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. 2013 Jun 1;3(2):200-210.
doi: 10.1007/s13142-013-0201-8.

Use of RE-AIM to Address Health Inequities: Application in a low-income community health center based weight loss and hypertension self-management program

Russell E Glasgow  1 , Sandy Askew, Peyton Purcell, Erica Levine, Erica T Warner, Kurt C Stange, Graham A Colditz, Gary G Bennett
Affiliations

Use of RE-AIM to Address Health Inequities: Application in a low-income community health center based weight loss and hypertension self-management program

Russell E Glasgow et al. Transl Behav Med. .

Abstract

Background: While health inequities are well documented, and there are helpful frameworks to understand health disparities, implementation frameworks are also needed to focus the design, evaluation and reporting on interventions targeting populations at increased risk.

Purpose: Describe how the RE-AIM framework (Reach, Effectiveness, Adoption, Implementation, and Maintenance) can be used for these purposes and illustrate its application in the context of a randomized, pragmatic weight-loss and hypertension self-management intervention.

Methods: RE-AIM was used to both plan and evaluate the Be Fit Be Well program for urban community health center patients.

Results: The RE-AIM framework helped to focus attention on and produce high rates of adoption and reach. Implementation rates varied across components. Weight losses were statistically significant, but not clinically significant. They were robust across a variety of patient characteristics, and the program was relatively low cost. Individual weight losses and blood pressure reductions were maintained throughout the 24-month period, but the program was not sustained at any of the three settings.

Conclusion: Implementation frameworks such as RE-AIM can help design pragmatic interventions that focus on both the context for disparities reduction and the ultimate goal of public health impact.

Keywords: RE-AIM; Weight-loss; health disparities; implementation science; low-income; pragmatic trial.

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Figures

Fig 1
Fig 1
CONSORT diagram for recruitment and adoption [10]
See this image and copyright information in PMC

References

    1. Bleich SN, Jarlenski MP, Bell CN, Laveist TA. Health inequalities: Trends, progress, and policy. Annual Review of Public Health. 2012;33:7–40. doi: 10.1146/annurev-publhealth-031811-124658. - DOI - PMC - PubMed
    1. Smedley BD, Stith AY, Nelson AR. Board on health sciences policy, eds. Unequal treatment: Confronting racial and ethnic disparities in health care. Washington, DC: The National Academies, Institute of Medicine; 2003. - PubMed
    1. Department of Health and Human Services. HHS action plan to reduce racial and ethnic health disparities: a nation free of disparities in health and health care. http://minorityhealth.hhs.gov/npa/files/Plans/HHS/HHS_Plan_complete pdf. 2012. Accessed 3/17, 2012.
    1. Klesges LM, Estabrooks PA, Dzewaltowski DA, Bull SS, Glasgow RE. Beginning with the application in mind: Designing and planning health behavior change interventions to enhance dissemination. Annals of Behavioral Medicine. 2005;29(Suppl):66–75. doi: 10.1207/s15324796abm2902s_10. - DOI - PubMed
    1. Glasgow RE, Lichtenstein E, Marcus AC. Why don't we see more translation of health promotion research to practice? Rethinking the efficacy-to-effectiveness transition. American Journal of Public Health. 2003;93(8):1261–1267. doi: 10.2105/AJPH.93.8.1261. - DOI - PMC - PubMed