Abstract:
: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 ¡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.
journal_name
Transl Behav Medjournal_title
Translational behavioral medicineauthors
Toobert DJ,Glasgow RE,Strycker LA,Barrera M Jr,King DKdoi
10.1007/s13142-012-0118-7subject
Has Abstractpub_date
2012-06-01 00:00:00pages
180-7issue
2eissn
1869-6716issn
1613-9860pii
118journal_volume
2pub_type
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