title: Evaluating an insurance-sponsored weight management program with the RE-AIM Model, West Virginia, 2004-2008.
abstract: BACKGROUND
  Evaluations of weight management programs in real-world settings are lacking. The RE-AIM model (reach, effectiveness, adoption, implementation, maintenance) was developed to address this deficiency. Our primary objective was to evaluate a 12-week insurance-sponsored weight management intervention by using the RE-AIM model, including short-term and long-term individual outcomes and setting-level implementation factors. Our secondary objective was to critique the RE-AIM model and its revised calculation methods.
  
  
  METHODS
  We created operational definitions for components of the 5 RE-AIM indices and used standardized effect size values from various statistical procedures to measure multiple components or outcomes within each index. We used chi(2) analysis to compare categorical variables and repeated-measures analysis of variance to assess the magnitude of outcome changes over time.
  
  
  RESULTS
  On the basis of data for 1,952 participants and surveys completed by administrators at 23 sites, RE-AIM indices ranging from 0 to 100 revealed low program reach and adoption (5.4 and 8.8, respectively), moderate effectiveness (43.8), high implementation (91.4), low to moderate individual maintenance (21.2), and moderate to high site maintenance (77.8). Median (interquartile range) weight loss was 13 lb (6.5-21.4 lb) among participants who completed phase I (12 weeks; 76.5%) and 15 lb (6.1-30.3 lb) among those who completed phase II (1 year; 45.7%).
  
  
  CONCLUSIONS
  This program had a significant, positive effect on participants and has been sustainable but needs to be expanded for more public health benefit. The RE-AIM model provided a useful framework to determine program strengths and weaknesses and to present them to the insurance agency and public health decision makers.
authors.affiliation: West Virginia University College of Physical Activity and Sport Sciences, PO Box 6116, Morgantown, WV 26506-6116, USA. cgabildso@mail.wvu.edu
authors.forename: Christiaan G
authors.initials: CG
authors.lastname: Abildso
authors.forename: Sam J
authors.initials: SJ
authors.lastname: Zizzi
authors.forename: Bill
authors.initials: B
authors.lastname: Reger-Nash
mesh_terms: D000293:Adolescent; D000328:Adult; D015992:Body Mass Index; D003362:Cost-Benefit Analysis; D005081:Exercise Therapy / Q000191:economics* / Q000592:standards; D005260:Female; D006293:Health Promotion / Q000458:organization & administration*; D006801:Humans; D007348:Insurance, Health; D008297:Male; D008875:Middle Aged; D050177:Overweight / Q000191:economics / Q000534:rehabilitation*; D010349:Patient Compliance / Q000706:statistics & numerical data*; D015397:Program Evaluation; D011634:Public Health; D011788:Quality of Life; D012189:Retrospective Studies; D014903:West Virginia; D055815:Young Adult
references.citation: Am J Public Health. 2007 Apr;97(4):641-7
references.pmid: 17329665
references.citation: Am J Prev Med. 2006 Jan;30(1):67-73
references.pmid: 16414426
references.citation: JAMA. 1999 Oct 27;282(16):1523-9
references.pmid: 10546691
references.citation: Ann Behav Med. 2004 Feb;27(1):3-12
references.pmid: 14979858
references.citation: J Am Diet Assoc. 2009 Feb;109(2):330-46
references.pmid: 19244669
references.citation: Prev Chronic Dis. 2007 Oct;4(4):A87
references.pmid: 17875262
references.citation: JAMA. 1999 Jan 27;281(4):327-34
references.pmid: 9929085
references.citation: J Consult Clin Psychol. 1992 Aug;60(4):505-17
references.pmid: 1506499
references.citation: J Consult Clin Psychol. 1997 Apr;65(2):269-77
references.pmid: 9086690
references.citation: Med Sci Sports Exerc. 1998 Jul;30(7):1076-83
references.pmid: 9662676
references.citation: JAMA. 1999 Jan 27;281(4):335-40
references.pmid: 9929086
references.citation: N Engl J Med. 2005 Nov 17;353(20):2111-20
references.pmid: 16291981
references.citation: Hypertension. 2003 Nov;42(5):878-84
references.pmid: 12975389
references.citation: Health Educ Res. 2006 Oct;21(5):688-94
references.pmid: 16945984
references.citation: Am J Public Health. 1999 Sep;89(9):1322-7
references.pmid: 10474547