Understanding and applying the RE-AIM framework: Clarifications and resources

Holtrop, Jodi Summers; Estabrooks, Paul A.; Gaglio, Bridget; Harden, Samantha M.; Kessler, Rodger; King, Diane K.; Kwan, Bethany M.; Ory, Marcia G.; Rabin, Borsika; Shelton, Rachel C.; Glasgow, Russell E.

doi:10.1017/cts.2021.789

Cited by 152 publications

(157 citation statements)

References 48 publications

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“…Some of these findings are similar to the "problems" identified by Gaglio et al (14) for example, confusing the definitions of reach and adoption. They also reflect issues acknowledged in the recent guidance from the RE-AIM developers regarding pragmatic use of the framework (13) and a recent publication that sought to improve understanding and application of RE-AIM by identifying common misconceptions (categorized as "conceptual issues, " "methodological issues, " and "use of the model issues") and providing guidance to overcome them (46).…”

Section: Challengesmentioning

confidence: 83%

“…The use of qualitative methods/data to understand RE-AIM dimensions, in the present review, was employed for all dimensions except to understand long-term effects (maintenance at the individual level). This has been actively encouraged in recent guidance and represents a positive development in the application of RE-AIM (13,46). However, it is notable that the reporting of some evaluation criteria, particularly those relating to health equity, was limited and would benefit from improvement.…”

Section: Challengesmentioning

confidence: 99%

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Evaluating the Application of the RE-AIM Planning and Evaluation Framework: An Updated Systematic Review and Exploration of Pragmatic Application

D’Lima

Soukup

Hull

2022

Front. Public Health

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BackgroundRE-AIM is one of the most widely applied frameworks to plan and evaluate the implementation of public health and health behavior change interventions. The objective of this review is to provide an updated synthesis of use of the RE-AIM (Reach Effectiveness Adoption Implementation and Maintenance) planning and evaluation framework and explore pragmatic use (i.e., partial application of the framework) and how this is reported.MethodsSystematic review. MEDLINE (R) and PsycINFO were searched, via the Ovid interface, between January 2011 and December 2017. Studies that applied RE-AIM as a planning and/or evaluation framework were included.ResultsOne hundred fifty-seven articles met inclusion criteria. One hundred forty-nine reported using RE-AIM for evaluation, three for planning and five for planning and evaluation. Reach was the most frequently reported dimension (92.9%), followed by implementation (90.3%), adoption (89.7%), effectiveness (84.5%), and maintenance (77.4%). One hundred forty-seven/one hundred fifty-seven articles originated from high-income economy countries. Within a sub-set analysis (10% of included articles), 9/15 articles evaluated all dimensions. Of the 6/15 articles that did not evaluate all dimensions, five provided no justification for pragmatic application.ConclusionsRE-AIM has gained increased use in recent years and there is evidence that it is being applied pragmatically. However, the rationale for pragmatic use is often not reported.Systematic Review RegistrationPROSPERO (CRD42017054616).

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Section: Challengesmentioning

confidence: 83%

Section: Challengesmentioning

confidence: 99%

Evaluating the Application of the RE-AIM Planning and Evaluation Framework: An Updated Systematic Review and Exploration of Pragmatic Application

D’Lima

Soukup

Hull

2022

Front. Public Health

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“…Practical tools exist to help researchers plan D4DIS and engage stakeholders in these efforts (see, for example, DICEmethods.org). Moreover, D&I science TMFs such as RE-AIM [8,9,92], CFIR [55], and EPIS [56,61] can be used not only for evaluating interventions but can also guide their planning with stakeholders (e.g., workers, employers, and community members), be used iteratively during implementation to adapt the program/practice to better fit the context (e.g., local workplaces), and respond to emerging implementation data. More and better integration of D&I across the translational science continuum has been called for to move research more rapidly into practice to benefit the public [45,47], including workers [42].…”

Section: Discussionmentioning

confidence: 99%

“…One reason may be due to a lack of clarity among TWH researchers on what D&I science is-and is not. Recent papers for the broader D&I community elaborate on this issue, addressing misconceptions about specific D&I frameworks [92]. The following section presents a few concepts potentially requring clarification for the TWH context, as garnered from the literature.…”

