Qualitative approaches to use of the RE-AIM framework: rationale and methods
TLDR
Advice on qualitative methods to address the RE-AIM model and its various dimensions is provided to help understand complex situations and results, why and how outcomes were obtained, and contextual factors not easily assessed using quantitative measures.Abstract:
There have been over 430 publications using the RE-AIM model for planning and evaluation of health programs and policies, as well as numerous applications of the model in grant proposals and national programs. Full use of the model includes use of qualitative methods to understand why and how results were obtained on different RE-AIM dimensions, however, recent reviews have revealed that qualitative methods have been used infrequently. Having quantitative and qualitative methods and results iteratively inform each other should enhance understanding and lessons learned. Because there have been few published examples of qualitative approaches and methods using RE-AIM for planning or assessment and no guidance on how qualitative approaches can inform these processes, we provide guidance on qualitative methods to address the RE-AIM model and its various dimensions. The intended audience is researchers interested in applying RE-AIM or similar implementation models, but the methods discussed should also be relevant to those in community or clinical settings. We present directions for, examples of, and guidance on how qualitative methods can be used to address each of the five RE-AIM dimensions. Formative qualitative methods can be helpful in planning interventions and designing for dissemination. Summative qualitative methods are useful when used in an iterative, mixed methods approach for understanding how and why different patterns of results occur. In summary, qualitative and mixed methods approaches to RE-AIM help understand complex situations and results, why and how outcomes were obtained, and contextual factors not easily assessed using quantitative measures.read more
Citations
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Journal ArticleDOI
RE-AIM Planning and Evaluation Framework: Adapting to New Science and Practice With a 20-Year Review
Russell E. Glasgow,Samantha M. Harden,Bridget Gaglio,Borsika A. Rabin,Borsika A. Rabin,Matthew Lee Smith,Gwenndolyn C. Porter,Marcia G. Ory,Paul A. Estabrooks +8 more
TL;DR: The application and evolution of RE-AIM is described as well as lessons learned from its use, with increasing the emphasis on cost and adaptations to programs and expanding the use of qualitative methods to understand “how” and “why” results came about.
Journal ArticleDOI
Systematic review of the Exploration, Preparation, Implementation, Sustainment (EPIS) framework
TL;DR: This systematic review enumerated multiple settings and ways the EPIS framework has been applied in implementation research projects, and summarized promising characteristics and strengths of the framework, illustrated with examples.
Journal ArticleDOI
Qualitative methods in implementation research: An introduction.
TL;DR: This article orients the novice implementation scientist to fundamentals of qualitative methods and their application in implementation research, describing: 1) implementation-related questions that can be addressed by qualitative methods; 2) qualitative methods commonly used in implementationResearch; 3) basic sampling and data collection procedures; and 4) recommended practices for data analysis and ensuring rigor.
Journal ArticleDOI
An Extension of RE-AIM to Enhance Sustainability: Addressing Dynamic Context and Promoting Health Equity Over Time.
TL;DR: This Perspective presents an extension of the RE-AIM framework to guide planning, measurement/evaluation, and adaptations focused on enhancing sustainability and provides testable hypotheses and detailed research questions to inform future research in these areas.
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