Applying the RE-AIM framework to evaluate a diabetes prevention intervention delivered through a food bank

IF 2 4区社会学 Q2 SOCIAL SCIENCES, INTERDISCIPLINARY

Evaluation and Program Planning Pub Date : 2025-06-03 DOI:10.1016/j.evalprogplan.2025.102615

Elizabeth M. Felter , Morgan Smith , Kate Cheyne , Martha Y. Orozco , Eric A. Steiner , Yuae Park , Tiffany L. Gary-Webb

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引用次数: 0

Abstract

Background

Food insecurity correlates with poorer general health and health outcomes, increased risk for chronic diseases, including diabetes, and increased healthcare expenditures.

Objective

To describe the application of the RE-AIM framework to evaluate the feasibility and effectiveness of an intervention aimed at improving diet, physical activity, and food security of food bank clients who were at risk for prediabetes.

Methods

Food bank clients in Alameda County, CA were screened for eligibility and enrolled (n = 249) in a 12-month program that provided supplemental healthy food, text-based targeted health promotion education, connection to community-based diabetes prevention programs (DPP), and referrals to healthcare. Project staff collected data through baseline, 6- and 12-month surveys, stakeholder interviews, and text-message engagement levels. We employed the RE-AIM framework to analyze program reach, effectiveness, adoption, implementation, and maintenance.

Results

There was high eligibility for, and interest in, the program. Program participants reported significant improvements in physical activity, nutrition, food security scores, and high satisfaction levels. However, connecting participants to DPP programming was challenging due to the infrastructure for DPP programs.

Conclusions

Food banks can effectively address prediabetes risk factors in food-insecure populations, but significant challenges remain in scaling DPP infrastructure for at-risk populations.

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应用RE-AIM框架评估通过食物银行提供的糖尿病预防干预措施

粮食不安全与总体健康状况和健康结果恶化、糖尿病等慢性疾病风险增加以及医疗保健支出增加相关。目的描述RE-AIM框架的应用，以评估一项旨在改善有前驱糖尿病风险的食物银行客户的饮食、身体活动和食物安全的干预措施的可行性和有效性。方法对加利福尼亚州阿拉米达县的食品银行客户进行资格筛选，并登记（n = 249）参加一个为期12个月的项目，该项目提供补充健康食品、基于文本的有针对性的健康促进教育、与社区糖尿病预防项目（DPP）的联系，以及转介到医疗保健机构。项目人员通过基线、6个月和12个月的调查、利益相关者访谈和短信参与水平收集数据。我们使用RE-AIM框架来分析项目的范围、有效性、采用、实现和维护。结果有很高的资格和兴趣，该计划。项目参与者报告在体力活动、营养、食品安全得分和高满意度方面有显著改善。然而，由于DPP计划的基础设施，将参与者连接到DPP计划是具有挑战性的。结论：食品银行可以有效地解决粮食不安全人群的前驱糖尿病风险因素，但在为风险人群扩大DPP基础设施方面仍存在重大挑战。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Evaluation and Program Planning SOCIAL SCIENCES, INTERDISCIPLINARY-

CiteScore

3.10

自引率

6.20%

发文量

112

期刊介绍： Evaluation and Program Planning is based on the principle that the techniques and methods of evaluation and planning transcend the boundaries of specific fields and that relevant contributions to these areas come from people representing many different positions, intellectual traditions, and interests. In order to further the development of evaluation and planning, we publish articles from the private and public sectors in a wide range of areas: organizational development and behavior, training, planning, human resource development, health and mental, social services, mental retardation, corrections, substance abuse, and education.