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Coding Definitions for Literature Review of Reporting on RE-AIM Elements

REACH (Individual Level)

EFFICACY/EFFECTIVENESS (Individual level)

ADOPTION (Setting Level)

ADOPTION (Delivery Agent, Health Educator, Counselor Level)

IMPLEMENTATION (Setting Level)

MAINTENANCE (Setting & Individual Level) — the extent to which a program or policy becomes institutionalized or part of the routine organizational practices and policies. Maintenance in the RE-AIM framework also has referents at the individual level. At the individual level, maintenance has been defined as the long-term effects of a program on outcomes after 6 or more months after the most recent intervention contact.

  • Individual level follow-up at least 6 months following the completion of the intervention
    • Reported (Yes/No)
    • Indicate effect size
    • Provide p value
  • Setting level-Is the program still in place?
    • Reported (Yes/No)
  • Setting level-Has the program still been modified?
    • Reported (Yes/No)
    • Describe modifications

Communication — process in which participants create and share information with one another in order to reach a mutual understanding (Rogers, 1995).

Diffusion — the process by which an innovation is communicated through certain channels over time among the members of a social system (Rogers, 1995).

Communication Channel — the means by which messages get from one individual to another: Mass media channels, interpersonal channels (Rogers, 1995).

Innovation — an idea, practice, or object that is perceived as new by an individual or other unit of adoption (Rogers, 1995).

Technology — a design for instrumental action that reduces the uncertainty in the cause-effect relationships involved in achieving a desired outcome (Rogers, 1995). A technology has two components: (1) a hardware aspect, consisting of the tool that embodies the technology as a material or physical object, and (2) a software aspect, consisting of the information base for the tool.

Behavior Setting — the setting is a physical and social environment or place where behavior occurs.

Ecological Environment — the ecological environment is conceived as a set of nested structures, each inside each other like a set of Russian dolls (Brofenbrenner, 1977; Lewin, 1917, 1931, 1935). The microsystem represents a pattern of social interaction in a given face-to-face setting with particular physical, social and symbolic features that invite, permit, or inhibit engagement in sustained, progressively more complex interaction with, and activity in, the immediate environment. Examples include domains such as family, school, peer group, and work place. The linkage of two or more Microsystems or places containing the developing person is defined as the mesosystem. The linkage of two or more settings, where at least one does not contain the developing system, is referred to as the exosystem. Macrosystems refer to the overarching pattern of micro-, meso-, and exosystem characteristics.

K-State Reasearch and Extension Community Health Institute
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