The aim of the present study was to evaluate two implementation strategies for the introduction of a new tool for lifestyle intervention in phc, applying the re aim framework to assess outcome in terms of reach, effectiveness, adoption and implementation. The reaim framework is used as a method of systematically considering the strengths and weaknesses of chronic illness management interventions in order to guide program planning. The guide to community preventive services disclaimer. The date ranges were from 1999 corresponding to the release of the seminal reaim paper 1 to april 20. Reaim is an acronym for the frameworks five evaluation components. This framework has been widely applied to assess the impact of individual interventions. However, re aim has rarely been used to evaluate implementation interventions, especially from multisector partnerships. Outcomes of and for diabetes education research russell. The re aim framework is used as a method of systematically considering the strengths and weaknesses of chronic illness management interventions in order to guide program planning. Reaim framework form the basis of our discussion next week. Reaim criteria a 21item validated data extraction tool based on the reaim framework was used to code eligible articles on the degree to which indicators of internal and external validity were reported akers et al.
As one of the most frequently applied implementation frameworks, re aim has now been cited in over 2,800 publications. Glasgow re, klesges lm, dzewaltowski da, estabrooks pa, vogt tm. Electronic databases pubmed, embase, and the cochrane library were searched to identify intervention studies published between. Evaluating public health impact promotion interventions. Using the re aim framework to assess public health impact up to this point, module 5 has presented information about monitoring and evaluating interventions, based on the assumption that the majority of your interventions may have a limited focus in terms of geography or size of the target population reached. Oct 26, 2012 using reaim to address health impact evaluation issues. Using reaim to address health impact evaluation issues cynthia a.
About the academy academy for professional excellence. Measures the robustness, or consistency of effects across settings and patient subgroups glasgow s reaim reach, effectiveness, adoption, implementation, and maintenance framework is designed to assess interventions translatability to diverse, realworld participants and settings. The re aim dimensions of reach, efficacy, adoption, implementation, and maintenance are used to rate oneonone counseling interventions, group sessions, interactive computermediated interventions. In this commentary, the authors propose a model termed the reaim model for evaluating. Fidelity to and comparative results across behavioral. Maintenance measures the extent to which innovations becomea relatively stable, enduring part ofthe behav. Reach is most often displayed as a numeric percentage and. Understanding the internal and external validity of health. It has been produced to help those involved in developing and implementing national clinical guidelines to plan for the monitoring and evaluation of implementation of their guideline.
The usefulness of reaim has been well established in public health journals but has remained undocumented in journals for which extension professionals are the target audience folta et al. This article applies the re aim reach, effectiveness, adoption, implementation, maintenance planning and. Applying the reaim framework to intervention planning and. Outcomes of and for diabetes education research russell e. Reaim stands for reach, effectiveness, adoption, implementation, and maintenance.
What is re aim the goal of re aim is to encourage program planners, evaluators, readers of journal articles, funders, and policymakers to pay more attention to essential program elements including external validity that can improve the sustainable adoption and implementation of effective, generalizable, evidencebased interventions. Pdf evaluating the public health impact of health promotion. The reaim dimensions of reach, efficacy, adoption, implementation, and maintenance are used to rate oneonone counseling interventions, group sessions, interactive computermediated interventions. In 2017, downey, peterson, donaldson, and hardman introduced reaim as an evaluation framework for. The reaim framework was applied to evaluate outcome in terms of reach.
Frontiers reaim in clinical, community, and corporate. It can be applied to assist with the translation of research to practice and to estimate the public health impact of programs and interventions. The findings and conclusions on this page are those of the community preventive services task force and do not necessarily represent those of cdc. Since its initial publication in 1999, the reaim framework has become widely recognized across a range of disciplines as a valuable tool to guide thinking about the development and evaluation of interventions intended for widespread dissemination. Applying the reaim framework to evaluate the intervention is important to ensure teachers can replicate the intervention within schools on a wider scale and give consideration to potential facilitators and barriers. Tabak et al write that this model is more operational than many is models and inclusive of both dissemination and implementation issues tabak et al. Pragmatic applications of reaim for health care initiatives. The reaim framework was employed to evaluate the intervention, dimensions of which were reach, effectiveness, adoption, implementation, and maintenance. Five dimensions characterize the public health impact of an intervention. The academy for professional excellence program evaluations are guided by the reaim framework. The reaim health promotion framework glasgow et al. Commentaries advances in identifying factors related to the extent to whichachangeis institutional ized.
Evaluating the public health impact am j public health, 1999. The authors discuss what it means to employ a specific model, re aim, and key dimensions from this model for program planning, implementation, evaluation, and reporting. Progress in public health and communitybased interventions has been hampered by the lack of a comprehensive evaluation framework appropriate to such programs. Reach, effectiveness, adoption, implementation, and. The re aim framework was employed to evaluate the intervention, dimensions of which were reach, effectiveness, adoption, implementation, and maintenance.
Multilevel interventions that incorporate policy, environmental, and individual components should be evaluated with measurements suited to their settings, goals, and purpose. The re aim evaluation framework is one approach to assessing the public health impact of interventions. There is an important need for models to help design and evaluate health policies. Operationalizing the reaim framework to evaluate the impact. The authors discuss what it means to employ a specific model, reaim, and key dimensions from this model for program planning, implementation, evaluation, and reporting. Social support, selfmanagement, and quality of life among participants in an internetbased diabetes support program.
Standard metrics that accurately summarize complex. The purpose of this article was to illustrate the use of the re aim model as a heuristic framework with which chronic disease management strategies can be considered and compared. Using the reaim framework to assess public health impact. The re aim planning and evaluation framework was conceptualized two decades ago. This framework has been shown to be a usable tool for evaluating the implementation of interventions.
