RE-AIM Framework Flashcards
Goal of RE-AIM
-Encourage program planners to pay attention to essential program elements, including external validity, that can improve the sustainable adoption and implementation of effective, generalizable, interventions
External Validity
-Does it work outside of the lab/controlled setting/in real life (where other factors are in place)?
Reliability
-If I measure this will it be the same over time?
Validity
- Is this what I am actually trying to present?
- Does it work in various context?
Each letter of RE-AIM stands for…
R = Reach E = Effectiveness A = Adoption I = Implementation M = Maintenance
Reach
- How do I reach those who need this intervention?
- Whose behaviour is it we are trying to change?
- The absolute number, proportion and representativeness of target individuals willing to participate in a given initiative (who actually did the intervention)
- Are the people who participate, representative of the population?
Effectiveness
- How do I know my intervention is working?
- Is the intervention actually working/doing what you hoped it would do?
Adoption
- How do I develop organizational support to deliver my intervention?
- Are the people willing to adopt and do the intervention?
Implementation
- How do I ensure the intervention is delivered properly?
- are the people using and implementing it the way you have intended?
Maintenance
- How do I incorporate the intervention so it is delivered over the long term?
- Is the target audience adhering to long term behaviour change?
Representativeness
-The similarity or differences between those who participate and those who are eligible but do not
What happens if there are differences in those who participate in an intervention?
- An intervention can have a differential impact based on variables that can’t be determined because of lack of representativeness of the sample
- The intervention can be effective for the group participating and can have different impact on them compared to general population
What happens if there are no differences between the participating population?
-A stronger case can be made for the generalization of the intervention into real-world settings
Generalizability
- Are the people participating actually representative of the general population?
- If not, we want to look at why this group participated more and the rest of society, not.
How to improve REACH?
- Build relationships with target population (presentations, assist with events, volunteer in similar places, class talks, etc)
- Involve target population in creating the program (ask what will motivate them, make it more meaningful for them, what information do they want, etc)
- What are the best ways to recruit people to the program? (professionals, experts, etc)