The RE-AIM framework developed by Glasgow et al. (1999) has 5 analysis elements.

• Attain: share of individuals from a given inhabitants who take part in a program and their traits. For instance, the group's attain with stakeholders will be oblique, meant, or direct. Attain is the variety of program individuals divided by the scale of the goal inhabitants.
• Effectiveness: constructive and destructive program outcomes. These are sometimes measured because the proportion of individuals experiencing constructive and destructive program outcomes. Along with medical affected person outcomes, different forms of outcomes embody (i) behavioral outcomes for individuals (e.g., smoking cessation, consuming patterns, bodily exercise), (ii) outcomes for workers delivering an intervention (approaching sufferers, offering prompts and counseling, conducting follow-up calls), and (iii) outcomes for the payers and purchasers supporting the intervention (implementing an intervention, altering insurance policies). High quality of life points also needs to be thought-about, reminiscent of affected person functioning, psychological well being, and client satisfaction.
• Adoption: share of potential establishments (e.g. organizations) and employees which have agreed to take part in this system. You possibly can consider this as organizational buy-in. Adoption is often assessed by direct statement or structured interviews or surveys.
• Execution: the extent to which this system was delivered as meant and its prices. Implementation will be evaluated on the particular person and organizational ranges. On the particular person stage, one can measure participant follow-through or “adherence”; on the organizational stage, one can measure the proportion of employees members who implement this system as meant.
• Upkeep: upkeep of major outcomes (>6 months) for people; sustainability of delivered applications for organizations. For people, relapse or discontinuation is difficult and must be evaluated; on the organizational stage, one ought to measure the extent to which a well being promotion follow or coverage turns into routine and a part of the every day tradition and norms of a corporation.

Under you will see that an outline of the 5 dimensions in desk kind.

Every of the 5 dimensions listed above is represented on a scale of 0 to 1 (or 0% to 100%). A part of the rationale for the title is that the affect of an intervention is a perform of its attain and effectiveness (Impression = Attain × Effectiveness) as outlined by Abrams et al. (1996). Moreover, Effectiveness = Implementation × Effectiveness. An intervention will be efficient, however it’s only efficient if that intervention is well translated to the true world. Nonetheless, interventions can have a big affect in short-term research-based settings, however might not be sustainable. The “AIM” part is meant to extra absolutely characterize the affect of an intervention on public well being based mostly on organizational elements. RE-AIM has been used to guage quite a lot of interventions, together with:

An vital 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 a lot of completely different stakeholders (e.g., suppliers, lecturers, others). A paper by Candy et al. 2014 notes that RE-AIM will be utilized to multi-faceted intervention in 3 ways:

1. Exercise-specific strategy. Underneath this strategy, every exercise undertaken can be evaluated in opposition to the RE-AIM dimension it focused. “For instance, consciousness methods might be focused at attain or adoption, bodily exercise promotion methods might be used to enhance effectiveness and upkeep, and supplier coaching methods might be recognized as strategies to enhance adoption and implementation of evidence-based tips.”
2. Additive strategy. On this methodology, data can be collected throughout initiatives after which aggregated to tell every RE-AIM dimension. For instance, attain might be evaluated based mostly on all actions (e.g., mailers, web site visits, participant enrollment). This strategy gives seize of total affect, however not how a selected exercise moved the needle on a specific RE-AIM dimension.
3. Hybrid strategy. On this strategy, researchers pragmatically determine which methods deserve a extra thorough RE-AIM analysis and that are greatest evaluated utilizing one or two RE-AIM dimensions. The choice is usually made 'pragmatically' based mostly on stakeholder views. Swett et al. argue that this strategy “can speed up the combination of analysis, coverage, and follow…[and] additionally scale back the burden on individuals and companion organizations…”

The Candy et al. 2014 article applies the RE-AIM multifaceted framework to SCI Motion Canada, an initiative whose mission is to “develop and mobilize methods to tell, educate, and allow folks with SCI to provoke and preserve bodily lively life.” The precise metrics used as a part of their utility of RE-AIM to the SCI Motion Canada intervention are introduced under.

You possibly can learn extra about how they applied this strategy within the full article right here.