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The CDC Healthy Aging Research Network: Advancing Science toward Action and Policy for the Evidence-Based Health Promotion Movement

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      Most cited references 28

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      Evaluating the public health impact of health promotion interventions: the RE-AIM framework.

      Progress in public health and community-based interventions has been hampered by the lack of a comprehensive evaluation framework appropriate to such programs. Multilevel interventions that incorporate policy, environmental, and individual components should be evaluated with measurements suited to their settings, goals, and purpose. In this commentary, the authors propose a model (termed the RE-AIM model) for evaluating public health interventions that assesses 5 dimensions: reach, efficacy, adoption, implementation, and maintenance. These dimensions occur at multiple levels (e.g., individual, clinic or organization, community) and interact to determine the public health or population-based impact of a program or policy. The authors discuss issues in evaluating each of these dimensions and combining them to determine overall public health impact. Failure to adequately evaluate programs on all 5 dimensions can lead to a waste of resources, discontinuities between stages of research, and failure to improve public health to the limits of our capacity. The authors summarize strengths and limitations of the RE-AIM model and recommend areas for future research and application.
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        Mobility and aging: new directions for public health action.

        Optimal mobility, defined as relative ease and freedom of movement in all of its forms, is central to healthy aging. Mobility is a significant consideration for research, practice, and policy in aging and public health. We examined the public health burdens of mobility disability, with a particular focus on leading public health interventions to enhance walking and driving, and the challenges and opportunities for public health action. We propose an integrated mobility agenda, which draws on the lived experience of older adults. New strategies for research, practice, and policy are needed to move beyond categorical promotion programs in walking and driving to establish a comprehensive program to enhance safe mobility in all its forms.
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          Evidence-based interventions to promote physical activity: what contributes to dissemination by state health departments.

          Evidence-based guidelines for promoting physical activity have been produced, yet sparse information exists on the dissemination of effective interventions. The purpose of this study was to better understand the dissemination of physical activity interventions across the United States, focusing particularly on evidence-based guidelines. A cross-sectional study was conducted in the U.S. that was organized around a modified version of the diffusion of innovations theory. Respondents (n=49) were the physical activity contact person (e.g., program administrator, health educator) in each state or territorial health department. Seven specific programs and policies relating to physical activity intervention were examined as dependent variables. Five additional domains--organizational climate, awareness, adoption, implementation, and maintenance--framed a set of independent variables. The most important factor related to decision making was the availability of adequate resources. Most respondents (89.8%) were aware of evidence-based guidelines to promote physical activity. However, less than half of the respondents (41%) had the authority to implement evidence-based programs and policies. A minority of respondents reported having support from their state governor (35.4%) or from most of their state legislators (21.3%). Several key factors were associated with the adoption of evidence-based interventions, including the presence of state funding for physical activity, whether the respondent participated in moderate physical activity, presence of adequate staffing, and presence of a supportive state legislature. Awareness of the importance of promoting physical activity is relatively high in state and territorial health departments; however, the levels of internal support within the health department appear to outweigh any outside support from elected officials.
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            Author and article information

            Affiliations
            1Department of Health Services, Health Promotion Research Center, University of Washington , Seattle, WA, USA
            2Department of Biobehavioral Nursing and Health Systems, Health Promotion Research Center, University of Washington , Seattle, WA, USA
            3Center for Health Promotion and Disease Prevention, University of North Carolina at Chapel Hill , Chapel Hill, NC, USA
            4School of Nutrition and Health Promotion, Arizona State University , Phoenix, AZ, USA
            Author notes

            Edited by: Matthew Lee Smith, The University of Georgia, USA

            Reviewed by: Heather Honoré Goltz, University of Houston-Downtown, USA

            *Correspondence: basiab@ 123456uw.edu

            This article was submitted to Public Health Education and Promotion, a section of the journal Frontiers in Public Health.

            Contributors
            Journal
            Front Public Health
            Front Public Health
            Front. Public Health
            Frontiers in Public Health
            Frontiers Media S.A.
            2296-2565
            27 April 2015
            2014
            : 2
            4410341
            10.3389/fpubh.2014.00261
            Copyright © 2015 Belza, Altpeter, Hooker and Moni.

            This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

            Counts
            Figures: 1, Tables: 0, Equations: 0, References: 32, Pages: 3, Words: 2355
            Funding
            Funded by: CDC Healthy Aging Program
            Funded by: CDC’s Prevention Research Centers Program
            Award ID: U48-DP-001911
            Award ID: 001908
            Award ID: 001921
            Award ID: 001924
            Award ID: 001936
            Award ID: 001938
            Award ID: 001944
            Categories
            Public Health
            Opinion Article

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