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Coding Definitions for Literature Review of Reporting on RE-AIM Elements

REACH (Individual Level)

EFFICACY/EFFECTIVENESS (Individual level)

ADOPTION (Setting Level)

ADOPTION (Delivery Agent, Health Educator, Counselor Level)

IMPLEMENTATION (Setting Level) — the intervention delivery agents’ fidelity to the various elements of an intervention’s protocol including consistency of delivery as intended and the time and cost of the intervention.

• Intervention type and intensity — refers to the basis for the intervention (e.g., goal setting, self-monitoring, theoretical model) and the concentration of the intervention in terms of frequency and duration of sessions, contacts, or reading materials.
• Reported (Yes/No)
• Number and frequency of intervention contacts
• Duration of intervention contacts
• Intervention modality (select all that apply)
  • face-to-face
  • small group
  • telephone
  • Internet
  • other
• Extent protocol was delivered as intended, including the timely delivery of intervention components
  • Reported (Yes/No)
  • Specify method of documenting (e.g., self-report by delivery agent, participant recall, direct observation)
  • Rate = # intervention components delivered/ # of intervention components
  • Description of components delivered vs. undelivered
• Implementation by counselor or agent
• Report on total time intervention took
• Measure of cost of delivering the intervention
• Reported (Yes/No)
• Describe

MAINTENANCE (Setting & Individual Level)

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Communication — process in which participants create and share information with one another in order to reach a mutual understanding (Rogers, 1995).

Diffusion — the process by which an innovation is communicated through certain channels over time among the members of a social system (Rogers, 1995).

Communication Channel — the means by which messages get from one individual to another: Mass media channels, interpersonal channels (Rogers, 1995).

Innovation — an idea, practice, or object that is perceived as new by an individual or other unit of adoption (Rogers, 1995).

Technology — a design for instrumental action that reduces the uncertainty in the cause-effect relationships involved in achieving a desired outcome (Rogers, 1995). A technology has two components: (1) a hardware aspect, consisting of the tool that embodies the technology as a material or physical object, and (2) a software aspect, consisting of the information base for the tool.

Behavior Setting — the setting is a physical and social environment or place where behavior occurs.

Ecological Environment — the ecological environment is conceived as a set of nested structures, each inside each other like a set of Russian dolls (Brofenbrenner, 1977; Lewin, 1917, 1931, 1935). The microsystem represents a pattern of social interaction in a given face-to-face setting with particular physical, social and symbolic features that invite, permit, or inhibit engagement in sustained, progressively more complex interaction with, and activity in, the immediate environment. Examples include domains such as family, school, peer group, and work place. The linkage of two or more Microsystems or places containing the developing person is defined as the mesosystem. The linkage of two or more settings, where at least one does not contain the developing system, is referred to as the exosystem. Macrosystems refer to the overarching pattern of micro-, meso-, and exosystem characteristics.

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