title: Process evaluation of a statewide abusive head trauma prevention program.
abstract: The current study used four dimensions of the RE-AIM framework (Reach, Adoption, Implementation, and Maintenance) to evaluate the implementation of a statewide abusive head trauma prevention program. Numerous methods, including telephone surveys, paper and pencil questionnaires, site visits, and program administrative data were used to conduct the process evaluation. Results indicate that the intervention was successfully implemented in all birthing hospitals (n=86) across the state with a high degree of fidelity. Furthermore, the majority of the hospitals reported incorporating the program into unit procedures and employee training. More than three-fourths indicated that they plan to continue the program after the study ends. The RE-AIM framework was applied and served as a useful guide for the process evaluation of a multifaceted, multi-system, universal public health intervention.
authors.affiliation: The Injury Prevention Research Center, The University of North Carolina at Chapel Hill, 137 East Franklin Street, CB#7505, Chapel Hill, NC, United States. Electronic address: shanahan@unc.edu.
authors.forename: Meghan
authors.initials: M
authors.lastname: Shanahan
authors.affiliation: The Injury Prevention Research Center, The University of North Carolina at Chapel Hill, 137 East Franklin Street, CB#7505, Chapel Hill, NC, United States.
authors.forename: Phyllis
authors.initials: P
authors.lastname: Fleming
authors.affiliation: The Injury Prevention Research Center, The University of North Carolina at Chapel Hill, 137 East Franklin Street, CB#7505, Chapel Hill, NC, United States.
authors.forename: Maryalice
authors.initials: M
authors.lastname: Nocera
authors.affiliation: Duke University School of Medicine, Department of Psychiatry & Behavioral Sciences, 411 West Chapel Hill Street, 10th Floor, Durham, NC 27701, United States.
authors.forename: Kelly
authors.initials: K
authors.lastname: Sullivan
authors.affiliation: Duke University School of Medicine, Department of Psychiatry & Behavioral Sciences, 411 West Chapel Hill Street, 10th Floor, Durham, NC 27701, United States.
authors.forename: Robert
authors.initials: R
authors.lastname: Murphy
authors.affiliation: Department of Family Medicine, The University of North Carolina at Chapel Hill, 590 Manning Drive, Chapel Hill, NC 27599, United States.
authors.forename: Adam
authors.initials: A
authors.lastname: Zolotor
mesh_terms: D002649:Child Abuse / Q000517:prevention & control*; D006259:Craniocerebral Trauma / Q000517:prevention & control*; D006266:Health Education / Q000458:organization & administration*; D006771:Hospitals, Maternity; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D009657:North Carolina; D015397:Program Evaluation / Q000379:methods*; D011634:Public Health; D011795:Surveys and Questionnaires
keywords: Abusive head trauma; Process evaluation; RE-AIM framework