Evaluating the impact of health promotion programs: using the RE-AIM framework to form summary measures for decision making involving complex issues
Evaluating the impact of health promotion programs: using the RE-AIM framework to form summary measures for decision making involving complex issues
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DOI：
10.1093/her/cyl081
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发表时间：
2006-10-01
影响因子：
2.4
通讯作者：
Vogt, Thomas M.
中科院分区：
文献类型：
--
作者：
Glasgow, Russell E.;Klesges, Lisa M.;Vogt, Thomas M.
目前的公共卫生和医学证据在很大程度上依赖于疗效信息，以作出有关干预影响的决定。这一证据基础可以通过评估和报告内部和外部有效性的多个指标的研究来加强，这些指标包括范围、有效性、采用、实施和维护（RE-AIM）及其综合影响。然而，目前还没有总结干预成果各方面的综合影响和复杂相互作用的指数。我们提出并讨论了一系列的复合指标，结合联合收割机两个或两个以上的RE-AIM尺寸，并可用于估计整体干预的影响。虽然是推测性的，而且在这一点上，这些指标的经验数据有限，但它们扩展了当前的方法，并提供了与公共卫生相关的更综合的综合结果。这些方法有可能帮助确定最有可能对人口健康产生有意义影响的干预措施。
Current public health and medical evidence rely heavily on efficacy information to make decisions regarding intervention impact. This evidence base could be enhanced by research studies that evaluate and report multiple indicators of internal and external validity such as Reach, Effectiveness, Adoption, Implementation and Maintenance (RE-AIM) as well as their combined impact. However, indices that summarize the combined impact of, and complex interactions among, intervention outcome dimensions are not currently available. We propose and discuss a series of composite metrics that combine two or more RE-AIM dimensions, and can be used to estimate overall intervention impact. Although speculative and, at this point, there have been limited empirical data on these metrics, they extend current methods and are offered to yield more integrated composite outcomes relevant to public health. Such approaches offer potential to help identify interventions most likely to meaningfully impact population health.