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Review
. 2019 Mar 29:7:64.
doi: 10.3389/fpubh.2019.00064. eCollection 2019.

RE-AIM Planning and Evaluation Framework: Adapting to New Science and Practice With a 20-Year Review

Russell E Glasgow  1 , Samantha M Harden  2 , Bridget Gaglio  3 , Borsika Rabin  1   4 , Matthew Lee Smith  5   6   7 , Gwenndolyn C Porter  8 , Marcia G Ory  5   6 , Paul A Estabrooks  8
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Free PMC article
Review

RE-AIM Planning and Evaluation Framework: Adapting to New Science and Practice With a 20-Year Review

Russell E Glasgow et al. Front Public Health. .
Free PMC article

Abstract

The RE-AIM planning and evaluation framework was conceptualized two decades ago. As one of the most frequently applied implementation frameworks, RE-AIM has now been cited in over 2,800 publications. This paper describes the application and evolution of RE-AIM as well as lessons learned from its use. RE-AIM has been applied most often in public health and health behavior change research, but increasingly in more diverse content areas and within clinical, community, and corporate settings. We discuss challenges of using RE-AIM while encouraging a more pragmatic use of key dimensions rather than comprehensive applications of all elements. Current foci of RE-AIM include increasing the emphasis on cost and adaptations to programs and expanding the use of qualitative methods to understand "how" and "why" results came about. The framework will continue to evolve to focus on contextual and explanatory factors related to RE-AIM outcomes, package RE-AIM for use by non-researchers, and integrate RE-AIM with other pragmatic and reporting frameworks.

Keywords: RE-AIM; dissemination; evaluation; external validity; implementation.

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Figure 1
Revised, enhanced RE-AIM/PRISM 2019 model.
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References

    1. Glasgow RE, Vogt TM, Boles SM. Evaluating the public health impact of health promotion interventions: the RE-AIM framework. Am J Public Health. (1999) 89:1322–7. 10.2105/AJPH.89.9.1322 - DOI - PMC - PubMed
    1. Glasgow RE, Askew S, Purcell P, Levine E, Warner ET, Stange KC, et al. . Use of RE-AIM to address health inequities: application in a low-income community health center-based weight loss and hypertension self-management program. Transl Behav Med. (2013) 3:200–10. 10.1007/s13142-013-0201-8 - DOI - PMC - PubMed
    1. Gaglio B, Phillips SM, Heurtin-Roberts S, Sanchez MA, Glasgow RE. How pragmatic is it? lessons learned using PRECIS and RE-AIM for determining pragmatic characteristics of research. Implement Sci. (2014) 9:96. 10.1186/s13012-014-0096-x - DOI - PMC - PubMed
    1. Glasgow RE, Nelson CC, Strycker LA, King DK. Using RE-AIM metrics to evaluate diabetes self-management support interventions. Am J Prev Med. (2006) 30:67–73. 10.1016/j.amepre.2005.08.037 - DOI - PubMed
    1. Estabrooks PA, Allen KC. Updating, employing, and adapting: a commentary on what does it mean to “employ” the RE-AIM model. Eval Health Prof. (2013) 36:67–72. 10.1177/0163278712460546 - DOI - PubMed