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Related Experiment Videos

Using the RE-AIM framework to evaluate a physical activity intervention in churches.

Melissa Bopp1, Sara Wilcox, Marilyn Laken

  • 1Department of Kinesiology, 1A Natatorium, Kansas State University, Manhattan, KS 66506, USA. mbopp@ksu.edu

Preventing Chronic Disease
|September 19, 2007
PubMed
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The Health-e-AME intervention promoted physical activity in churches. While adoption was moderate, sustained church-led sessions and significant physical activity increases were challenging.

Area of Science:

  • Community health interventions
  • Public health program evaluation
  • Physical activity promotion

Background:

  • The Health-e-AME intervention utilized a community-participation model to promote physical activity in African Methodist Episcopal churches in South Carolina.
  • Volunteer health directors were trained to disseminate intervention components.

Purpose of the Study:

  • To evaluate the Health-e-AME physical activity intervention using the RE-AIM framework.
  • To assess the reach, effectiveness, adoption, implementation, and maintenance of the intervention.

Main Methods:

  • Interviews were conducted with 50 health directors involved in the intervention.
  • The RE-AIM (Reach, Effectiveness, Adoption, Implementation, and Maintenance) framework guided the evaluation.

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Main Results:

  • Eighty percent of churches with a first-year health director and 52% with a second-year director adopted intervention components.
  • Congregational motivation was a key barrier; middle-aged women were the primary reach.
  • Implementation was adequate, but churches struggled with sustained session offering; promising physical activity trends were observed but not statistically significant.

Conclusions:

  • The RE-AIM framework provided a comprehensive model for evaluating community health programs.
  • Community-based interventions require strategies to overcome adoption barriers and ensure long-term maintenance.