | 6-month follow-up | |
Adoption | Current state of implementation of the WHC and challenges to implementing the WHC | Focus group discussions | Clinic staff | Mid- and post-implementation |
Cost | Costs associated with implementing the WHC | Clinic-Patient Contact form [48] | Clinic staff | Throughout the implementation cycle |
Feasibility | Exposure to and retention of the WHC | Number of WHC modules being delivered | Clinic staff | Throughout the implementation cycle |
Coordination of services related to WHC (e.g., ART) | Percentage of women who are referred to and seek out related services | Participants of the WHC | 6-month follow-up | |
Fidelity | The extent to which interventionists are conducting the WHC as intended | Observer rating forms | Research staff | Weekly |
Sustainability | The extent to which the WHC is being implemented as a standard of practice | Self-administered survey | Clinic staff | Every 6 months after exit from clinic until end of study |