Standard Survey items for RE-AIM

Standard Survey items for RE-AIM

Instructions

The RE-AIM outcomes assessment questionnaire is designed to comprehensively evaluate the real world impact of programs/interventions across all the five RE-AIM dimensions:

Reach, Effectiveness, Adoption, Implementation, and Maintenance. This instrument helps to assess how well your program/intervention is delivered, adopted, and sustained, with particular attention to low-resource populations and settings.

General Guidelines:

1.Familiarize yourself with the RE-AIM Framework: The survey is based on the five RE-AIM dimensions. Understanding these will help you answer the questions more accurately.

2.Use clear examples: When answering, think of specific examples from your intervention/program experience, especially in resource-constrained settings.

3.Set context beforehand: Before you start, ensure that you have a clear understanding of the intervention/program being evaluated. This will help in applying the questions to the correct context.

Instructions for Using the 5-Point Scale:

For each item, please rate the extent to which the statement reflects your program or intervention, using the following 5-point scale: (1) Not at all, (2) To a small extent, (3) To some extent, (4) To a great extent, (5) To a very great extent.

RE-AIM Dimensions:

Reach: Reflect on how well your program reaches its target audience, especially low-resource groups. Consider participation rates and equity.

Effectiveness: Evaluate the overall success of the program and key outcome changes, particularly for low-resource populations.

Adoption: Assess the involvement of organizations and staff in your program. Are diverse range of organizations and staff engaged?

Implementation: Reflect on how well the program’s core components are delivered. Is the program adaptable to local needs and resources? What are the costs involved?

Maintenance: Consider the long-term sustainability of the program. Will it continue to be effective for at least 1-2 years, especially for low- resource populations?

Questionnaire Interpretation

Evaluate the score received for each dimension:

1 (Poor): Major concerns; significant barriers or challenges are present.

2 (Fair): Some successes noted, but substantial barriers exist that hinder progress.

3 (Moderate): Achievements are evident, but there is room for improvement.

4 (Good): Generally positive outcomes with minor barriers; the program is functioning well.

5 (Excellent): Exemplary performance in this dimension.

Click here for a pdf version of these instructions!

Survey items

Below is a snippet from the RE-AIM Outcomes Assessment Questionaire! Click the image to download and complete the fillable pdf!