The reaim framework is a valuable tool for implementation scientists, health promotion professionals and practitioners. Reaim is a widely accepted framework and has already shown useful when. Using reaim to address health impact evaluation issues. Assessing the public health impact of health promotion.
The reaim model for planning, evaluation and reporting on implementation and dissemination research russell e. The first use of dementia care mapping in the care for. It relates specifically to the eight implementation outcome areas relevant to the implementation. Evaluating the impact of health promotion programs. Applying the reaim framework to evaluate two implementation. Qualitative approaches to use of the reaim framework.
The first use of dementia care mapping in the care for older. Applying the reaim framework to inform the development of. Pcd provides an open exchange of information and knowledge among researchers, practitioners, policy makers, and others who strive to improve the health of the public through chronic disease prevention. The reaim planning and evaluation framework was conceptualized two decades ago. In the original 1999 glasgow, vogt, and boles paper, it was suggested that maintenance could be 6 months after intervention. The search terms were reaim, reaim framework, reaim model, and reaim methods. Academy for professional excellence sdsuacademy for. In evaluating these dimensions, not only the strengths of a program. The reaim framework is a planning and evaluation model that has been used in a variety of settings to address various programmatic, environmental and policy innovations for improving population health. Operationalizing the reaim framework to evaluate the. Maintenance measures the extent to which innovations becomea relatively stable, enduring part ofthe. Evaluating the public health impact of health promotion. By providing a common metric for evaluating a wide range of interventions, the re aim framework could be used to set priorities for research funding and reimbursement.
The overall goal of the framework is to encourage decision makers and others to pay more attention to essential program elements, including external validity, that can improve the implementation of effective and generalizable interventions. The results of this study can be used for developing an evidencebased method in idcare for older clients. This is a complex, multilevel challenge 1, 2 and presently, there is little agreement on the criteria necessary to conclude that a program has produced a significant public health impact. The reaim model was developed in 1999 in response to a need to have a framework to evaluate potential for, or actual, public health and population impact. Planning and evaluation models have been developed to assess the public health impact of health promotion interventions. Using the reaim framework to evaluate a schoolbased. In addition to the broad application and diverse use of the framework, there are lessons learned and recommendations for the future use of the framework across clinical, community. However, it is important to emphasize that reaim has changed significantly glasgow et al, 2019 from this original article.
Reaim is continuing to evolve and welcomes your input. Kaiser permanente colorado center for health dissemination and implementation research institute for health research september 10, 2007. This paper describes the application and evolution of reaim as well as lessons learned from its use. Electronic databases pubmed, embase, and the cochrane library were searched to identify intervention studies published between january. After excluding nonempirical articles, case studies, and commentaries, 71 articles were identified. Applying the reaim framework to assess the public health impact. This article applies the reaim reach, effectiveness, adoption, implementation, maintenance planning.
This framework expands upon earlier work by glasgow and anderson. Evaluating the public health impact of health promotion interventions. The reaim evaluation framework is one approach to assessing the public health impact of interventions. An extension application of the reaim evaluation framework. Pdf progress in public health and communitybased interventions has been. Health promotion and education programs seek to make meaningful improvements in population health, often with limited resources.
Re aim has been applied most often in public health and health behavior change research, but. This paper describes the application and evolution of re aim as well as lessons learned from its use. Gaglio b, phillips sm, heurtinroberts s, sanchez ma, glasgow re. R e glasgow, t m vogt, and s m boles amc cancer research center, denver, co 80214, usa. Evaluating the public health impactam j public health, 1999. R e glasgow, t m vogt, and s m boles amc cancer research center. Glasgow phd bridget gaglio is with the midatlantic permanente research institute, kaiser permanente midatlantic states, rockville, md. What is reaim the goal of reaim is to encourage program planners, evaluators, readers of journal articles, funders, and policymakers to pay more attention to essential program elements including external validity that can improve the sustainable adoption and implementation of effective, generalizable, evidencebased interventions. Developed by glasgow 1999, the framework is designed to enhance the quality, speed and impact of efforts to translate researchtraining into practice in five key steps. Mehta university of illinois at chicago marc atkins university of illinois at chicago bonnie solomon university of illinois. Reaim has been applied most often in public health and health behavior change.
Task force evidencebased recommendations are not mandates for compliance or spending. As one of the most frequently applied implementation frameworks, reaim has now been cited in over 2,800 publications. Reaim includes five dimensions to call attention to the importance of measuring not only a traditional clinical outcome i. Applying the reaim framework to assess the public health. Jun 12, 2014 the re aim reach, effectiveness, adoption, implementation, and maintenance framework is a reliable tool for the translation of research to practice. Using the reaim framework to assess public health impact up to this point, module 5 has presented information about monitoring and evaluating interventions, based on the assumption that the majority of your interventions may have a limited focus in terms of geography or. Lessons learned using precis and reaim for determining pragmatic characteristics of research. A guide for educators to move beyond conventional school. Mar, 2018 the reaim model was developed in 1999 in response to a need to have a framework to evaluate potential for, or actual, public health and population impact. This is a precopyediting, authorproduced pdf of an article accepted for. To date, reaim has only been applied to a single dimension at a time. Reaim focuses on reach and representativeness of both participants and settings and fits with systemsbased approaches and the socialecological model glasgow et al. Applying the reaim model to assetbased community health. This frameworkis compatiblewithsystemsbased andsocialecological thinking16,39,40 as well as communitybased and public health interventions.
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