Using a Mixed-Methods RE-AIM Framework to Evaluate Community Health Programs for Older Latinas

Abstract

Objective: This study used the RE-AIM (Reach, Effectiveness, Adoption, Implementation, and Maintenance) framework to evaluate a promotora-led community health program designed for Latinas ages 50 and older that sought to improve physical activity, nutrition, and stress management. Method: A mixed-methods evaluation approach was administered at participant and organizational levels with a focus on the efficacy, adoption, implementation, and maintenance components of the RE-AIM theoretical model. Results: The program was shown to be effective at improving participants’ eating behaviors, increasing their physical activity levels, and lowering their depressive symptoms. Promotoras felt motivated and sufficiently prepared to deliver the program. Some implementation challenges were reported. More child care opportunities and an increased focus on mental well-being were suggested. Discussion: The promotora delivery model has promise for program sustainability with both promotoras and participants alike expressing interest in leading future programs.