220592 RE-AIM Evaluation Framework: Balancing Internal and External Validity

Wednesday, November 10, 2010 : 12:30 PM - 12:45 PM

Bridget Gaglio, PhD, MPH , Institute for Health Research, Univeristy of Colorado - Denver & Kaiser Permanente, Denver, CO
Diane King, PhD , Institute for Health Research, Kaiser Permanente - Colorado, Denver, CO
Russell E. Glasgow, PhD , Division of Cancer Control and Population Sciences, National Cancer Institute, Bethesda, MD
The RE-AIM framework was developed to help balance the emphasis on internal and external validity in research intended to have population impact. RE-AIM is an acronym for Reach, Effectiveness, Adoption, Implementation, and Maintenance. Together, these factors determine the public health impact of individual-level and community-driven interventions, and policy changes. Reach refers to the percent and representativeness of participants who are exposed to an intervention, and whether the program reaches those for whom it was intended. Effectiveness concerns both the intended impacts of an intervention on targeted outcomes, and the possible negative or unintended consequences of the intervention on quality of life and non-targeted outcomes. In the RE-AIM framework, Adoption and Implementation operate at the setting or contextual level. Adoption refers to the participation rate and representativeness of the settings and staff that conduct an intervention. Implementation refers to the time and costs of program delivery and the extent to which an intervention is delivered consistently across different program components and staff. Maintenance is measured at both individual and setting levels. At the individual level, maintenance refers to the long-term results of an intervention. At the setting level, maintenance refers to the institutionalization and or adaptation of a program. The relationships among various RE-AIM dimensions are as important as the results on any given dimension. All 5 RE-AIM dimensions are important and necessary for program evaluation. RE-AIM provides a generalizable model for such quality assessment and improvement.

Learning Areas:
Planning of health education strategies, interventions, and programs
Program planning
Public health or related research
Systems thinking models (conceptual and theoretical models), applications related to public health

Learning Objectives:
• Identify the five dimensions of the RE-AIM framework. • Describe the five elements of the RE-AIM framework. • Identify the broader applications of the RE-AIM framework in terms of intervention evaluation, policy change, and evaluation planning.

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I train individuals in community-based intervention settings on the use of RE-AIM.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.