Table 1 Original and current study definitions of RE-AIM dimensions

Reach

The absolute number, proportion and representativeness of individuals who are willing to participate in a given initiative

The proportion of patients who received healthy lifestyle promotion in the last 6 months

Proportion of patients

National patient survey

Effectiveness

The impact of an intervention on important outcomes, including potential negative effects, quality of life, and economic outcomes

Attitudes and competency among staff regarding healthy lifestyle promotion and the lifestyle teams

Proportion of staff agreeing with attitude and competency statements

Staff questionnaire

Adoption

The absolute number, proportion, and representativeness of settings and intervention agents who are willing to initiate a program

Proportion of staff who daily engage in healthy lifestyle promotion practice

Proportion of staff reporting daily healthy lifestyle promotion practice

Staff questionnaire

Implementation

At the setting level, implementation refers to the intervention agents’ fidelity to the various elements of an intervention’s protocol

Fidelity to the lifestyle team protocol: Team structure, coordinator, referral structure, regular meetings

Implementation fidelity

Interviews with practice managers and team managers

Maintenance

The extent to which a program becomes part of the routine organizational practices