Applying the RE-AIM framework to assess the public health impact of policy change.
OBJECTIVE
Planning and evaluation models have been developed to assess the public health impact of health promotion interventions. However, few have been applied to health policies. There is an important need for models to help design and evaluate health policies.


METHODS
This article applies the RE-AIM (Reach, Effectiveness, Adoption, Implementation, Maintenance) planning and evaluation framework to health policies. We provide definitions and application examples for different policies.


RESULTS
As demonstrated by a case study, the RE-AIM dimensions and definitions can also apply to policies. Considerations regarding compliance and enforcement are presented to clarify the complex implementation dimension.


CONCLUSIONS
The RE-AIM framework can be useful in estimating public health impact, comparing different health policies, planning policies designed for increased likelihood of success, and identifying areas for integration of policies with other health promotion strategies.
Jilcott
Stephanie
S
University of North Carolina, Chapel Hill, USA.
Ammerman
Alice
A
Sommers
Janice
J
Glasgow
Russell E
RE
D002318:Cardiovascular Diseases / Q000517:prevention & control; D005069:Evaluation Studies as Topic; D019317:Evidence-Based Medicine; D005515:Food Labeling; D019983:Guideline Adherence; D015438:Health Behavior; D006284:Health Plan Implementation; D006291:Health Policy; D006293:Health Promotion; D006801:Humans; D017063:Outcome Assessment, Health Care; D012307:Risk Factors; D044242:Trans Fatty Acids / Q000009:adverse effects; D014481:United States; D014486:United States Food and Drug Administration
D044242:Trans Fatty Acids