Evaluating the Implementation of a Hospital Work-Site Obesity Prevention Intervention: Applying the RE-AIM Framework
UMass Chan Affiliations
Department of Medicine, Division of Preventive and Behavioral MedicineDocument Type
Journal ArticlePublication Date
2011-03-25Keywords
ObesityWeight Gain
Intervention Studies
Hospitals
Health Promotion
Health Behavior
Health Personnel
Behavioral Disciplines and Activities
Behavior and Behavior Mechanisms
Community Health and Preventive Medicine
Preventive Medicine
Metadata
Show full item recordAbstract
Step Ahead was a randomized controlled trial testing ecologically based weight gain prevention interventions in the hospital workplace. The RE-AIM framework is used to assess the intervention's Reach, Effectiveness, Adoption, Implementation, and Maintenance. Some intervention components reached a large percentage of the workforce. Although the intervention was not effective in changing BMI on a population level, a dose response was observed, in which persons who used more of the intervention components and materials were more likely to prevent weight gain. Adoption of the intervention by sites invited was 100%. Implementation of healthy eating interventions in the hospital setting was especially challenging because close collaboration was necessary with hospital employees and contractors, and their mission and priorities often were at odds with the intervention goals. There are some notable instances of intervention maintenance at the institutional level: Farmers markets have been expanded at both sites since the end of the intervention period, and new wellness programs are being adopted and implemented. Implications for practice include the translation of this research into other workplace settings.Source
Health Promot Pract. 2011 Mar 25. Link to article on publisher's siteDOI
10.1177/1524839910385897Permanent Link to this Item
http://hdl.handle.net/20.500.14038/44746PubMed ID
21441205Related Resources
Link to Article in PubMedae974a485f413a2113503eed53cd6c53
10.1177/1524839910385897