title: Reaiming RE-AIM: using the model to plan, implement, and evaluate the effects of environmental change approaches to enhancing population health.
abstract: The RE-AIM (reach, effectiveness, adoption, implementation, maintenance) framework, which provides a practical means of evaluating health interventions, has primarily been used in studies focused on changing individual behaviors. Given the importance of the built environment in promoting health, using RE-AIM to evaluate environmental approaches is logical. We discussed the benefits and challenges of applying RE-AIM to evaluate built environment strategies and recommended modest adaptations to the model. We then applied the revised model to 2 prototypical built environment strategies aimed at promoting healthful eating and active living. We offered recommendations for using RE-AIM to plan and implement strategies that maximize reach and sustainability, and provided summary measures that public health professionals, communities, and researchers can use in evaluating built environment interventions.
authors.affiliation: Institute for Health Research, Kaiser Permanente Colorado, Denver, CO 80237-8066, USA. diane.king@kp.org
authors.forename: Diane K
authors.initials: DK
authors.lastname: King
authors.forename: Russell E
authors.initials: RE
authors.lastname: Glasgow
authors.forename: Bonnie
authors.initials: B
authors.lastname: Leeman-Castillo
mesh_terms: D004777:Environment; D005069:Evaluation Studies as Topic; D005247:Feeding Behavior; D005523:Food Supply; D015438:Health Behavior; D006285:Health Planning; D006293:Health Promotion / Q000379:methods* / Q000458:organization & administration; D006801:Humans; D017146:Models, Organizational; D011634:Public Health / Q000379:methods; D014505:Urban Population