Evaluating the public health impact of health promotion interventions: The RE-AIM framework
Evaluating the public health impact of health promotion interventions: The RE-AIM framework
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DOI：
10.2105/ajph.89.9.1322
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发表时间：
1999-09-01
影响因子：
12.7
通讯作者：
Boles, SM
中科院分区：
文献类型：
--
作者：
Glasgow, RE;Vogt, TM;Boles, SM
由于缺乏适用于此类项目的综合评估框架，公共卫生和基于社区的干预措施的进展受到了阻碍。包含政策、环境和个人因素的多层次干预措施应使用适合其环境、目标和目的的测量方法进行评估。在这篇评论中，作者提出了一个用于评估公共卫生干预措施的模型（称为RE - AIM模型），该模型评估5个维度：覆盖度、有效性、采纳度、实施度和维持度。这些维度出现在多个层面（例如个人、诊所或组织、社区），并且相互作用以确定一个项目或政策对公共卫生或基于人群的影响。作者讨论了评估每个维度以及将它们结合起来以确定整体公共卫生影响的相关问题。未能充分评估项目的所有5个维度可能导致资源浪费、研究阶段之间的脱节以及无法将公共卫生改善到我们能力的极限。作者总结了AIM模型的优势和局限性，并为未来的研究和应用提出了建议领域。
Progress in public health and community-based interventions has been hampered by the lack of a comprehensive evaluation framework appropriate to such programs, Multilevel interventions that incorporate policy, environmental.. and individual components should be evaluated with measurements nts suited to their settings, goals and purpose.In this commentary, the authors propose a model (termed the RE-AIM model) for evaluating public health interventions that assesses 5 dimensions: reach. efficacy. adoption, implementation. and maintenance. These dimensions occur at multiple levels (e.g.. individual, clinic or organization community) and interact to determine the public health or population-based impact of a program or policy. The authors discuss issues in evaluating each of these dimensions and combining them to determine overall public health impact.Failure to adequately evaluate programs ori all 5 dimensions can lead to a waste of resources. discontinuities between stages of research and failure to improve public health to the limits of our capacity. The authors summarize strengths and limitations of the AIM model and recommend areas for future research and application.