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评估 RE-AIM 规划和评估框架的应用:更新的系统评价和实用应用探索。

Evaluating the Application of the RE-AIM Planning and Evaluation Framework: An Updated Systematic Review and Exploration of Pragmatic Application.

机构信息

Department of Clinical, Educational and Health Psychology, Centre for Behaviour Change, University College London, London, United Kingdom.

Centre for Implementation Science, Health Service and Population Research Department, King's College London, London, United Kingdom.

出版信息

Front Public Health. 2022 Jan 26;9:755738. doi: 10.3389/fpubh.2021.755738. eCollection 2021.

DOI:10.3389/fpubh.2021.755738
PMID:35155336
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8826088/
Abstract

BACKGROUND

RE-AIM is one of the most widely applied frameworks to plan and evaluate the implementation of public health and health behavior change interventions. The objective of this review is to provide an updated synthesis of use of the RE-AIM (Reach Effectiveness Adoption Implementation and Maintenance) planning and evaluation framework and explore pragmatic use (i.e., partial application of the framework) and how this is reported.

METHODS

Systematic review. MEDLINE (R) and PsycINFO were searched, via the Ovid interface, between January 2011 and December 2017. Studies that applied RE-AIM as a planning and/or evaluation framework were included.

RESULTS

One hundred fifty-seven articles met inclusion criteria. One hundred forty-nine reported using RE-AIM for evaluation, three for planning and five for planning and evaluation. Reach was the most frequently reported dimension (92.9%), followed by implementation (90.3%), adoption (89.7%), effectiveness (84.5%), and maintenance (77.4%). One hundred forty-seven/one hundred fifty-seven articles originated from high-income economy countries. Within a sub-set analysis (10% of included articles), 9/15 articles evaluated all dimensions. Of the 6/15 articles that did not evaluate all dimensions, five provided no justification for pragmatic application.

CONCLUSIONS

RE-AIM has gained increased use in recent years and there is evidence that it is being applied pragmatically. However, the rationale for pragmatic use is often not reported.

SYSTEMATIC REVIEW REGISTRATION

PROSPERO (CRD42017054616).

摘要

背景

RE-AIM 是用于规划和评估公共卫生和健康行为改变干预措施实施情况的最广泛应用框架之一。本研究的目的是提供对 RE-AIM(范围、效果、采用、实施和维持)规划和评估框架的使用情况进行更新的综合分析,并探讨实用(即框架的部分应用)及其报告方式。

方法

系统评价。通过 Ovid 接口,在 2011 年 1 月至 2017 年 12 月期间对 MEDLINE(R)和 PsycINFO 进行了检索。纳入了应用 RE-AIM 作为规划和/或评估框架的研究。

结果

有 157 篇文章符合纳入标准。其中 149 篇报告了使用 RE-AIM 进行评估,3 篇用于规划,5 篇用于规划和评估。报告最多的维度是范围(92.9%),其次是实施(90.3%)、采用(89.7%)、效果(84.5%)和维持(77.4%)。157 篇文章中有 147 篇来自高收入经济体国家。在一个亚组分析(纳入文章的 10%)中,有 9/15 篇文章评估了所有维度。在 6/15 篇未评估所有维度的文章中,有 5 篇没有提供实用应用的理由。

结论

近年来,RE-AIM 的使用有所增加,并且有证据表明它正在被实用地应用。然而,实用应用的基本原理往往没有报告。

系统评价注册

PROSPERO(CRD42017054616)。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c4c/8826088/11d02babcfa2/fpubh-09-755738-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c4c/8826088/a89cb8e2b57b/fpubh-09-755738-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c4c/8826088/11d02babcfa2/fpubh-09-755738-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c4c/8826088/a89cb8e2b57b/fpubh-09-755738-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c4c/8826088/11d02babcfa2/fpubh-09-755738-g0002.jpg

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