Building Competency in Diabetes Education THE ESSENTIALS

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also highlighting the role genetic factors play in determining health behaviours (90). The model maintains a premise that participation is a fundamental necessity and that “success in achieving change is enhanced by the active participation of the intended audience in defining their own high-priority problems and goals and in developing and implementing solutions” (89,90).

RE-AIM Framework This model offers a comprehensive framework in which to evaluate a multitude of factors essential to the success of any program engaging in health behaviour change. It can serve to highlight the most relevant outcomes, helping planners to focus their attention on what is most relevant to their intent (91,92).

Dimension Reach

Number, percentage and representativeness of eligible patients who participated in the intervention. • Is the intervention reaching the target population? Those most in need?

Effectiveness

Intervention effects on targeted outcomes. •

Does the intervention accomplish its goals?

Adoption

Number, percentage and representativeness of participating settings and providers. • To what extent are those targeted to deliver the intervention participating? The extent to which the intervention was consistently implemented by staff members.

Implementation

Maintenance

The extent to which an intervention becomes part of routine organizational practices, and maintains effectiveness (92).