Adapting and RE-AIMing a heart disease prevention program for older women with diabetes

Toobert, Deborah J.; Glasgow, Russell E.; Strycker, Lisa A.; Barrera, Manuel; King, Diane K.

doi:10.1007/s13142-012-0118-7

Cited by 9 publications

(7 citation statements)

References 26 publications

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“…It has been suggested that public health decision-makers may be more accepting of implementing interventions that have been effectively tested in similar settings and with comparable populations [31]. Based on our experience and consistent with other studies [32,33] Our study has a number of noteworthy strengths and limitations. Strengths of this study include: a rigorous sampling strategy to address limits to generalizability; a comprehensive process evaluation guided by RE-AIM framework; our use of multiple evaluation methods including audio-recording of group sessions, on-site observations, and surveys as part of a comprehensive evaluation.…”

Section: Discussionsupporting

confidence: 53%

Process evaluation of an evidence-based weight loss program for low-income, mid-life women implemented in local health departments: Application of the RE-AIM framework

Norwood¹,

Linnan²,

Ammerman³

et al. 2020

Preprint

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Background: Fundamental to successfully translating evidence-based interventions to real life settings with diverse populations is achieving fidelity to the intervention within the given public health setting. Health departments may be key in addressing the obesity epidemic given their unique position to deliver obesity prevention services in community settings. We developed the Weight-Wise II Program from four evidenced-based interventions for implementation in local health departments. For this study, we conducted a process evaluation of the implementation of the Weight-Wise II Program, an intensive evidence-based behavioral weight loss program for low-income, mid-life women. Methods: The Weight-Wise II Program, a 16-week group-based weight loss program, was implemented in six local health departments. The RE-AIM framework (reach, effectiveness, adoption, implementation, and maintenance) served as a guide to conduct a comprehensive process evaluation. Process data were collected and analyzed using quantitative and qualitative methods. Results: The Weight-Wise II Program reached low-income and mid-life women, a high-risk population, and was effective in achieving modest weight loss. Attendance and self-monitoring were positively associated with weight loss. Interventionists delivered the program as intended and it was well received by participants. Planned adaptations enhanced program implementation by being responsive to participant and health department needs. Despite implementation by health department staff, the program was not routinely maintained three years post-intervention. Conclusion: Evidence-based weight loss interventions can be successfully implemented in local health departments. RE-AIM is a useful framework for systematically evaluating the process of implementation and impact of a behavioral weight loss intervention offered in public health settings. The addition of complementary implementation frameworks may help in identification of contextual factors influencing subsequent maintenance of evidence-based interventions in public health settings. Trial registration: ClinicalTrials.gov Identifier: NCT01141348. Registered 9 June 2010 – Retrospectively registered, https://clinicaltrials.gov/ct2/show/NCT01141348 Contributions to the literature The Weight-Wise II Program is an evidence-based weight loss intervention translated for implementation in local health departments serving a diverse low-income population. This study provides an approach and tools for comprehensively monitoring and evaluating evidenced-based programs implemented in public health settings. The study findings address gaps in the literature by providing guidance on program adaptations while maintaining fidelity including organizational contexts, participant engagement, and sustainability.

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Section: Discussionsupporting

confidence: 53%

Process evaluation of an evidence-based weight loss program for low-income, mid-life women implemented in local health departments: Application of the RE-AIM framework

Norwood¹,

Linnan²,

Ammerman³

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

“…For example, we were unable to examine maintenance at the individual level. Two other studies have described the use of the RE-AIM framework for prevention of CVD among women [27,28]. These studies demonstrated that it is feasible to use the framework to evaluate dissemination of programming for low-income women, Latina women, and postmenopausal women with diabetes, and that doing so provided a richer understanding of program success.…”

Section: Original Researchmentioning

confidence: 99%

The StrongWomen–Healthy Hearts program in Pennsylvania: RE-AIM analysis

Folta

Lichtenstein

Seguin

et al. 2014

Behav. Med. Pract. Policy Res.

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Dissemination of evidence-based programs is needed to reduce CVD risk among midlife and older women. The aim of this study is to examine the public health impact of StrongWomen-Healthy Hearts in Pennsylvania using the RE-AIM framework. Reach, adoption, implementation, and maintenance were assessed using qualitative and quantitative measures; effectiveness was assessed using a pretest-posttest within-participants design. Reach into the target population was 5 in 100,000. Compared to the target population, a greater percentage of participants were white, married, middle-class, and had a graduate degree. Effectiveness was demonstrated (weight loss −2.0 kg, p<0

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“…It has been suggested that public health decision-makers may be more accepting of implementing interventions that have been effectively tested in similar settings and with comparable populations [31]. Based on our experience and consistent with other studies [32,33], evidence-based interventions implemented in community settings were not maintained. It appears that even in light of evidence showing intervention effectiveness, other factors at the setting level may help explain aspects of adoption and maintenance needed for program sustainability.…”

Section: Discussionmentioning

confidence: 48%

Process evaluation of an evidence-based weight loss program for low-income, mid-life women implemented in local health departments: Application of the RE-AIM framework

Norwood

Linnan

Ammerman

et al. 2020

Preprint

View full text Add to dashboard Cite

Abstract Background: Fundamental to successfully translating evidence-based interventions to real life settings with diverse populations is achieving fidelity to the intervention within the given public health setting. Health departments may be key in addressing the obesity epidemic given their unique position to deliver obesity prevention services in community settings. We developed the Weight-Wise II Program from four evidenced-based interventions for implementation in local health departments. For this study, we conducted a process evaluation of the implementation of the Weight-Wise II Program, an intensive evidence-based behavioral weight loss program for low-income, mid-life women. Methods: The Weight-Wise II Program, a 16-week group-based weight loss program, was implemented in six local health departments. The RE-AIM framework (reach, effectiveness, adoption, implementation, and maintenance) served as a guide to conduct a comprehensive process evaluation. Process data were collected and analyzed using quantitative and qualitative methods. Results: The Weight-Wise II Program reached low-income and mid-life women, a high-risk population, and was effective in achieving modest weight loss. Attendance and self-monitoring were positively associated with weight loss. Interventionists delivered the program as intended and it was well received by participants. Planned adaptations enhanced program implementation by being responsive to participant and health department needs. Despite implementation by health department staff, the program was not routinely maintained three years post-intervention. Conclusion: Evidence-based weight loss interventions can be successfully implemented in local health departments. RE-AIM is a useful framework for systematically evaluating the process of implementation and impact of a behavioral weight loss intervention offered in public health settings. The addition of complementary implementation frameworks may help in identification of contextual factors influencing subsequent maintenance of evidence-based interventions in public health settings. Trial registration: ClinicalTrials.gov Identifier: NCT01141348. Registered 9 June 2010 – Retrospectively registered, https://clinicaltrials.gov/ct2/show/NCT01141348

show abstract

Adapting and RE-AIMing a heart disease prevention program for older women with diabetes

Cited by 9 publications

References 26 publications

Process evaluation of an evidence-based weight loss program for low-income, mid-life women implemented in local health departments: Application of the RE-AIM framework

Process evaluation of an evidence-based weight loss program for low-income, mid-life women implemented in local health departments: Application of the RE-AIM framework

The StrongWomen–Healthy Hearts program in Pennsylvania: RE-AIM analysis

Process evaluation of an evidence-based weight loss program for low-income, mid-life women implemented in local health departments: Application of the RE-AIM framework

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