Table 2 Original and for BF2P2 applied study definitions of RE-AIM dimensions; variables and measurement

Adoption

The absolute number, proportion, and representativeness of settings and intervention agents who are willing to initiate a program.

The proportion of LTCs which participated in BF2P2

Reach

The absolute number, proportion, and representativeness of individuals who are willing to participate in a given initiative

The proportion of residents who benefited from the BF2P2

Implementation

At the setting level, implementation refers to the intervention agents’ fidelity to the various elements of an intervention’s protocol. This includes consistency of delivery as intended and the time and cost of the intervention.

Availability of components of the BF2P2 in the participating LTCFs during the implementation phase (fall and fracture prevention classes; hip protectors; environmental adaptations; medication)

Effectiveness

The impact of an intervention on important outcomes, including potential negative effects, quality of life, and economic outcomes.

Effectiveness and cost-effectiveness of BF2P2 on incident femoral fractures in the first group of LTCFs (implementation wave 1) during the first implementation year (2007)

Maintenance

The extent to which a program or policy becomes institutionalized or part of the routine organizational practices and policies. At the individual level, maintenance has been defined as the long-term effects of a program on outcomes after 6 or more months after the most recent intervention contact.

Availability and quality of components of the BF2P2 in the participating LTCFs during follow-up (fall and fracture prevention classes; hip protectors; environmental adaptations; medication); Long-term effect of BF2P2 on incident femoral fractures in all implementation waves between 2007 and 2013