Can physical activity interventions for adults with type 2 diabetes be translated into practice settings? A systematic review using the RE-AIM framework

Abstract

Despite the strong evidence base for the efficacy of physical activity in the management of type 2 diabetes, a limited number of physical activity interventions have been translated and evaluated in everyday practice. This systematic review aimed to report the findings of studies in which an intervention, containing physical activity promotion as a component, has been delivered within routine diabetes care. A comprehensive search was conducted for articles reporting process data relating to components of the RE-AIM (Reach, Effectiveness, Adoption, Implementation and/or Maintenance) framework. Twelve studies met the selection criteria. Of the nine studies which measured physical activity as an outcome, eight reported an increase in physical activity levels, five of which were significant. Tailoring recruitment, resources and intervention delivery to the target population played a positive role, in addition to the use of external organisations and staff training. Many interventions were of short duration and lacked long-term follow-up data. Findings revealed limited and inconsistent reporting of useful process data.

A systematic review of interventions for children presenting with dyscalculia in primary schools

“…Further quality of evidence was assessed using the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework (Dzewaltowski et al, 2004) which is a useful tool to translate research into practise by promoting the development and evaluation of interventions (Matthews, Kirk & Mutrie, 2014). This framework offers a comprehensive approach to considering five dimensions important for evaluating the potential public health impact of an intervention (Glasglow et al, 2006).…”

“…This framework offers a comprehensive approach to considering five dimensions important for evaluating the potential public health impact of an intervention (Glasglow et al, 2006). Matthews, Kirk and Mutrie (2014) describe these dimensions as follows: Sweet, Ginis, Estabrooks and Latimer-Cheung (2014) suggest that the RE-AIM framework has been applied to understand the impact of implementation of interventions. Furthermore, Sweet et al (2014) add that pair of reviewers needs to work together at every level and record relevant information in order to work with this framework.…”

Contextualizing the Proven Effectiveness of a Lifestyle Intervention for Type 2 Diabetes in Primary Care: A Qualitative Assessment Based on the RE-AIM Framework

“…To address this challenge, effective behaviour-modification interventions have been developed (11,12). However, clinical trials often have limited transferability to community or primary care settings and do little to inform decision making at practice and policy levels (13,14). In fact, some researchers have called for a moratorium on traditional randomized controlled trials as a strategy to promote greater translation of current healthcare research into practice (15).…”

Implementation of a prediabetes identification algorithm for overweight and obese Veterans

“…Thus, it is important to consider outreach at all levels (patient, provider, and organization). Increasing awareness of prediabetes as an important and modifiable health issue may help improve the variable patient engagement demonstrated in translational DPP studies [26][27]. For example, public health messages focused on diabetes prevention may help improve patient awareness of prediabetes and diabetes prevention.…”