Using a Mixed-Methods RE-AIM Framework to Evaluate Community Health Programs for Older Latinas

Abstract

The promotora delivery model has promise for program sustainability with both promotoras and participants alike expressing interest in leading future programs.

Re-thinking Physical Activity Programs for Older Brazilians and the Role of Public Health Centers: A Randomized Controlled Trial Using the RE-AIM Model

“…The RE-AIM framework was used to ground the evaluation of our programs. This framework has been previously used to evaluate programs offered in realworld settings (16,26,27). The use of RE-AIM in this study represents an innovation in public health program evaluation in Brazil.…”

“…Accordingly, we assessed reach (participation rate and representativeness), effectiveness (impact on health outcomes), adoption (interest in the program), implementation (consistency of delivery and costs), and maintenance (impact on long-term outcomes, continuing to offer the intervention over time). Our mixed-methods approach builds on successes of prior studies that have focused on program evaluation (15,16). Trained research personnel conducted a total of 12 focus groups (FGs) and 32 interviews including: the director of the City Health Department, managers and the coordinators of HC/NASF Family Health Support Centers, coordinators of the health districts, exercise specialists and/or nutritionists working at the HCs, and other HC staff members such as community health agents; in addition to older adults participants in the program.…”

Causes of Delays during Housing Adaptation for Healthy Aging in the UK

“…Quantitative analysis is used to examine the current status and identify issues within each stage of the adaptation process in different local authorities, while the qualitative data are used to supplement the qualitative findings. The rationale for the choice of mixed-methods is that neither quantitative method nor qualitative method, on its own, is sufficient to evaluate the effectiveness of housing adaptation practices but the combination of the two can produce a more comprehensive analysis [40,42]. The research chooses to focus on homeowners and private tenants, as they account for the majority of households in the UK and most of them have little knowledge about where to start and what assistances are available when they need adaptations.…”

“…Initially descriptive analysis identified the minimum, average and maximum waiting times between process steps across local authorities and measured an overall effectiveness of service delivery. These quantitative results then were discussed with support of qualitative data from the interviews and focus group [42]. For the case studies, the number of days for each client to wait between stages of the adaptation process were calculated.…”

Service planning and delivery outcomes of home adaptations for ageing in the UK

“…In such a research design, the quantitative results inform the qualitative data collection and the qualitative analysis offers in depth explanations for issues identified in the quantitative phase (Creswell 2013;Greene et al 1989). The rationale for this design is that neither the quantitative nor qualitative method in itself is sufficient to obtain a deep understanding of the research question, but with their combination they can complement each other for a more comprehensive analysis (Ivankova et al 2006;Schwingel et al 2017).…”