Adapting and RE-AIMing a heart disease prevention program for older women with diabetes.
Coronary heart disease is a pervasive public health problem with a heavy burden among older women. There is a need for developing effective interventions for addressing this problem and for evaluating the dissemination potential of such interventions. A multiple-behavior-change program originally designed for men with heart disease was adapted for women at high risk of heart disease in two randomized clinical trials-the Mediterranean Lifestyle Program and ¡Viva Bien!. Results from these two trials, including readiness for dissemination, are evaluated using the RE-AIM framework in terms of Reach, Effectiveness, Adoption, Implementation, and Maintenance. Program adaptations produced relative high reach as well as consistent and replicated effectiveness and maintenance, and were adopted by a high percentage of primary care offices and clinicians approached. We discuss key findings, lessons learned, future directions for related research, and use of RE-AIM for program development, adaptation, scale-up, and evaluation.
Oregon Research Institute, 1715 Franklin Blvd., Eugene, OR 97403-1983 USA.
Deborah J
DJ
Toobert
Russell E
RE
Glasgow
Lisa A
LA
Strycker
Manuel
M
Barrera
Diane K
DK
King
Coronary heart disease; Diabetes; Evaluation; Latino; RE-AIM