THE RE-AIM MODEL FROM THE PERSPECTIVE OF TELEPHONE-BASED EDUCATIONAL PROGRAMS ON DIABETES

Carla Regina De Souza Teixeira,Fabio Araujo Almeida,Maria Lúcia Zanetti,Fabiana Brito Almeida

doi:10.1590/1980-265x-tce-2017-0264

Carla Regina De Souza Teixeira, Fabio Araujo Almeida + Show 2 more

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https://doi.org/10.1590/1980-265x-tce-2017-0264

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Abstract

ABSTRACT Objective: to analyze the dimensions of the RE-AIM model from the perspective of telephone-based educational programs on diabetes, considering the experience of researchers from a public university in the state of São Paulo, Brazil. Method: this reflexive study presents an analysis of the dimensions of the RE-AIM model and the validity of its Brazilian version concerning the dimensions: reach, efficacy, adoption, implementation, and maintenance of results obtained by the study Telephone Support for the Follow-up of Diabetes Mellitus. Results: the analysis shows that the five dimensions provide information concerning factors that may affect the success of a program in clinical practice; that reaching the population remains a challenge; and that efforts should be made to advance on the efficacy and maintenance of educational interventions. Conclusion: this reflection, based on the experience of telephone-based educational interventions for diabetes, can contribute to advance Nursing science in terms of methodological guidance to support the development of interventions and programs at the various levels of health care.

Highlights

Inconsistency has been acknowledged between demands for evidence-based clinical practice and recommendations provided by behavioral intervention studies originating in highly controlled clinical trials.[1,2,3]
There is a growing demand on the part of health and nursing workers for models and proposals that meet the demands imposed by healthcare settings, especially diabetes education, which has undergone a profound transformation
One observational study conducted in the interior of São Paulo, Brazil, assessed the expectations and satisfaction of patients who received telephone-based diabetes follow-up and showed that 77.8% of the patients were satisfied with the information provided.[12]

Summary

Introduction

Inconsistency has been acknowledged between demands for evidence-based clinical practice and recommendations provided by behavioral intervention studies originating in highly controlled clinical trials.[1,2,3] In this sense, there is a growing demand on the part of health and nursing workers for models and proposals that meet the demands imposed by healthcare settings, especially diabetes education, which has undergone a profound transformation. One of the World Health Organization’s recommendations is for health workers to adopt communication technologies to follow-up with people who have chronic conditions.[4] Due to the complexity of diabetes education, information and communication technologies have great potential to educate and support adherence to self-care.[5]. Telephone support is used to reinforce behavior and occasionally adjust therapy without the need to personally attend a health service.[6]

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