RE-AIM framework and examples of outcome measures
Dimension | Definition | Outcome measure | Data source |
Reach | Absolute number, proportion, and representativeness of individuals willing to participate | Number of patients referred or identified | CRM, EHR |
Number of screened patients | CRM | ||
Number of eligible patients | CRM | ||
Number of enrolled patients | CRM | ||
Number of registered patients | RestoreHealth | ||
Effectiveness | Impact of the intervention on outcomes | Weight change at 12 months | EHR, RestoreHealth |
Change in blood pressure at 12 months | EHR | ||
Change in haemoglobin A1c (HbA1c) at 12 months | EHR | ||
Patient satisfaction at 12 months | Patient surveys | ||
Change in diet at 12 months | Patient surveys | ||
Change in physical activity at 12 months | Patient surveys | ||
Change in health status at 12 months | Patient surveys | ||
Change in self-efficacy around weight loss at 12 months | Patient surveys | ||
Provider knowledge, attitudes, behaviours, and satisfaction at 12 months | Provider surveys | ||
Adoption (system/setting level) | Absolute number, proportion, and representativeness of setting and agents willing to initiate the programme | Number of providers who refer patients | EHR |
Number of clinician champions involved in implementation | Internal database | ||
Number of coaches involved in programme | RestoreHealth | ||
Number of patient navigators involved in programme | CRM | ||
Implementation | Fidelity to the various elements of an intervention’s protocol | Number of contacts with coaches | RestoreHealth |
Engagement with RestoreHealth (e.g., completing a lesson, logging a meal, logging weight, etc.) | RestoreHealth | ||
Number of patients referred to BWH Center for Weight Management and Wellness (CWMW) | EHR | ||
Number of patients with appointments at CWMW | EHR | ||
Maintenance | Extent to which a programme becomes part of routine practice; long-term effects of a programme on outcomes | Change in weight and other outcomes over 18 months | EHR |
BWH, Brigham and Women’s Hospital; CRM, customer relationship management; EHR, electronic health record.