Adapting and RE-AIMing a heart disease prevention program for older women with diabetes

作者：Toobert Deborah J^*; Glasgow Russell E; Strycker Lisa A; Barrera Manuel Jr; King Diane K

来源：Translational Behavioral Medicine, 2012, 2(2): 180-187.

• Coronary heart disease
• Diabetes
• Latino
• RE-AIM
• Evaluation

Coronary heart disease is a pervasive public health problem with a heavy burden among older women. There is a need for developing effective interventions for addressing this problem and for evaluating the dissemination potential of such interventions. A multiple-behavior-change program originally designed for men with heart disease was adapted for women at high risk of heart disease in two randomized clinical trials-the Mediterranean Lifestyle Program and (i)Viva Bien!. Results from these two trials, including readiness for dissemination, are evaluated using the RE-AIM framework in terms of Reach, Effectiveness, Adoption, Implementation, and Maintenance. Program adaptations produced relative high reach as well as consistent and replicated effectiveness and maintenance, and were adopted by a high percentage of primary care offices and clinicians approached. We discuss key findings, lessons learned, future directions for related research, and use of RE-AIM for program development, adaptation, scale-up, and evaluation.

• 出版日期2012-6