Table 2 Assessment of key study outcomes
Outcome | Definition | Measure | Data Collection Strategy |
|---|---|---|---|
Outcome evaluation | |||
Effectiveness | Impact of Expect With Me on patient outcomes | Patient-level - Comparison of birth outcomes between Expect With Me patients and the matched cohort who received individual care | - Health record reviews - Patient surveys |
Process evaluation | |||
Uptake | Extent to which providers refer patients to Expect With Me and deliver group prenatal care sessions | Organization-level - Number and proportion of providers referring patients for Expect With Me during the enrollment period - Number and proportion of providers delivering Expect With Me group prenatal care sessions | - Health record reviews |
Willingness of eligible patients to participate in Expect With Me and extent to which they are representative of the target population | Patient-level - Number and proportion of eligible patients enrolled in Expect With Me - Characteristics of Expect With Me participants - Reasons patients participate/do not participate | - Health record reviews - Online tracking system - Patient surveys and focus groups | |
Fidelity | Extent to which Expect With Me is implemented as planned | Organization-level - Conformity to the implementation strategy - Conformity to the implementation content - Amount of sessions/groups completed - Amount of content delivered per session - Clinic staff perception about Expect With Me’s content and implementation strategy - Satisfaction about implementation within the clinic Patient-level - Amount of sessions attended - Amount of information technology platform use | - Online tracking system - Session evaluations - Provider interviews and focus groups - Patient surveys and focus groups - Site visits |
Amount of the program received by patients | |||
Sustainability | Impact of Expect With Me on healthcare costs | Organization-level - Comparison of financial impact of birth outcomes on healthcare costs - Comparison of utilization of healthcare, including visit attendance, emergency department and neonatal intensive care unit utilization, postpartum long acting reversible contraception uptake, and associated costs - Satisfaction with Expect With Me group care and provider training on group care | - Health record reviews - Billing records - Provider focus groups - Provider surveys |
Opinion about Expect With Me and the implementation strategy | |||