%0 Journal Article
%T Using the Re-aim Framework To Evaluate A Community-based Smoke Alarm Installation Program - Using the Re-aim Framework To Evaluate A Community-based Smoke Alarm Installation Program - Open Access Pub
%A Carey Roper
%A Emily Campa
%A Gregory R. Istre MD
%A Jeffrey J. Barnard MD
%A Mary A. McCoy MPH
%A Shelli Stephens-Stidham MPA
%J OAP | Home | Journal of Preventive Medicine And Care | Open Access Pub
%D 2018
%X We used the five dimensions of the RE-AIM model to evaluate a smoke alarm (SA) installation program called Operation Installation (OI), which was implemented in 36 high risk census tracts in Dallas, TX, from 2001-2011. More than 20,000 SAs were installed in 8,134 houses through OI. The RE-AIM model showed that the program had a modest reach into the target population (26.5%), and a relatively high effectiveness (63%) at preventing deaths and injuries in program houses. Adoption and implementation remained high throughout the time period. Individual level maintenance of SAs was high initially (91.8%), but rapidly declined and was only 20% after 10 years. Application of the RE-AIM model to evaluate this long-term SA installation program highlighted areas that warranted improvement, especially for the dimensions of Reach and individual-level Maintenance. The model may be useful for evaluating the impact of other injury prevention programs. DOI10.14302/issn.2474-3585.jpmc-16-1118  Deaths from residential fires and burns remain an important health problem, accounting for 2,520 fire deaths in the U.S. in 2011.1 A smoke alarm (SA) increases the chance of surviving a house fire by 2- to 3-fold.2, 3 While reported SA prevalence is as high as 97% in the U.S. as a whole, houses at highest risk of death and injury from fires continue to have the lowest SA use.4, 5, 6, 7 Based on local data for Dallas, TX,2 we targeted census tracts with the highest per capita rates of house fire-related deaths and injuries and those with lowest median income, for SA installations through a program entitled Operation Installation (OI)2.OI is a joint program of the Injury Prevention Center of Greater Dallas (IPC) and the Dallas Fire Rescue Department (DFRD), and involves door-to-door canvassing and SA installation. A 10-year outcome evaluation of OI from 2001-2011 showed that the adjusted case rate in program houses was 63% lower than non-program houses in the same census tracts.8 However, factors beyond effectiveness can affect program impact.9, 10, 11, 12, 13 The Reach, Effectiveness, Adoption, Implementation and Maintenance (RE-AIM) framework developed by Glasgow, et al provides a comprehensive approach to evaluating an intervention¡¯s overall public health impact.10, 12, 14 In this model, Reach addresses the percentage and representativeness of participants, Effectiveness addresses the impact of the intervention on the targeted outcome, Adoption addresses the proportion and representativeness of settings that deliver the program, Implementation addresses the extent to which the
%U https://www.openaccesspub.org/jpmc/article/324