Summary:

An Extension of RE-AIM to Enhance Sustainability: Addressing Dynamic Context and Promoting Health Equity Over Time

RE-AIM is a widely adopted, robust implementation science (IS) framework. The purposes of this article are to: (1) discuss the extension of RE-AIM to address dynamic conceptualization of sustainability over time, including iterative application of RE-AIM to guide adaptation and evolvability of evidence-based interventions and implementation strategies; (2) provide concrete guidance on issues pertinent to understanding, measuring, and planning for sustainability in changing context, including explicit consideration of costs and equity; and (3) propose testable hypotheses and detailed research questions to guide future research that applies RE-AIM for sustainability.

Authors: Shelton, Rachel C; Chambers, David A; Glasgow, Russell E