ECON 1 Lecture Notes - Lecture 10: Bibliometrics, Electronic Body Music, Technology Transfer
Carlfjord – Case 9
Applying the RE-AIM framework to evaluate two implementation strategies used to
introduce a tool for lifestyle intervention in Swedish primary health care
Estabrooks et al.:
Identified four main domains of ‘the knowledge utilization’ field in a bibliometric analysis:
1. Diffusion of innovations
2. Knowledge utilization
3. Technology transfer
4. Evidence-based medicine (EBM)
Evidence-based medicine
- emerged in the early 1990s
- has had a great influence on research on implementation
Implementation Science --> developed in the wake of EBM
- By Eccles and Mittman defined as ‘the scientific study of methods to promote the
systematic uptake of research findings and other evidence-based practices into
routine practice, and, hence, to improve the quality and effectiveness of health
services and care.’
Current debate in Implementation Science:
- The use of theories to form strategies for implementation of change in clinical
practice.
• Eccles et al.:
Argue that clinical practice is a form of human behavior, and thus could be described in
terms of general human behavioral theories.
• Oxman et al.:
- Reject the use of theory
- Say that there is no need for theory in implementation research
• Bhattacharyya et al.:
Argue that there is no scientific evidence proving that a theory-based implementation
strategy is more effective than one that is built on common sense.
➔ There is, however, evidence that behavior change interventions based on theory are
more effective than those not based on theory
RE-AIM framework
- Shown to be helpful in the evaluation process
- Developed to evaluate interventions, but also has been applied to plan and conduct
research studies, and to evaluate implementation outcome.
- Offers a structure focusing on five deimension in the evaluation process:
o 1. Reach
o 2. Efficacy
o 3. Adoption
o 4. Implementation
o 5. Maintenance
Document Summary
Applying the re-aim framework to evaluate two implementation strategies used to introduce a tool for lifestyle intervention in swedish primary health care. Identified four main domains of the knowledge utilization" field in a bibliometric analysis: diffusion of innovations, knowledge utilization, technology transfer, evidence-based medicine (ebm) Has had a great influence on research on implementation. Implementation science --> developed in the wake of ebm. The use of theories to form strategies for implementation of change in clinical practice: eccles et al. Argue that clinical practice is a form of human behavior, and thus could be described in terms of general human behavioral theories: oxman et al. Say that there is no need for theory in implementation research: bhattacharyya et al. Argue that there is no scientific evidence proving that a theory-based implementation strategy is more effective than one that is built on common sense.
