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AJPH First Look, published online ahead of print Feb 28, 2007
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American Journal of Public Health, 10.2105/AJPH.2005.072264


Health Policy and Ethics

Beyond Effectiveness: Evaluating the Public Health Impact of the WISEWOMAN Program

Rosanne P. Farris 1*, Julie C. Will 1, Olga Khavjou 2, Eric A. Finkelstein 2

1 Centers for Disease Control and Prevention, Division of Adult and Community Health, Atlanta, Georgi
2 RTI International

* To whom correspondence should be addressed. E-mail: rif6{at}cdc.gov.


   Abstract

Interventions that are effective are often improperly or only partially implemented when put into practice. When intervention programs are evaluated, feasibility of implementation and effectiveness need to be examined. Reach (R), effectiveness (E), adoption (A), implementation (I), and maintenance (M) make up the RE-AIM framework used to assess programs. To examine the usefulness of this metric, we addressed 2 key research questions: (1) Is it feasible to operationalize the RE-AIM framework using women’s health program data? and (2) How does the determination of a successful program differ ifthe criterion is (a) effectiveness alone, (b) reach and effectiveness, or (c) the 5 dimensions of the RE-AIM framework? Findings indicate it is feasible to operationalize the RE-AIM concepts and that RE-AIM may provide a richer measure of contextual factors for program success compared with other evaluation approaches.

Key Words: Cardiovascular Disease, Prevention, Public Health Practice, Screening, Women's Health




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American Journal of Lifestyle Medicine, June 1, 2008; 2(3): 227 - 229.
[Abstract] [PDF]




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