Browsing by Author "Ory, Marcia G."
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- Autonomous Vehicles for Small Towns: Exploring Perception, Accessibility, and SafetyLi, Wei; Ye, Xinyue; Li, Xiao; Dadashova, Bahar; Ory, Marcia G.; Lee, Chanam; Rathinam, Sivakumar; Usman, Muhammad; Chen, Andong; Bian, Jiahe; Li, Shuojia; Du, Jiaxin (Safe-D University Transportation Center, 2023-09)As of 2021, there were 18,696 small towns in the US with a population of less than 50,000. These communities typically have a low population density, few public transport services, and limited accessibility to daily services. This can pose significant challenges for residents trying to fulfill essential travel needs and access healthcare. Autonomous vehicles (AVs) have the potential to provide a convenient and safe way to get around without requiring human drivers, making them a promising transportation solution for these small towns. AV technology can become a first-line mobility option for people who are unable to drive, such as older adults and those with disabilities, while also reducing the cost of transportation for both individuals with special needs and municipalities. The report includes our research findings on 1) how residents in small towns perceive AV, including both positive and negative aspects; 2) the impacts of ENDEAVRide—a novel “Transport + Telemedicine 2-in-1” microtransit service delivered on a self-driving van in central Texas—on older adults’ travel and quality of life; and 3) the potential safety implications of AVs in small towns. This report will help municipal leaders, transportation professionals, and researchers gain a better understanding of how AV deployment can serve small towns.
- National Working Group on the RE-AIM Planning and Evaluation Framework: Goals, Resources, and Future DirectionsHarden, Samantha M.; Strayer, Thomas Edward, III; Smith, Matthew Lee; Gaglio, Bridget; Ory, Marcia G.; Rabin, Borsika A.; Estabrooks, Paul A.; Glasgow, Russell E. (2020-01-10)The National Working Group on RE-AIM Planning and Evaluation Framework (herein Workgroup) was established in 2004 to support the application of the framework and advance dissemination and implementation science (D&I). Workgroup members developed and disseminated products and resources (and continue to do so) to advocate for consistent application of RE-AIM and allow for cross study comparisons. The purpose of this paper is to summarize key Workgroup activities, products, and services (e.g., webinars, consultations, planning tools) and enhance bidirectional communication between the Workgroup and RE-AIM users. The ultimate goal of this work is to serve as a forum for dissemination to improve the balance between RE-AIM user demand (needs) and the currently limited RE-AIM Workgroup supply (consultation and resources) to demonstrate and expand the utility of RE-AIM as a D&I planning and evaluation framework. A summary of resources is provided as well as specific examples of how the Workgroup has been responsive to user needs.
- RE-AIM in Clinical, Community, and Corporate Settings: Perspectives, Strategies, and Recommendations to Enhance Public Health ImpactHarden, Samantha M.; Smith, Matthew Lee; Ory, Marcia G.; Smith-Ray, Renae L.; Estabrooks, Paul A.; Glasgow, Russell E. (Frontiers, 2018-03-22)The RE-AIM Framework is a planning and evaluation model that has been used in a variety of settings to address various programmatic, environmental, and policy innovations for improving population health. In addition to the broad application and diverse use of the framework, there are lessons learned and recommendations for the future use of the framework across clinical, community, and corporate settings. The purposes of this article are to: (A) provide a brief overview of the RE-AIM Framework and its pragmatic use for planning and evaluation; (B) offer recommendations to facilitate the application of RE-AIM in clinical, community, and corporate settings; and (C) share perspectives and lessons learned about employing RE-AIM dimensions in the planning, implementation, and evaluation phases within these different settings. In this article, we demonstrate how the RE-AIM concepts and elements within each dimension can be applied by researchers and practitioners in diverse settings, among diverse populations and for diverse health topics.
- RE-AIM Planning and Evaluation Framework: Adapting to New Science and Practice With a 20-Year ReviewGlasgow, Russell E.; Harden, Samantha M.; Gaglio, Bridget; Rabin, Borsika A.; Smith, Matthew Lee; Porter, Gwenndolyn C.; Ory, Marcia G.; Estabrooks, Paul A. (Frontiers, 2019-03-29)The RE-AIM planning and evaluation framework was conceptualized two decades ago. As one of the most frequently applied implementation frameworks, RE-AIM has now been cited in over 2,800 publications. This paper describes the application and evolution of RE-AIM as well as lessons learned from its use. RE-AIM has been applied most often in public health and health behavior change research, but increasingly in more diverse content areas and within clinical, community, and corporate settings. We discuss challenges of using RE-AIM while encouraging a more pragmatic use of key dimensions rather than comprehensive applications of all elements. Current foci of RE-AIM include increasing the emphasis on cost and adaptations to programs and expanding the use of qualitative methods to understand “how” and “why” results came about. The framework will continue to evolve to focus on contextual and explanatory factors related to RE-AIM outcomes, package RE-AIM for use by non-researchers, and integrate RE-AIM with other pragmatic and reporting frameworks.
- Understanding and applying the RE-AIM framework: Clarifications and resourcesHoltrop, Jodi Summers; Estabrooks, Paul A.; Gaglio, Bridget; Harden, Samantha M.; Kessler, Rodger S.; King, Diane K.; Kwan, Bethany M.; Ory, Marcia G.; Rabin, Borsika A.; Shelton, Rachel C.; Glasgow, Russell E. (2021-05-14)Introduction: Understanding, categorizing, and using implementation science theories, models, and frameworks is a complex undertaking. The issues involved are even more challenging given the large number of frameworks and that some of them evolve significantly over time. As a consequence, researchers and practitioners may be unintentionally mischaracterizing frameworks or basing actions and conclusions on outdated versions of a framework. Methods: This paper addresses how the RE-AIM (Reach, Effectiveness, Adoption, Implementation, and Maintenance) framework has been described, summarizes how the model has evolved over time, and identifies and corrects several misconceptions. Results: We address 13 specific areas where misconceptions have been noted concerning the use of RE-AIM and summarize current guidance on these issues. We also discuss key changes to RE-AIM over the past 20 years, including the evolution to Pragmatic Robust Implementation and Sustainability Model, and provide resources for potential users to guide application of the framework. Conclusions: RE-AIM and many other theories and frameworks have evolved, been misunderstood, and sometimes been misapplied. To some degree, this is inevitable, but we conclude by suggesting some actions that reviewers, framework developers, and those selecting or applying frameworks can do to prevent or alleviate these problems.