Institute for Health Research, Kaiser Permanente Colorado, Denver, CO 80237-8066, USA.
Am J Public Health. 2010 Nov;100(11):2076-84. doi: 10.2105/AJPH.2009.190959. Epub 2010 Sep 23.
The RE-AIM (reach, effectiveness, adoption, implementation, maintenance) framework, which provides a practical means of evaluating health interventions, has primarily been used in studies focused on changing individual behaviors. Given the importance of the built environment in promoting health, using RE-AIM to evaluate environmental approaches is logical. We discussed the benefits and challenges of applying RE-AIM to evaluate built environment strategies and recommended modest adaptations to the model. We then applied the revised model to 2 prototypical built environment strategies aimed at promoting healthful eating and active living. We offered recommendations for using RE-AIM to plan and implement strategies that maximize reach and sustainability, and provided summary measures that public health professionals, communities, and researchers can use in evaluating built environment interventions.
RE-AIM（涵盖范围、效果、采用、实施和维持）框架是一种评估卫生干预措施的实用方法，主要用于研究改变个人行为的干预措施。鉴于建筑环境在促进健康方面的重要性，使用 RE-AIM 来评估环境方法是合理的。我们讨论了将 RE-AIM 应用于评估建筑环境策略的益处和挑战，并建议对该模型进行适度调整。然后，我们将修订后的模型应用于 2 种典型的建筑环境策略，旨在促进健康饮食和积极生活。我们提出了使用 RE-AIM 来规划和实施最大限度提高覆盖面和可持续性的策略的建议，并提供了公共卫生专业人员、社区和研究人员可用于评估建筑环境干预措施的综合衡量标准。
