Table 2

Objectives and results for each of the RE-AIM domains

ReachEffectivenessAdoptionImplementationMaintenance
ObjectiveProportion of eligible children screened with the ITC after its implementationEffect of the ITC implementation on earlier referrals for children with suspected language or communication difficultiesEquality of adoption across CHCsActions taken to facilitate the implementation of the ITCIf and how the implementation of the ITC was sustained over time
Result93% screening rate (854/916 children)Significant difference in referrals between ITC and previous method (OR=2.07, 95% CI 1.34, 3.14). Being a boy were associated with early referral (OR=2.38, 95% CI 1.30, 4.36, p<0.001)All centres adopted the method (100% adoption rate)

  • Training session

  • Close collaboration

  • Written procedure

  • Automated procedure

  • Modified medical record procedure

Time to full implementation: 3 months Implementation maintained over full study period Brief drop in screening rate during first 6 months

  • CHS, child health services; ITC, Infant-Toddler Checklist.