title: Beyond effectiveness: evaluating the public health impact of the WISEWOMAN program.
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, effectiveness, adoption, implementation, and maintenance make up the RE-AIM framework used to assess such programs. To examine the usefulness of this metric, we addressed 2 key research questions. Is it feasible to operationalize the RE-AIM framework using women's health program data? How does the determination of a successful program differ if the criterion is (1) effectiveness alone, (2) reach and effectiveness, or (3) the 5 dimensions of the RE-AIM framework? Findings indicate that 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.
authors.affiliation: Centers for Disease Control and Prevention, Division for Heart Disease and Stroke Prevention, Atlanta, Ga 30341, USA. rif6@cdc.gov
authors.forename: Rosanne P
authors.initials: RP
authors.lastname: Farris
authors.forename: Julie C
authors.initials: JC
authors.lastname: Will
authors.forename: Olga
authors.initials: O
authors.lastname: Khavjou
authors.forename: Eric A
authors.initials: EA
authors.lastname: Finkelstein
mesh_terms: D003625:Data Collection; D019317:Evidence-Based Medicine; D005240:Feasibility Studies; D005260:Female; D006302:Health Services Research / Q000379:methods* / Q000706:statistics & numerical data; D006801:Humans; D009657:North Carolina; D015397:Program Evaluation / Q000379:methods*; D016387:Women's Health