Applying the RE-AIM framework to evaluate two implementation strategies used to introduce a tool for lifestyle intervention in Swedish primary health care

Carlfjord, Siw; Andersson, Agneta; Bendtsen, Preben; Nilsen, Per; Lindberg, Mats

doi:10.1093/heapro/dar016

Cited by 20 publications

(22 citation statements)

References 22 publications

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“…A better understanding of the implementation context is important to succeed with implementations in the real world 15. The Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework, originally developed to evaluate public health interventions14 and previously used, for example, in primary healthcare in Sweden,21 is applicable to evaluate interventions implemented in the real world. The framework has been extended into the RE-AIM Sports Setting Matrix (RE-AIM SSM) to better suite team sports and more complex interventions 15 22…”

Section: Introductionmentioning

confidence: 99%

Implementation of a neuromuscular training programme in female adolescent football: 3-year follow-up study after a randomised controlled trial

et al. 2014

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Section: Introductionmentioning

confidence: 99%

Implementation of a neuromuscular training programme in female adolescent football: 3-year follow-up study after a randomised controlled trial

et al. 2014

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“…A possible difference between strategies was found only regarding two items in the dimension effectiveness . Differences in adoption , based on register data, detected after 9 months [14] had levelled out after 24 months. Maintenance revealed proportions of RP decreasing over time regardless of strategy, with a tendency to stabilize at low levels for the last 6 months of the study.…”

Section: Discussionmentioning

confidence: 95%

“…For the 9‐month follow‐up, a questionnaire with the aim of covering and evaluating the three RE‐AIM dimensions, reach , effectiveness and implementation , was developed [14]. For the 24‐month follow‐up described in the present article, four new questions on implementation and two questions on the manager's attitude towards discussing lifestyle issues and about responsibility to address lifestyle issues in health care were added.…”

Section: Methodsmentioning

confidence: 99%

“…Staff at this unit expressed positive expectations, perceptions of the CLT being compatible with existing routines and perceptions of the CLT having advantages compared with previous practice [16]. When the RE‐AIM framework was used for evaluation after 9 months, the explicit implementation strategy was found to have a positive effect on implementation outcome [14].…”

Section: Introductionmentioning

confidence: 95%

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Sustained use of a tool for lifestyle intervention implemented in primary health care: a 2‐year follow‐up

Carlfjord

Lindberg²,

Andersson

2012

Evaluation Clinical Practice

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Rational, aims and objectives Sustainability of new methods implemented in health care is one of the most central issues in addressing the gap between research and practice, but is seldom assessed in implementation studies. The aim of this study was to evaluate the implementation of a new tool for lifestyle intervention in primary health care (PHC) 2 years after the introduction, and assess if the implementation strategy used influenced sustainability.Method A computer-based lifestyle intervention tool (CLT) was introduced at six PHC units in Sweden in 2008, using two implementation strategies: explicit and implicit. The main difference between the strategies was a 4-week test period followed by a decision session, included in the explicit strategy. Evaluations were performed after 6, 9 and 24 months. After 24 months, the RE-AIM framework was applied to assess and compare outcome according to strategy.Results A more positive outcome regarding Reach, Effectiveness, Adoption and Implementation in the explicit group could be almost completely attributed to one of the units. Maintenance was low and after 24 months, differences according to strategy were negligible. ConclusionAfter 24 months the most positive outcomes regarding all RE-AIM dimensions were found in one of the units where the explicit strategy was used. The explicit strategy per se had some effect on the dimension Effectiveness, but was not associated with sustainability overall. Staff at the most successful unit earlier had positive expectations regarding the CLT and found it compatible with existing routines.3

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“…The framework is utilized to understand translational and system-change efforts in healthcare [35]; the different dimensions of the theory include research, effectiveness or efficacy, adoption, implementation and maintenance. The theory has been used in several studies to successfully provide evidence that help informatics interventions overcome their frequent deficiencies in external validity [36][37][38]. Following implementation of the Wells' CDS, we obtained feedback from the end users in accordance with the theoretical framework to further assess adoption and implementation.…”

Section: Discussionmentioning

confidence: 99%

Improving Provider Adoption With Adaptive Clinical Decision Support Surveillance: An Observational Study (Preprint)

Khan¹,

Richardson²,

Liu³

et al. 2018

Preprint

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Background: Successful clinical decision support (CDS) tools can bring evidence-based medicine to the point-of-care to effectively improve patient outcomes. However, the impact of these tools has been limited by low provider adoption due to over-triggering, leading to alert fatigue. We have developed a tracking mechanism for monitoring trigger rate (percent of total visits for which the tool triggers) and adoption rate (percent of completed tools) of a complex CDS tool based on the Wells' Criteria for pulmonary embolism (PE).

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Applying the RE-AIM framework to evaluate two implementation strategies used to introduce a tool for lifestyle intervention in Swedish primary health care

Abstract: SUMMARY

Cited by 20 publications

References 22 publications

Implementation of a neuromuscular training programme in female adolescent football: 3-year follow-up study after a randomised controlled trial

Implementation of a neuromuscular training programme in female adolescent football: 3-year follow-up study after a randomised controlled trial

Sustained use of a tool for lifestyle intervention implemented in primary health care: a 2‐year follow‐up

Improving Provider Adoption With Adaptive Clinical Decision Support Surveillance: An Observational Study (Preprint)

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