Overview of Framework
RE-AIM was originally developed as a framework for consistent
reporting of research results and later used to organize reviews of
the existing literature on health promotion and disease management
in different settings. The acronym stands for Reach,
Effectiveness, Adoption, Implementation, and Maintenance which
together determine public health impact. Since the original paper
in 1999, there have been approximately 100 publications on RE-AIM
by a variety of authors in fields as diverse as aging, cancer
screening, dietary change, physical activity, medication adherence,
health policy, environmental change, chronic illness
self-management, well-child care, eHealth, worksite health
promotion, women's health, smoking cessation, quality improvement,
weight loss, diabetes prevention, and practice-based research.
More recently, RE-AIM has been used to translate research into
practice and to help plan programs and improve their chances of
working in "real-world" settings. The framework has also been used
to understand the relative strengths and weaknesses of different
approaches to health promotion and chronic disease
self-management-such as in-person counseling, group education
classes, telephone counseling, and internet resources. The overall
goal of the RE-AIM framework is to encourage program planners,
evaluators, readers of journal articles, funders, and policy-makers
to pay more attention to essential program elements including
external validity that can improve the sustainable adoption and
implementation of effective, generalizable, evidence-based
interventions.
Applying
the RE-AIM Framework