A Pragmatic Application of the RE-AIM Framework for Evaluating the Implementation of Physical Activity as a Standard of Care in Health Systems

Preventing Chronic Disease
Mark StoutenbergPaul A Estabrooks

Abstract

Exercise is Medicine (EIM) is an initiative that seeks to integrate physical activity assessment, prescription, and patient referral as a standard in patient care. Methods to assess this integration have lagged behind its implementation. The purpose of this work is to provide a pragmatic framework to guide health care systems in assessing the implementation and impact of EIM. A working group of experts from health care, public health, and implementation science convened to develop an evaluation model based on the RE-AIM (Reach, Effectiveness, Adoption, Implementation, and Maintenance) framework. The working group aimed to provide pragmatic guidance on operationalizing EIM across the different RE-AIM dimensions based on data typically available in health care settings. The Reach of EIM can be determined by the number and proportion of patients that were screened for physical inactivity, received brief counseling and/or a physical activity prescription, and were referred to physical activity resources. Effectiveness can be assessed through self-reported changes in physical activity, cardiometabolic biometric factors, incidence/burden of chronic disease, as well as health care utilization and costs. Adoption includes assessing the...Continue Reading

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Citations

Jul 18, 2020·Journal of Primary Care & Community Health·Kelly R YlitaloJackson O Griggs
Sep 26, 2020·Preventing Chronic Disease·Mark A StrandDaniel F Sarpong
May 31, 2019·BMC Family Practice·Apichai WattanapisitSunton Wongsiri
Sep 6, 2018·Implementation Science : IS·Kenneth K MugwanyaUNKNOWN Partners Scale Up Team
Dec 24, 2018·Preventing Chronic Disease·Leonard Jack
Apr 16, 2019·Frontiers in Public Health·Russell E GlasgowPaul A Estabrooks
Feb 3, 2021·Obesity Reviews : an Official Journal of the International Association for the Study of Obesity·Sarah G KennedyDavid R Lubans
Apr 2, 2021·Journal of Cancer Survivorship : Research and Practice·Graeme M PurdyMargaret L McNeely
May 20, 2020·Korean journal of family medicine·Apichai WattanapisitSunton Wongsiri

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