Applying the RE-AIM conceptual framework for the promotion of physical activity in low- and middle-income countries

Abstract

Objective:the RE-AIM framework has been widely used to evaluate internal and external validity of interventions aimed to promote physical activity, helping to provide comprehensive evaluation of the reach, efficacy, adoption, implementation and maintenance of research and programming. Despite this progress, the RE-AIM framework has not been used widely in Latin America. The purpose of this manuscript is to describe the RE-AIM framework, the process and materials developed for a one-day workshop in Guadalajara, and the acceptability and satisfaction of participants that attended the workshop. Methods:lecture, interactive examples and an agenda were developed for a one-day RE-AIM workshop over a three month period. Results:thirty two health care practitioners (M age = 30.6, SD=9.9 years) attended the workshop. Most (100%) rated the workshop as credible, useful (100%) and intended to apply it in current or future research (95%). Conclusion:results suggest intuitive appeal of the RE-AIM framework, and provide a strategy for introducing the utility and practical application of the framework in practice settings in Mexico and Latin America.

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

“…Generally, RE-AIM does seem to translate and be useful in the different countries and cultures in which use has been reported. Some international applications include low- and middle-income countries (25) including Australia (26–30), the Netherlands (31–34), and Brazil (35, 36). One interesting application was the use of RE-AIM to help plan and evaluate interventions to reduce the use of coal-fired indoor cook stoves in Africa (37).…”

Scaling up a home-visiting program for child development in Brazil: a comparative case studies analysis

“…The evidence-based rapid qualitative analysis methodology 28 , 29 used in our study represents a methodological innovation in knowledge translation in the ECD field. The deductive use of the RE-AIM dimensions—a widely known evidence-based program implementation evaluation framework– 14 , 63 for thematic analysis helped us to identify pragmatic recommendations for optimizing PCF scale-up. Furthermore, extensive interviews with PCF teams and families allowed us to reach thematic saturation.…”

Tradução e adaptação do Check List RE-AIM para a realidade Brasileira

“…Para análise de intervenções e seus respectivos impactos na saúde faz-se necessário uma avaliação multidimensional e criteriosa 10 . Estudos que utilizaram o modelo RE-AIM como forma de avaliar intervenções verificaram que poucos estudos contemplaram a análise de todas as dimensões e, quando presente, foram relatadas de forma incompleta [6][7][8][9]13,14 .…”

“…De qualquer forma, quando as dimensões do RE-AIM não são analisadas de forma conjunta, não há como prever em quais destas, as estratégias devem se concentrar para melhor qualidade das intervenções, impedindo também a comparabilidade entre estudos 10,14 . Recomenda-se aos pesquisadores clareza ao disseminar informações de suas investigações quando tratam de uma dimensão de forma isolada, referindo, especialmente, os motivos pela exclusão das demais 13 .…”