The RE-AIM framework developed by Glasgow et al. (1999) has 5 analysis parts.
- Attain: share of individuals from a given inhabitants who take part in a program and their traits. For example, organizational attain with stakeholders may very well be oblique, meant or direct. Attain is the variety of contributors in this system divided by the scale of the goal inhabitants.
- Effectiveness: optimistic and adverse program outcomes. These are sometimes measured because the share of contributors who expertise given optimistic and adverse program outcomes. Along with affected person medical outcomes, different varieties of outcomes embody (i) behavioral outcomes for contributors (e.g., smoking cessation, consuming patterns, bodily exercise), (ii) outcomes for employees who ship an intervention (approaching sufferers, delivering prompts and counseling, making follow-up calls), and (iii) outcomes for the payers and purchasers who help the intervention (adopting an intervention, altering insurance policies). High quality of life also needs to be thought-about comparable to affected person functioning, psychological well being, and client satisfaction.
- Adoption: % of potential settings (e.g., organizations) and workers which have agreed to take part in this system. One might consider this as organizational buy-in. Adoption is normally assessed by direct statement or structured interviews or surveys.
- Implementation: the extent to which this system was delivered as meant and its price. Implementation could be evaluated on the particular person and group ranges. On the particular person degree, one can measure participant follow-through or “adherence”; on the organizational degree, one can measure the share of workers members who implement this system as meant.
- Upkeep: upkeep of the first outcomes (>6 months) for people; sustainability of the delivered packages for organizations. For people, relapse or discontinuation is a problem and must be evaluated; on the organizational degree, one ought to measure the extent to which a well being promotion apply or coverage turns into routine and a part of the on a regular basis tradition and norms of a company.
A abstract of the 5 dimensions in desk type is under.
Every of the 5 dimensions listed above is represented on a 0 to 1 (or 0% to 100%) scale. A part of the explanation for the title is that an intervention’s affect is a operate of it’s attain and effectiveness (Affect = Attain × Efficacy) as outlined by Abrams et al. (1996). Moreover, Effectiveness = Implementation × Efficacy. An intervention could also be efficacious, however it is just efficient if that intervention readily interprets to the real-world. Nonetheless, interventions could have a big affect in short-term research-based environments however might not be sustainable. The “AIM” element goals to extra fully characterize the general public well being affect of an intervention primarily based on organizational components. RE-AIM has been used to judge a wide range of interventions comparable to:
A key query is whether or not RE-AIM can be utilized not just for particular person interventions, but in addition for multi-faceted interventions that focus on various totally different stakeholders (e.g., suppliers, educators, others). A paper by Candy et al. 2014 observe that RE-AIM may very well be utilized to to multi-faceted intervention in certainly one of 3 ways:
- Exercise particular method. Beneath this method, every exercise undertaken can be evaluated primarily based on the RE-AIM dimension it focused. “For example, awareness-raising methods would goal attain or adoption, bodily exercise promotion methods is likely to be used to enhance effectiveness and upkeep, and provider-training methods may very well be recognized as strategies to enhance adoption and implementation of evidence-based tips.”
- Additive method. On this methodology, data can be collected throughout the initiatives after which amalgamated to tell every RE-AIM dimension. For example, attain may very well be evaluated primarily based throughout all actions (e.g., mailers, web site visits, participant enrollment). This method permits for an excellent seize of general affect however not how any particular exercise moved the needle on a given RE-AIM dimension.
- Hybrid method. On this method, researchers resolve pragmatically which methods deserve a extra thorough RE-AIM analysis and that are finest evaluated utilizing one or two RE-AIM dimensions. The choice is usually decided ‘pragmatically’ primarily based on the views of the stakeholders. Swett et al. argues that this method “can velocity the mixing of analysis, coverage and apply…[and] additionally scale back burden on contributors and accomplice organizations…”
The Candy al. 2014 paper applies the RE-AIM multifaceted framework to the SCI Motion Canada, which was an initiative whose mission was to ‘develop and mobilize methods to tell, educate and allow individuals dwelling with SCI to provoke and preserve a bodily lively life-style’. The particular metrics used as a part of their utility of RE-AIM to the SCI Motion Canada intervention are proven under.
You possibly can learn extra about how they carried out this method within the full paper right here.