1 / 15

RE- AIM Plus To Evaluate Effective Dissemination of AHRQ CER Products

RE- AIM Plus To Evaluate Effective Dissemination of AHRQ CER Products. Michele Heisler, MD, MPA September, 2011. Web-Based Tool to Facilitate Diabetes Medications Decision-making (AHRQ R18, Heisler). i Decide

dareh
Download Presentation

RE- AIM Plus To Evaluate Effective Dissemination of AHRQ CER Products

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. RE-AIMPlus To Evaluate Effective Dissemination of AHRQ CER Products Michele Heisler, MD, MPA September, 2011

  2. Web-Based Tool to Facilitate Diabetes Medications Decision-making(AHRQ R18, Heisler) iDecide • Assessing the use of a web-based, interactive, tailored decision tool in improving diabetes health outcomes Decido • Evaluando el uso de un herramienta de decisión en mejorar los resultados de la salud en pacientes con diabetes

  3. Definition of Tailoring • assess an individual’s characteristics relevant to the behavior • Use assessment data to generate messages relevant to that individual’s specific needs • Deliver these messages in a clear, vivid—and interactive--format

  4. iDecide • Project description • Community health worker (CHW)-delivered intervention to improve knowledge of diabetes medications among low-literacy, low-income adults (Latinos and African Americans) with poor glycemic control/reported medication problems • 2 arms (n=210) • Control group: reviews the static, paper AHRQ patient guide with a CHW • Intervention group: reviews the tailored, web-based program with a CHW

  5. Goals of the study Aim 1: (Work together to)Build an interactive, tailored diabetes medication decision aid to help people: • Assess their treatment goals • Identify personal preferences and concerns • Understand options for improving their diabetes care (when appropriate)

  6. Goals of the study Aim 2: Compare the tailored tool with the print AHRQ CER guides on participant: • Knowledge of medications • Satisfaction with information • Decisional conflict

  7. Goals of the study Aim 3: Look at how the tool affects: • Participant changes to medication • Self-reported medication adherence • Participant beliefs about medication • A1c levels

  8. What do qualitative methods add to implementation evaluation? • Use open-ended techniques, e.g., interviews, observation • Goal is understanding, rather than measurement • Get into the “black box” • Uncover the whys and hows behind quantitative measures • Identify and understand implementation processes, how influenced by context and how affect implementation success

  9. Development of RE-AIM Plus • Systematically review each RE-AIM dimension and create open-ended questions • Add information sources and data analyses to address

  10. RE-AIM Plus: Reach

  11. RE-AIM Plus: Effectiveness

  12. RE-AIM Plus: Implementation

  13. RE-AIM Plus: Maintenance

  14. Methods: Effective procedures and instruments to systematically collect data Multiple data sources Data management system to facilitate data retrieval Including real time Important Methods Considerations

  15. Concluding Thoughts RE-AIM Plus: • Useful in generating context-specific and generalizable information on implementation • Allows understanding of implementation mechanisms behind both process and outcome measures • May improve ways to adapt implementation in real time and increase likelihood of success when interventions are disseminated

More Related