Think about a popular Health Promotion Campaign in your country (or elsewhere) (e.g. Smoking cessation, drinking and driving, wearing seat-belts). Using the 5 functions of the RE-AIM evaluation model describe the campaign and try to come to a conclusion on its value and impact. This is more of a thinking exercise, so don’t worry about number of people reached, or cost aspects- merely consider the potential for impact across the 5 functions based on your own knowledge of the campaign or that which can be easily found on a website or such.
In the Learning Journal, be sure to describe:
- What you learned
- Any preconceived ideas or notions and how this activity and reading helped to add or dispel those ideas or notions
Be sure that your Learning Journal entry is a minimum of 500 words.
1. Think about a popular Health Promotion Campaign in your country (or elsewhere) (e.g. Smoking cessation, drinking and driving, wearing seat-belts).
The average number of steps taken per day is used as an indicator of daily physical activity, but after the COVID-19 pandemic began, the average number of steps taken per day by Japanese people is said to have decreased by about 1,100 compared to before the pandemic.
So, several Japanese companies implemented walking campaigns. The campaign I chose is a step competition event held on smartphones against companies, and participants compete in step count while visiting ancient roads and famous historic sites for one month. All participating groups will receive a certificate of commendation with the results, and trophies will be sent to the groups that come in 1st to 3rd place (Guppy Healthcare, 2022). After this campaign, participants increased their steps by an average of 1,640 steps per day, and 94% of participants said they wanted to continue their walking habits after the event (Guppy Healthcare, 2022).
2. Using the 5 functions of the RE-AIM evaluation model describe the campaign and try to come to a conclusion on its value and impact.
Reach
Reach refers to the number or percentage of the population targeted by the campaign and those people's age group and occupation (Glasgow & Estabrooks, 2018). In this campaign, 1000 groups participated with a minimum of 5 people per team, and most participants were employees of companies or hospitals, and public institutions (Guppy Healthcare, 2022). A minimum of 5,000 people participated in this campaign, and a maximum of 25,000 people are expected to attend. In addition, the family members and friends who accompany the participants who go out for walking also became indirect participants, and it is believed that more people were affected by this campaign.
Effectiveness
Effectiveness describes how a campaign changes people's quality of life and health, including unintended or negative consequences (Glasgow & Estabrooks, 2018). Participants are more likely to walk with a sense of competitiveness or contribute to their peers and group. Walking habits cultivated through the campaign increase physical activity and improve participants' health. In the long run, it leads to improved muscle strength and endurance, increased metabolism, and prevention and progression of lifestyle-related diseases.
Adoption
Adoption refers to the number and percentage of organizations running the campaign or the staff working with this project and the associated costs (Glasgow & Estabrooks, 2018). This campaign is implemented on the app, so it takes workforce and cost to develop the app, respond to app defects, and aggregate and manage results.
Implementation
Implementation refers to how well the campaign delivers or enforces the purpose and policy as intended and what adjustments and costs are required (Glasgow & Estabrooks, 2018). This campaign is implemented on the app, so it takes workforce and cost to develop the app, respond to app defects, and aggregate and manage results. It may also be necessary to implement measures to prevent fraud. The rest depends on the willingness and motivation of the participants.
Maintenance
Maintenance refers to the effectiveness of the campaign and its ability to continue to have a positive impact on targets, and related adjustments and costs. If participants find walking attractive and beneficial to their health, they will walk during and after the campaign. In addition, making participants aware that there is an environment suitable for walking around them will lead to their continuous health behavior.
Conclusion
This campaign not only increases people's physical activity but is also effective in changing and motivating people to walk. Although it costs money to develop the app, considering the possibility that the participants of this campaign will continue to use it even after the end of the campaign and that we can contribute to society by promoting healthy behavior among the participants, I conclude that running this campaign is profitable.
What you learned
RE-AIM stands for Reach, Effectiveness, Adoption, Implementation, and Maintenance, and it evaluates the balance between internal and external validity, and bridges the laboratory and the real world (Glasgow & Estabrooks, 2018). This framework is uncommon in my country, and almost no information or documentation exists in my language. This framework is frequently used by health agencies and funders of those agencies and projects.
Any preconceived ideas or notions and how this activity and reading helped to add or dispel those ideas or notions
I used to think that people's various ailments are based on the environment and medical infrastructure and should be held accountable by health institutions and the social security system. But this week, I learned how people's beliefs and behaviors compose their lives and contribute to their health, and I change my thoughts. As Glasgow et al. described, maintaining a healthy lifestyle is a personal responsibility, and sometimes individuals must change behaviors by themselves (Glasgow & Estabrooks, 2018).
References
Glasgow, R. E., & Estabrooks, P. E. (2018). Peer reviewed: Pragmatic applications of RE-AIM for health care initiatives in community and clinical settings. Preventing chronic disease, 15. Retrieved from https://doi.org/10.5888/pcd15.170271
Guppy Healthcare. (2022). Tokaido Fifty-three Stations Walk Rally on Smartphone. Retrieved from https://guppy.healthcare/walkrally/2022autumn/
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