The StrongWomen-Healthy Hearts program in Pennsylvania: RE-AIM analysis

Translational Behavioral Medicine
Sara C FoltaMiriam E Nelson

Abstract

Dissemination of evidence-based programs is needed to reduce CVD risk among midlife and older women. The aim of this study is to examine the public health impact of StrongWomen-Healthy Hearts in Pennsylvania using the RE-AIM framework. Reach, adoption, implementation, and maintenance were assessed using qualitative and quantitative measures; effectiveness was assessed using a pretest-posttest within-participants design. Reach into the target population was 5 in 100,000. Compared to the target population, a greater percentage of participants were white, married, middle-class, and had a graduate degree. Effectiveness was demonstrated (weight loss -2.0 kg, p < 0.001). Adoption among trained leaders was high (83.3 %), as was fidelity in implementation (average score 9.3 of 10). No leaders maintained the program. To increase impact of the StrongWomen-Healthy Hearts Program, it will be important to lower the costs and modify the recruitment and training strategies to better reach low-income and minority women. Such strategies may also improve program maintenance.

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Citations

Apr 16, 2016·Journal of Aging and Health·Andiara SchwingelEmerson Sebastião
Mar 30, 2017·Journal of Environmental and Public Health·Rebecca A SeguinAndrea Z LaCroix
Jun 15, 2016·Pediatrics·Emily B WallingGraham Colditz

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