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Related Concept Videos

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DefinitionTraumatic brain injury, or TBI, is a disturbance of normal brain function induced by an external mechanical force, such as a direct blow to the head or a penetrating injury. It can affect both brain structure and function, producing a wide range of clinical outcomes. TBI is a heterogeneous condition, meaning its effects may differ based on the type, location, and severity of the injury.Basis of ClassificationTBI is classified based on severity, injury mechanism, or pathophysiology. In...
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Related Experiment Video

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Process evaluation of a statewide abusive head trauma prevention program.

Meghan Shanahan1, Phyllis Fleming1, Maryalice Nocera1

  • 1The Injury Prevention Research Center, The University of North Carolina at Chapel Hill, 137 East Franklin Street, CB#7505, Chapel Hill, NC, United States.

Evaluation and Program Planning
|August 2, 2014
PubMed
Summary

This study evaluated a statewide abusive head trauma prevention program using the RE-AIM framework. The program was successfully implemented in all hospitals, with high fidelity and plans for continued use.

Keywords:
Abusive head traumaProcess evaluationRE-AIM framework

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Area of Science:

  • Public Health
  • Child Injury Prevention
  • Program Evaluation

Background:

  • Abusive head trauma (AHT) is a significant cause of child injury and mortality.
  • Effective prevention programs are crucial for reducing AHT incidence.
  • The RE-AIM framework provides a comprehensive approach to evaluating public health interventions.

Purpose of the Study:

  • To evaluate the implementation of a statewide AHT prevention program using the RE-AIM framework.
  • To assess the reach, adoption, implementation, and maintenance of the AHT prevention program.
  • To identify facilitators and barriers to program implementation and sustainability.

Main Methods:

  • Utilized the four dimensions of the RE-AIM framework: Reach, Adoption, Implementation, and Maintenance.
  • Employed multiple data collection methods: telephone surveys, questionnaires, site visits, and administrative data.
  • Conducted a process evaluation of a statewide AHT prevention initiative across 86 birthing hospitals.

Main Results:

  • The AHT prevention program achieved successful implementation in all 86 birthing hospitals statewide.
  • High fidelity of program implementation was observed across participating sites.
  • Most hospitals integrated the program into unit procedures and staff training, with over 75% planning for continuation.

Conclusions:

  • The RE-AIM framework effectively guided the process evaluation of this complex public health intervention.
  • The statewide AHT prevention program demonstrated successful implementation and strong potential for sustainability.
  • Findings support the scalability and long-term viability of the AHT prevention program.