SHM Converge Scientific Abstract ePoster Gallery-Using the Re-Aim Framework to Characterize Disparities in Intervention Uptake

Pdf Summary

This scoping review examined how often the RE-AIM implementation science framework has been used to assess disparities in intervention uptake, especially in children and NIH-defined health disparity populations. RE-AIM evaluates five domains: Reach, Effectiveness, Adoption, Implementation, and Maintenance.<br /><br />The authors searched PubMed and followed PRISMA scoping review methods. They included English-language studies that used RE-AIM to evaluate differences in intervention uptake and excluded reviews and studies that did not assess disparities. Citation searching was also conducted.<br /><br />A total of 25 studies met inclusion criteria. All 25 evaluated Reach, but far fewer assessed the other domains: 9 studied Effectiveness, 8 Adoption, 7 Implementation, and only 2 Maintenance. Most studies (72%) assessed disparities in just one RE-AIM domain, and only one study evaluated all five domains.<br /><br />Children were included in 6 studies, and only 3 of those examined age-related differences in Reach. Across all studies, 92% examined sex/gender differences, 80% race/ethnicity, 68% socioeconomic status indicators, and 12% urban-rural differences.<br /><br />The main conclusion was that RE-AIM applications to disparity research have focused heavily on Reach, while Effectiveness, Adoption, Implementation, and Maintenance remain underused. The authors suggest that more pediatric-focused research using the full RE-AIM framework could improve understanding of inequities in intervention delivery and support better health equity in research and quality improvement.

Asset Subtitle

Amy Bordogna

Meta Tag

Author List Amy Bordogna, Corrie McDaniel, JoAnna Leyenaar, Jordan Taylor, Molly K. Rudman

Category Research

Concept RE-AIM Framework

Concept Reach

Concept Effectiveness

Concept Adoption

Concept Implementation

Distinguished Non-Finalist

Presenter Organization Cooper Medical School of Rowan University

Presenting Author Amy Bordogna

Track Translating Research into Practice

Keywords

RE-AIM

implementation science

health disparities

intervention uptake

children

reach

effectiveness

adoption

implementation

maintenance

RE-AIM Framework

Reach

Effectiveness

Adoption

Implementation