title: Using the RE-AIM Framework in formative evaluation and program planning for a nutrition intervention in the Lower Mississippi Delta.
abstract: OBJECTIVE
  Identification of prominent themes to be considered when planning a nutrition intervention using the Reach, Effectiveness, Adoption, Implementation, and Maintenance framework.
  
  
  METHODS
  Qualitative formative research.
  
  
  METHODS
  Women's social and civic organizations in the Lower Mississippi Delta.
  
  
  METHODS
  Thirty-seven (5 white and 32 black) women with a college degree or higher.
  
  
  METHODS
  Impact of dietary and contextual factors related to the Lower Mississippi Delta culture on intervention planning.
  
  
  METHODS
  Case analysis strategy using question-by-question coding.
  
  
  RESULTS
  Major themes that emerged were "healthy eating focus" and "promoting a healthy lifestyle" when recruiting organizations (Reach); "positive health changes" as a result of the intervention (Effectiveness); "logistics: time commitment, location, and schedule" to initiate a program (Adoption); "expense of healthy foods" and "cooking and meal planning" as barriers to participation (Implementation); and "resources and training" and "motivation" as necessary for program continuation (Maintenance). The "health of the Delta" theme was found across all dimensions, which reflected participants' compassion for their community.
  
  
  CONCLUSIONS
  Results were used to develop an implementation plan promoting optimal reach, effectiveness, adoption, implementation, and maintenance of a nutrition intervention. This research emphasizes the benefits of formative research using a systematic process at organizational and individual levels.
authors.affiliation: Department of Nutrition and Food Systems, University of Southern Mississippi, Hattiesburg, MS. Electronic address: Holly.Huye@usm.edu.
authors.forename: Holly F
authors.initials: HF
authors.lastname: Huye
authors.affiliation: Department of Nutrition and Food Systems, University of Southern Mississippi, Hattiesburg, MS.
authors.forename: Carol L
authors.initials: CL
authors.lastname: Connell
authors.affiliation: Department of Nutrition and Food Systems, University of Southern Mississippi, Hattiesburg, MS.
authors.forename: LaShaundrea B
authors.initials: LB
authors.lastname: Crook
authors.affiliation: Department of Nutrition and Food Systems, University of Southern Mississippi, Hattiesburg, MS.
authors.forename: Kathy
authors.initials: K
authors.lastname: Yadrick
authors.affiliation: Department of Human Nutrition, Foods, and Exercise, Virginia Tech, Blacksburg, VA.
authors.forename: Jamie
authors.initials: J
authors.lastname: Zoellner
mesh_terms: D005247:Feeding Behavior; D006293:Health Promotion / Q000379:methods*; D006801:Humans; D008922:Mississippi; D009752:Nutritional Status; D016730:Program Development / Q000379:methods*; D015397:Program Evaluation / Q000379:methods*; D012424:Rural Population
keywords: Lower Mississippi Delta; RE-AIM framework; nutrition intervention; program planning