Table_3_Evaluating the Application of the RE-AIM Planning and Evaluation Framework: An Updated Systematic Review and Exploration of Pragmatic Application.docx

BackgroundRE-AIM is one of the most widely applied frameworks to plan and evaluate the implementation of public health and health behavior change interventions. The objective of this review is to provide an updated synthesis of use of the RE-AIM (Reach Effectiveness Adoption Implementation and Maintenance) planning and evaluation framework and explore pragmatic use (i.e., partial application of the framework) and how this is reported.
MethodsSystematic review. MEDLINE (R) and PsycINFO were searched, via the Ovid interface, between January 2011 and December 2017. Studies that applied RE-AIM as a planning and/or evaluation framework were included.
ResultsOne hundred fifty-seven articles met inclusion criteria. One hundred forty-nine reported using RE-AIM for evaluation, three for planning and five for planning and evaluation. Reach was the most frequently reported dimension (92.9%), followed by implementation (90.3%), adoption (89.7%), effectiveness (84.5%), and maintenance (77.4%). One hundred forty-seven/one hundred fifty-seven articles originated from high-income economy countries. Within a sub-set analysis (10% of included articles), 9/15 articles evaluated all dimensions. Of the 6/15 articles that did not evaluate all dimensions, five provided no justification for pragmatic application.
ConclusionsRE-AIM has gained increased use in recent years and there is evidence that it is being applied pragmatically. However, the rationale for pragmatic use is often not reported.
Systematic Review RegistrationPROSPERO (CRD42017054616).

背景：RE-AIM框架（Reach、Effectiveness、Adoption、Implementation、Maintenance）是当前应用最为广泛的公共卫生与健康行为改变干预方案规划及评估框架之一。本综述旨在对该规划与评估框架的应用情况进行更新式综合分析，并探讨其实用性应用（即框架的部分应用）及其报告方式。
方法：系统综述。于2011年1月至2017年12月期间，通过Ovid检索界面检索MEDLINE（注册商标）数据库与PsycINFO数据库。纳入以RE-AIM作为规划和/或评估框架的相关研究。
结果：共计157篇文献符合纳入标准。其中149篇将RE-AIM用于评估环节，3篇用于规划环节，5篇同时用于规划与评估环节。可达性（Reach）是报告频率最高的维度（92.9%），其次为实施性（Implementation，90.3%）、采纳性（Adoption，89.7%）、有效性（Effectiveness，84.5%）与维持性（Maintenance，77.4%）。157篇文献中有147篇来自高收入经济体国家。亚组分析（纳入文献的10%）显示，15篇样本文献中有9篇评估了全部五个维度。在未评估全部维度的15篇文献中，有5篇未对其实用性应用给出合理依据。
结论：近年来RE-AIM框架的应用愈发广泛，有证据表明其正被以实用性方式开展应用，但此类实用性应用的依据往往未在研究报告中予以阐明。
系统综述注册：PROSPERO（CRD42017054616）。