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Updated: Jun 8, 2026

Predicting the Effectiveness of Population Replacement Strategy Using Mathematical Modeling
Published on: July 4, 2007
Reaiming RE-AIM: using the model to plan, implement, and evaluate the effects of environmental change approaches to
Diane K King1, Russell E Glasgow, Bonnie Leeman-Castillo
1Institute for Health Research, Kaiser Permanente Colorado, Denver, CO 80237-8066, USA. diane.king@kp.org
Abstract:
The RE-AIM (reach, effectiveness, adoption, implementation, maintenance) framework, which provides a practical means of evaluating health interventions, has primarily been used in studies focused on changing individual behaviors. Given the importance of the built environment in promoting health, using RE-AIM to evaluate environmental approaches is logical. We discussed the benefits and challenges of applying RE-AIM to evaluate built environment strategies and recommended modest adaptations to the model. We then applied the revised model to 2 prototypical built environment strategies aimed at promoting healthful eating and active living. We offered recommendations for using RE-AIM to plan and implement strategies that maximize reach and sustainability, and provided summary measures that public health professionals, communities, and researchers can use in evaluating built environment interventions.
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