Section: A Few Other Important Dandi Distinctions For Twh Researchersmentioning

confidence: 99%

Dissemination and Implementation Science Approaches for Occupational Safety and Health Research: Implications for Advancing Total Worker Health

Guerin

Harden

Rabin

et al. 2021

IJERPH

Self Cite

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Total Worker Health® (TWH), an initiative of the U.S. National Institute for Occupational Safety and Health, is defined as policies, programs, and practices that integrate protection from work-related health and safety hazards by promoting efforts that advance worker well-being. Interventions that apply the TWH paradigm improve workplace health more rapidly than wellness programs alone. Evidence of the barriers and facilitators to the adoption, implementation, and long-term maintenance of TWH programs is limited. Dissemination and implementation (D&I) science, the study of methods and strategies for bridging the gap between public health research and practice, can help address these system-, setting-, and worker-level factors to increase the uptake, impact, and sustainment of TWH activities. The purpose of this paper is to draw upon a synthesis of existing D&I science literature to provide TWH researchers and practitioners with: (1) an overview of D&I science; (2) a plain language explanation of key concepts in D&I science; (3) a case study example of moving a TWH intervention down the research-to-practice pipeline; and (4) a discussion of future opportunities for conducting D&I science in complex and dynamic workplace settings to increase worker safety, health, and well-being.

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“…We will use the Reach, Effectiveness, Adoption, Implementation, Maintenance (RE-AIM) framework to assess implementation outcomes as outlined in figure 2. 21 We will also conduct explanatory qualitative analyses to determine the factors that distinguish high-performing and low-performing clusters in both sites. These analyses will be guided by Consolidated Framework for Implementation Research (CFIR) constructs, principally from the Intervention Characteristics and Inner Settings domains which are especially relevant for our early-stage hybrid type 1 trial design (table 2).…”

Section: Implementation and Qualitative Analysesmentioning

confidence: 99%

Hybrid type 1 effectiveness/implementation trial of the international Guide for Monitoring Child Development: protocol for a cluster-randomised controlled trial

Raut

Mustafayev

Srinivasan³

et al. 2021

bmjpo

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IntroductionMore than 40% of children under 5 years of age in low-income and middle-income countries are at risk of not reaching their developmental potential. The international Guide for Monitoring Child Development (GMCD) early intervention package is a comprehensive programme to address developmental difficulties using an individualised intervention plan for young children and their families. We will conduct a hybrid type 1 effectiveness–implementation evaluation of the GMCD intervention in rural India and Guatemala.Methods and analysisUsing a cluster-randomised design, 624 children aged 0–24 months in 52 clusters (26 in India, 26 in Guatemala) will be assigned to usual care or the GMCD intervention plus usual care delivered by frontline workers for 12 months. After 12 months, the usual care arm will cross over to the intervention, which will continue for 12 additional months (24 total). The intervention will be delivered using a digital mobile device interface. Effectiveness will be assessed for developmental functioning (Bayley Scales of Infant Development, 3rd edition) and nurturing care (Home Observation for Measurement of the Environment Scale) outcomes. Implementation will be assessed using the Reach, Effectiveness, Adoption, Implementation, Maintenance framework. Explanatory qualitative analysis guided by the Consolidated Framework for Implementation Research will explore determinants between clusters with high versus low implementation effectiveness.Ethics and disseminationThe study has been approved by the Institutional Review Boards of Brigham and Women’s Hospital, Mahatma Gandhi Institute of Medical Sciences and Maya Health Alliance; and by the Indian Council of Medical Research/Health Ministry Screening Committee. Key study findings will be published in international open-access journals.Trial registration numberNCT04665297, CTRI/2020/12/029748.Protocol version1.0 (12 November 2020).

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Understanding and applying the RE-AIM framework: Clarifications and resources

Abstract: This version may be subject to change during the production process.

Cited by 152 publications

References 48 publications

Evaluating the Application of the RE-AIM Planning and Evaluation Framework: An Updated Systematic Review and Exploration of Pragmatic Application

Evaluating the Application of the RE-AIM Planning and Evaluation Framework: An Updated Systematic Review and Exploration of Pragmatic Application

Dissemination and Implementation Science Approaches for Occupational Safety and Health Research: Implications for Advancing Total Worker Health

Hybrid type 1 effectiveness/implementation trial of the international Guide for Monitoring Child Development: protocol for a cluster-randomised controlled trial

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