RE-AIM Public Health Approach to School Mental Health by Raines 2019 (original) (raw)

RE-AIM is an evaluation framework that has been widely used by public health professionals for over 15 years and is well documented in public health literature. RE-AIM evaluates health promotion programs on five dimensions-reach, effectiveness, adoption, implementation, and maintenance. Although some Extension professionals have used the framework, it has been undocumented in Extension literature. To encourage wider use of RE-AIM in Extension, we briefly describe the framework and present an application of it to a two-state, grant-funded 4-H Healthy Living program. We conclude by identifying benefits of more widespread use of RE-AIM within Extension. RE-AIM is an evaluation framework that has been widely used by public health professionals for over 15 years. RE-AIM identifies five evaluation dimensions-reach, effectiveness, adoption, implementation, and maintenance-and is considered a comprehensive model of evaluation. The usefulness of RE-AIM has been well established in public hea...

Introduction: Understanding, categorizing, and using implementation science theories, models, and frameworks is a complex undertaking. The issues involved are even more challenging given the large number of frameworks and that some of them evolve significantly over time. As a consequence, researchers and practitioners may be unintentionally mischaracterizing frameworks or basing actions and conclusions on outdated versions of a framework. Methods: This paper addresses how the RE-AIM (Reach, Effectiveness, Adoption, Implementation, and Maintenance) framework has been described, summarizes how the model has evolved over time, and identifies and corrects several misconceptions. Results: We address 13 specific areas where misconceptions have been noted concerning the use of RE-AIM and summarize current guidance on these issues. We also discuss key changes to RE-AIM over the past 20 years, including the evolution to Pragmatic Robust Implementation and Sustainability Model, and provide re...

Background: Task-shifted, teacher-led care may begin to bridge the child mental health care gap in low-and middle-income countries by improving mental health literacy. We explore the perceived impact of RESEED (Responding to Students' Emotions through Education), an abbreviated version of Tealeaf (Teachers Leading the Frontlines). Methods: After classroom implementation of tools from a 3-day training on child mental health and cognitive behavioral techniques in Darjeeling, India, 29 teachers participated in focus group discussions (FGDs). Results: Inductive content analyses of FGDs demonstrated RESEED's acceptability, positive overall impact, and barriers. Conclusions: Stepped levels of teacher-led care may support child mental health in resource-limited settings through mental reframing.

Implementation-sensitive approaches to school mental health have been proposed as being responsive to the needs of the education system. We worked with a group of expert stakeholders to identify a wide range of characteristics of implementation-sensitive approaches. These statements (n = 50) were sorted into concepts by 20 participants. Participants also ranked the importance of each statement. Group concept mapping created a six-concept solution including (1) Justice, Equity, Diversity and Inclusion, (2) Implementation Informed from the Outset, (3) Intervention Characteristics, (4) Evidence, Theory, and Practice-Informed, (5) Authentic Stakeholder Engagement, and (6) Ongoing Learning and Sustainability. We subsequently conducted two focus groups to gather feedback and contextualize the clusters.

To increase the likelihood of successful implementation of interventions and promote dissemination across real-world settings, it is essential to evaluate outcomes related to dimensions other than Effectiveness alone. Glasgow and colleagues' RE-AIM framework specifies four additional types of outcomes that are important to decision-makers: Reach, Adoption, Implementation (including cost), and Maintenance. To further strengthen RE-AIM, we propose integrating qualitative assessments in an expanded framework: RE-AIM Qualitative Evaluation for Systematic Translation (RE-AIM QuEST), a mixed methods framework. RE-AIM QuEST guides formative evaluation to identify real-time implementation barriers and explain how implementation context may influence translation to additional settings. RE-AIM QuEST was used to evaluate a pharmacist-led hypertension management intervention at 3 VA facilities in 2008-2009. We systematically reviewed each of the five RE-AIM dimensions and created open-ended...