@article{TEXTUAL,
      recid = {14687},
      author = {Quinn, Ashlinn K. and Neta, Gila and Sturke, Rachel and  Olopade, Christopher O. and Pollard, Suzanne L. and Sherr,  Kenneth and Rosenthal, Joshua P.},
      title = {Adapting and Operationalizing the RE-AIM Framework for  Implementation Science in Environmental Health: Clean Fuel  Cooking Programs in Low Resource Countries},
      journal = {Frontiers in Public Health},
      address = {2019-12-19},
      number = {TEXTUAL},
      abstract = {&lt;p&gt;Introduction: The use of models and frameworks to  design and evaluate strategies to improve delivery of  evidence-based interventions is a foundational element of  implementation science. To date, however, evaluative  implementation science frameworks such as Reach,  Effectiveness, Adoption, Implementation, Maintenance  (RE-AIM) have not been widely employed to examine  environmental health interventions. We take advantage of a  unique opportunity to utilize and iteratively adapt the  RE-AIM framework to guide NIH-funded case studies of the  implementation of clean cooking fuel programs in eleven  low- and middle-income countries.&lt;/p&gt; &lt;p&gt;Methods: We used  existing literature and expert consultation to translate  and iteratively adapt the RE-AIM framework across several  stages of the NIH Clean Cooking Implementation Science case  study project. Checklists and templates to guide  investigators were developed at each stage.&lt;/p&gt; &lt;p&gt;Results:  The RE-AIM framework facilitated identification of  important emerging issues across this set of case studies,  in particular highlighting the fact that data associated  with certain important outcomes related to health and  welfare are chronically lacking in clean fuel programs.  Monitoring of these outcomes should be prioritized in  future implementation efforts. As RE-AIM was not originally  designed to evaluate household energy interventions,  employing the framework required adaptation. Specific  adaptations include the broadening of Effectiveness to  encompass indicators of success toward any stated  programmatic goal, and expansion of Adoption to include  household-level uptake of technology.&lt;/p&gt; &lt;p&gt;Conclusions:  The RE-AIM implementation science framework proved to be a  useful organizing schema for 11 case studies of clean fuel  cooking programs, in particular highlighting areas  requiring emphasis in future research and evaluation  efforts. The iterative approach used here to adapt an  implementation science framework to a specific programmatic  goal may be of value to other multi-country program  efforts, such as those led by international development  agencies. The checklists and templates developed for this  project are publicly available for others to use and/or  further modify.&lt;/p&gt;},
      url = {http://knowledge.uchicago.edu/record/14687},
}