Farris Rosanne P, Will Julie C, Khavjou Olga, Finkelstein Eric A
Centers for Disease Control and Prevention, Division for Heart Disease and Stroke Prevention, Atlanta, Ga 30341, USA.
Am J Public Health. 2007 Apr;97(4):641-7. doi: 10.2105/AJPH.2005.072264. Epub 2007 Feb 28.
Interventions that are effective are often improperly or only partially implemented when put into practice. When intervention programs are evaluated, feasibility of implementation and effectiveness need to be examined. Reach, effectiveness, adoption, implementation, and maintenance make up the RE-AIM framework used to assess such programs. To examine the usefulness of this metric, we addressed 2 key research questions. Is it feasible to operationalize the RE-AIM framework using women's health program data? How does the determination of a successful program differ if the criterion is (1) effectiveness alone, (2) reach and effectiveness, or (3) the 5 dimensions of the RE-AIM framework? Findings indicate that it is feasible to operationalize the RE-AIM concepts and that RE-AIM may provide a richer measure of contextual factors for program success compared with other evaluation approaches.
有效的干预措施在付诸实践时往往实施不当或仅部分得到实施。在对干预项目进行评估时,需要考察实施的可行性和有效性。覆盖范围、有效性、采用情况、实施情况和维持情况构成了用于评估此类项目的RE-AIM框架。为了检验这一指标的有用性,我们提出了两个关键研究问题。使用妇女健康项目数据来实施RE-AIM框架是否可行?如果标准是(1)仅有效性,(2)覆盖范围和有效性,或(3)RE-AIM框架的五个维度,那么对成功项目的判定会有何不同?研究结果表明,实施RE-AIM概念是可行的,并且与其他评估方法相比,RE-AIM可能为项目成功提供更丰富的背景因素衡量标准。