Operationalizing the reach, effectiveness, adoption, implementation, maintenance (RE-AIM) framework to evaluate the collective impact of autonomous community programs that promote health and well-being

BMC Public Health

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[1] 0000 0001 2288 9830, grid.17091.3e, School of Health & Exercise Sciences, University of British Columbia, 1147 Research Rd, V1V 1V7, Kelowna, British Columbia, Canada;0000 0001 2288 9830, grid.17091.3e, International Collaboration on Repair Discoveries (ICORD), University of British Columbia, 818 West 10th Avenue, V5Z 1M9, Vancouver, British Columbia, Canada;0000 0001 2288 9830, grid.17091.3e, School of Health & Exercise Sciences, University of British Columbia, 1147 Research Rd, V1V 1V7, Kelowna, British Columbia, Canada;0000 0001 2288 9830, grid.17091.3e, International Collaboration on Repair Discoveries (ICORD), University of British Columbia, 818 West 10th Avenue, V5Z 1M9, Vancouver, British Columbia, Canada;0000 0001 2288 9830, grid.17091.3e, Department of Medicine, Division of Physical Medicine & Rehabilitation, University of British Columbia, 2329 West Mall, V6T1Z4, Vancouver, British Columbia, Canada;0000 0004 1936 8649, grid.14709.3b, Department of Kinesiology and Physical Education, McGill University, 475 Pine Ave W, H2W 1S4, Montreal, Quebec, Canada;Center for Interdisciplinary Research in Rehabilitation of Greater Montreal, 6363 Chemin Hudson (Pavillon Lindsay) suite 061, H3S 1M9, Montreal, Quebec, Canada;Spinal Cord Injury Canada, 520 Sutherland Drive, M4G 3V9, Toronto, Ontario, Canada;grid.427952.f, Spinal Cord Injury BC, 780 SW Marine Drive, V6P 5Y7, Vancouver, British Columbia, Canada;

关键词: RE-AIM;    Spinal cord injury;    Peer mentorship;    Peer support;    Community;   

DOI  :  10.1186/s12889-019-7131-4

来源: publisher

【 摘 要 】

BackgroundThe RE-AIM (Reach, Effectiveness, Adoption, Implementation, and Maintenance) framework is a useful tool for evaluating the impact of programs in community settings. RE-AIM has been applied to evaluate individual programs but seldom used to evaluate the collective impact of community-based, public health programming developed and delivered by multiple autonomous organizations. The purposes of this paper were to (a) demonstrate how RE-AIM can be operationalized and applied to evaluate the collective impact of similar autonomous programs that promote health and well-being and (b) provide preliminary data on the collective impact of Canadian spinal cord injury (SCI) peer mentorship programs on the delivery of peer mentorship services.MethodsCriteria from all five RE-AIM dimensions were operationalized to evaluate multiple similar community-based programs. For this study, nine provincial organizations that serve people with SCI were recruited from across Canada. Organizations completed a structured self-report questionnaire and participated in a qualitative telephone interview to examine different elements of their peer mentorship program. Data were analyzed using summary statistics.ResultsHaving multiple indicators to assess RE-AIM dimensions provided a broad evaluation of the impact of Canadian SCI peer mentorship programs. Peer mentorship programs reached 1.63% of the estimated Canadian SCI population. The majority (67%) of organizations tracked the effectiveness of peer mentorship through testimonials and reports. Setting-level adoption rates were high with 100% of organizations offering peer mentorship in community and hospital settings. On average, organizations allocated 10.4% of their operating budget and 9.8% of their staff to implement peer mentorship and 89% had maintained their programming for over 10 years. Full interpretation of the collective impact of peer mentorship programs was limited as complete data were only collected for 52% of survey questions.ConclusionsThe lack of available organizational data highlights a significant challenge when using RE-AIM to evaluate the collective impact of multiple programs that promote health and well-being. Although researchers are encouraged to use RE-AIM to evaluate the collective impact of programs delivered by different organizations, documenting limitations and providing recommendations should be done to further the understanding of how best to operationalize RE-AIM in these contexts.

【 授权许可】

CC BY