RE-AIM Questions to Ask and Ways to Enhance Overall Impact

RE-AIM
Dimension

Questions to Ask of Potential Programs

Possible Ways to Enhance Dissemination

Reach

(Individual Level)

What percent of the target population comes into contact?

Does program reach those most in need?

Will participants reflect the targeted population?

Formative evaluation with potential users and with those declining

Small scale recruitment studies to test methods

Identify and reduce barriers

Use multiple channels of recruitment

Effectiveness
(Individual Level)

Does program achieve key targeted outcomes?

Does it produce unintended adverse consequences?

How will impact on quality of life (QOL) be assessed?

Incorporate more tailoring to individual

Reinforce via repetition, multiple modalities, social support and systems change

Use stepped care approach

Evaluate adverse outcomes and QOL for program revision and cost-to-benefit analysis

Adoption
(Setting/Organizational
Level)

What percent of target settings and organizations will use?

Will organizations having underserved or high-risk populations use it?

Does program help the organization address its primary mission?

Conduct formative evaluation with adoptees and settings that decline

Recruit settings that have most contact with target audience

Provide different cost options and customization of intervention

Develop recruitment materials outlining program benefits and required resources

Implementation
(Setting/Organizational
Level)

How many staff within a setting will try this?

Can different levels of staff implement the program successfully?

Are different components delivered as intended?

Provide delivery staff with training and technical assistance

Provide clear intervention protocols

Consider automating all or part of the program

Monitor and provide staff feedback and recognition for implementation

Maintenance
[Individual (I) and Setting (S) Levels

Does the program produce lasting effects at individual level?

Can organizations sustain the program over time?

Are those persons and settings that show maintenance those most in need?

Reduce level of resources required

Incorporate "natural environmental" and community supports

Conduct follow-up assessments and interviews to characterize success at both levels

Incorporate incentives and policy supports