Table 2

Overview of the qualitative themes related to the dimensions in the RE-AIM framework

RE-AIM dimension18 Definition18 Qualitative theme
ReachThe number, proportion and representativeness of eligible individuals who participate in each initiative.
EffectivenessThe impact of an intervention on the relevant outcomes, including potential adverse effects, quality of life and economic outcomes.Text message reminders were helpful for adherence but there was room for improvement
Text message reminders support adherence
Feeling comfortable receiving text message reminders
The code delivered with text message reminders minimises the risk of stigma.
AdoptionThe reach and effectiveness/ efficacy of an intervention at the setting level.Supporting the text message reminders
ImplementationThe intervention agents’ fidelity to the various elements of an intervention’s protocol, including consistency of intended delivery.Failing text messages delivery influences medication intake
Limitations in phone ownership
Technical limitations
MaintenanceConnects with both setting-level indicators (the extent to which a programme or a policy becomes part of organisational practices and policies), and individual-level indicators (monitoring of effectiveness of an intervention or programme 6 months or more after the most recent contact).Seeing potential in Short message services
Possibilities of text message reminders
  • RE-AIM, Reach, Effectiveness, Adoption, Implementation and Maintenance.