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What does it mean to "employ" the RE-AIM model?
Rodger S Kessler1, E Peyton Purcell, Russell E Glasgow
1Department of Family Medicine, University of Vermont, Burlington, VT, USA.
Evaluation & the Health Professions
|May 23, 2012
Summary
Many grant proposals use evaluation models like RE-AIM (Reach, Effectiveness, Adoption, Implementation, Maintenance) but rarely implement them fully. Most grants only partially addressed RE-AIM dimensions, highlighting a gap in comprehensive model utilization.
Area of Science:
- Implementation Science
- Public Health Program Evaluation
- Health Services Research
Background:
- Grant proposals often cite evaluation models but lack detail on practical implementation.
- The RE-AIM (Reach, Effectiveness, Adoption, Implementation, Maintenance) model is frequently proposed but its application varies.
- Understanding comprehensive model use is crucial for effective program planning and evaluation.
Purpose of the Study:
- To define the conceptual and content specifications for employing the RE-AIM model.
- To assess the extent to which National Institutes of Health grant applications thoroughly utilized the RE-AIM model.
- To identify common gaps in the application of evaluation frameworks in grant proposals.
Main Methods:
- A content review of 42 dissemination and implementation grant applications submitted to the National Institutes of Health.
- Analysis focused on the conceptual and content specifications for using the RE-AIM model.
- Evaluation of how proposals addressed the five RE-AIM dimensions in their methods and evaluation plans.
Main Results:
- The majority of reviewed grant proposals only partially incorporated elements of the RE-AIM model.
- Less than 10% of proposals demonstrated thorough measures across all five RE-AIM dimensions.
- The percentage of key RE-AIM issues addressed varied significantly, averaging between 45% and 78% across dimensions.
Conclusions:
- Few grant proposals met criteria for "fully developed use" of the RE-AIM model.
- Investigators need clearer guidance on comprehensive RE-AIM implementation for grant applications.
- Broader issues regarding the comprehensive utilization of evaluation models in research grants were illuminated.
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