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Use of RE-AIM to Address Health Inequities: Application in a low-income community health center based weight loss and hypertension self-management program.

Publication ,  Journal Article
Glasgow, RE; Askew, S; Purcell, P; Levine, E; Warner, ET; Stange, KC; Colditz, GA; Bennett, GG
Published in: Translational behavioral medicine
June 2013

While health inequities are well documented, and there are helpful frameworks to understand health disparities, implementation frameworks are also needed to focus the design, evaluation and reporting on interventions targeting populations at increased risk.Describe how the RE-AIM framework (Reach, Effectiveness, Adoption, Implementation, and Maintenance) can be used for these purposes and illustrate its application in the context of a randomized, pragmatic weight-loss and hypertension self-management intervention.RE-AIM was used to both plan and evaluate the Be Fit Be Well program for urban community health center patients.The RE-AIM framework helped to focus attention on and produce high rates of adoption and reach. Implementation rates varied across components. Weight losses were statistically significant, but not clinically significant. They were robust across a variety of patient characteristics, and the program was relatively low cost. Individual weight losses and blood pressure reductions were maintained throughout the 24-month period, but the program was not sustained at any of the three settings.Implementation frameworks such as RE-AIM can help design pragmatic interventions that focus on both the context for disparities reduction and the ultimate goal of public health impact.

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Published In

Translational behavioral medicine

DOI

EISSN

1613-9860

ISSN

1869-6716

Publication Date

June 2013

Volume

3

Issue

2

Start / End Page

200 / 210

Related Subject Headings

  • 52 Psychology
  • 42 Health sciences
  • 32 Biomedical and clinical sciences
  • 1112 Oncology and Carcinogenesis
  • 1103 Clinical Sciences
 

Citation

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Glasgow, R. E., Askew, S., Purcell, P., Levine, E., Warner, E. T., Stange, K. C., … Bennett, G. G. (2013). Use of RE-AIM to Address Health Inequities: Application in a low-income community health center based weight loss and hypertension self-management program. Translational Behavioral Medicine, 3(2), 200–210. https://doi.org/10.1007/s13142-013-0201-8
Glasgow, Russell E., Sandy Askew, Peyton Purcell, Erica Levine, Erica T. Warner, Kurt C. Stange, Graham A. Colditz, and Gary G. Bennett. “Use of RE-AIM to Address Health Inequities: Application in a low-income community health center based weight loss and hypertension self-management program.Translational Behavioral Medicine 3, no. 2 (June 2013): 200–210. https://doi.org/10.1007/s13142-013-0201-8.
Glasgow RE, Askew S, Purcell P, Levine E, Warner ET, Stange KC, et al. Use of RE-AIM to Address Health Inequities: Application in a low-income community health center based weight loss and hypertension self-management program. Translational behavioral medicine. 2013 Jun;3(2):200–10.
Glasgow, Russell E., et al. “Use of RE-AIM to Address Health Inequities: Application in a low-income community health center based weight loss and hypertension self-management program.Translational Behavioral Medicine, vol. 3, no. 2, June 2013, pp. 200–10. Epmc, doi:10.1007/s13142-013-0201-8.
Glasgow RE, Askew S, Purcell P, Levine E, Warner ET, Stange KC, Colditz GA, Bennett GG. Use of RE-AIM to Address Health Inequities: Application in a low-income community health center based weight loss and hypertension self-management program. Translational behavioral medicine. 2013 Jun;3(2):200–210.
Journal cover image

Published In

Translational behavioral medicine

DOI

EISSN

1613-9860

ISSN

1869-6716

Publication Date

June 2013

Volume

3

Issue

2

Start / End Page

200 / 210

Related Subject Headings

  • 52 Psychology
  • 42 Health sciences
  • 32 Biomedical and clinical sciences
  • 1112 Oncology and Carcinogenesis
  • 1103 Clinical Sciences