Authors: Richard Windsor Jeannie Clark Amanda Davis John Wedeles Lorien Abroms
Publish Date: 2016/08/17
Volume: 21, Issue: 1, Pages: 96-107
Abstract
Objectives Process evaluation data are essential to document the fidelity of program implementation by clinical staff and confirm patient behavior change This report presents a process evaluation model applied to the Smoking Cessation and Reduction in Pregnancy Treatment Dissemination Initiative for the statewide homebased West Virginia Right From The Start Project Methods Trained RFTS Designated Care Coordinators nurses and social workers of 50+ primary care agencies in all 55 counties delivered SCRIPT to Medicaid patients who smoked Results The process evaluation defined the level of DCC delivery of seven core SCRIPT procedures to produce a Program Implementation Index a summary performance metric A SCRIPT PII 080 was established as the RFTS adoption standard The PII increased from 053 in 2004 to 065 in 2006–2007 to 077 in 2009–2010 Although the PII 080 was not achieved exposure rates were increased for all seven SCRIPT procedures Agency and DCC turnover a transient patient population and recession of 2008–2010 were barriers to achieving the adoption metric and implementation of an experimental design A quasiexperimental Stratified Matched Comparison C Group Design was selected to evaluate behavioral impact differences between a RFTSComparison C Group from 2006 to 2007 and the RFTSSCRIPT E Group from 2009 to 2010 Impact analyses of the DCC delivery of the SCRIPT Program with higher fidelity documented a statistically significant increase in the cessation rate from 46 and significant reduction rate from 69 for the C Group in 2006–2007 to 139 and 1122 respectively for the E Group in 2009–2010 Conclusion The PEM can assist statewide homebased prenatal care programs to improve the quality of delivery and evaluate counseling programsThe Institutional Review Boards of the George Washington University and the West Virginia Bureau of Public Health approved this project The leadership of the SCRIPT Dissemination Initiative recognizes the contributions of the following colleagues who assisted in planning and implementation Sean Cleary Kalpana Ramiah Anne Williams Pat Moss and Jackie Newson BPH We would also like to recognize members of the Dissemination Committee for their contributions to the success of this project Brenda Johnson Dee Meadows Beverly Kitchen Sandra Ellard Mary Christian Joan Dayoub Charlita Atha Patsy Parker Lori Meadows Suellen Friend Paula Darby Bobbie Paris Lenaa Ryan and Janeen Masker A special thanks to Regina Grollman Windsor and Dr Myra Crawford
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