Evaluating “Take the Stairs, Wyoming!” Through the RE-AIM Framework: Challenges and Opportunities
Introduction: Health promotion delivery systems are increasingly being asked to implement policy, systems, and environmental interventions (PSEs). However, evaluating PSEs is challenging, especially in low-resource community settings. This paper describes the use of RE-AIM to evaluate a physical act...
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2019-12-01
|
| Series: | Frontiers in Public Health |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/article/10.3389/fpubh.2019.00368/full |
| _version_ | 1819109887807848448 |
|---|---|
| author | Laura E. Balis Thomas Strayer |
| author_facet | Laura E. Balis Thomas Strayer |
| author_sort | Laura E. Balis |
| collection | DOAJ |
| description | Introduction: Health promotion delivery systems are increasingly being asked to implement policy, systems, and environmental interventions (PSEs). However, evaluating PSEs is challenging, especially in low-resource community settings. This paper describes the use of RE-AIM to evaluate a physical activity PSE delivered through University of Wyoming Extension and highlights challenges and opportunities in pragmatic, real-world program evaluation.Methods: Extension health educators adapted a point-of-decision prompt intervention encouraging stairway use through posters, called Take the Stairs, Wyoming! Reach was assessed through estimates of daily traffic, effectiveness was assessed through opportunistic interviews, adoption was calculated as the number and proportion of sites that agreed to hang posters, implementation was calculated as the proportion of sites with a poster in place at a 2-weeks follow-up visit, and maintenance was assessed through 6-months opportunistic interviews (individual level) and proportion of sites with a poster in place (organizational level).Results: Overall, the posters were widely adopted and most posters were implemented as intended. However, capturing reach, effectiveness, and maintenance was challenging, as health educators found the evaluation burdensome. Therefore, it was difficult to determine if the posters were effective at increasing physical activity levels.Discussion: Suggestions are provided for capturing reach, effectiveness, and maintenance data in community settings. Future efforts are needed to create evaluation tools to pragmatically measure effectiveness of PSEs on changing behaviors, as well as to prioritize program evaluation in Extension. |
| first_indexed | 2024-12-22T03:32:58Z |
| format | Article |
| id | doaj.art-6a7d8bd322d84b9fafeb605b3146829f |
| institution | Directory Open Access Journal |
| issn | 2296-2565 |
| language | English |
| last_indexed | 2024-12-22T03:32:58Z |
| publishDate | 2019-12-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Public Health |
| spelling | doaj.art-6a7d8bd322d84b9fafeb605b3146829f2022-12-21T18:40:27ZengFrontiers Media S.A.Frontiers in Public Health2296-25652019-12-01710.3389/fpubh.2019.00368498779Evaluating “Take the Stairs, Wyoming!” Through the RE-AIM Framework: Challenges and OpportunitiesLaura E. Balis0Thomas Strayer1Division of Agriculture Cooperative Extension Service, University of Arkansas System, Little Rock, AR, United StatesCenter for Quality Aging, Vanderbilt University Medical Center, Nashville, TN, United StatesIntroduction: Health promotion delivery systems are increasingly being asked to implement policy, systems, and environmental interventions (PSEs). However, evaluating PSEs is challenging, especially in low-resource community settings. This paper describes the use of RE-AIM to evaluate a physical activity PSE delivered through University of Wyoming Extension and highlights challenges and opportunities in pragmatic, real-world program evaluation.Methods: Extension health educators adapted a point-of-decision prompt intervention encouraging stairway use through posters, called Take the Stairs, Wyoming! Reach was assessed through estimates of daily traffic, effectiveness was assessed through opportunistic interviews, adoption was calculated as the number and proportion of sites that agreed to hang posters, implementation was calculated as the proportion of sites with a poster in place at a 2-weeks follow-up visit, and maintenance was assessed through 6-months opportunistic interviews (individual level) and proportion of sites with a poster in place (organizational level).Results: Overall, the posters were widely adopted and most posters were implemented as intended. However, capturing reach, effectiveness, and maintenance was challenging, as health educators found the evaluation burdensome. Therefore, it was difficult to determine if the posters were effective at increasing physical activity levels.Discussion: Suggestions are provided for capturing reach, effectiveness, and maintenance data in community settings. Future efforts are needed to create evaluation tools to pragmatically measure effectiveness of PSEs on changing behaviors, as well as to prioritize program evaluation in Extension.https://www.frontiersin.org/article/10.3389/fpubh.2019.00368/fullPSEsRE-AIMextensionevaluationpoint-of-decision promptphysical activity |
| spellingShingle | Laura E. Balis Thomas Strayer Evaluating “Take the Stairs, Wyoming!” Through the RE-AIM Framework: Challenges and Opportunities Frontiers in Public Health PSEs RE-AIM extension evaluation point-of-decision prompt physical activity |
| title | Evaluating “Take the Stairs, Wyoming!” Through the RE-AIM Framework: Challenges and Opportunities |
| title_full | Evaluating “Take the Stairs, Wyoming!” Through the RE-AIM Framework: Challenges and Opportunities |
| title_fullStr | Evaluating “Take the Stairs, Wyoming!” Through the RE-AIM Framework: Challenges and Opportunities |
| title_full_unstemmed | Evaluating “Take the Stairs, Wyoming!” Through the RE-AIM Framework: Challenges and Opportunities |
| title_short | Evaluating “Take the Stairs, Wyoming!” Through the RE-AIM Framework: Challenges and Opportunities |
| title_sort | evaluating take the stairs wyoming through the re aim framework challenges and opportunities |
| topic | PSEs RE-AIM extension evaluation point-of-decision prompt physical activity |
| url | https://www.frontiersin.org/article/10.3389/fpubh.2019.00368/full |
| work_keys_str_mv | AT lauraebalis evaluatingtakethestairswyomingthroughthereaimframeworkchallengesandopportunities AT thomasstrayer evaluatingtakethestairswyomingthroughthereaimframeworkchallengesandopportunities |