Evaluation of physical activity interventions in youth via the Reach, Efficacy/Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework: A systematic review of randomised and non-randomised trials
Abstract
Context An identified limitation of existing reviews of physical activity interventions in school-aged youth is the lack of reporting on issues related to the translatability of the research into health promotion practice.Objective This review used the Reach, Efficacy/Effectiveness, Adoption, Implementation and Maintenance framework to determine the extent to which intervention studies promoting physical activity in youth report on factors that inform generalizability across settings and populations.Methods and results A systematic search for controlled interventions conducted within the last ten years identified 50 studies that met the selection criteria. Based on Reach, Efficacy/Effectiveness, Adoption, Implementation and Maintenance criteria, most of these studies focused on statistically significant findings and internal validity rather than on issues of external validity. Due to this lack of information, it is difficult to determine whether or not reportedly successful interventions are feasible and sustainable in an uncontrolled, real-world setting.Conclusions Areas requiring further research include costs associated with recruitment and implementation, adoption rate, and representativeness of participants and settings. This review adds data to support recommendations that interventions promoting physical activity in youth should include assessment of adoption and implementation issues.
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The RE-AIM framework can be used for analysing both efficacy and effectiveness of interventions.
“Also the RE-AIM framework can be used for analysing both efficacy and effectiveness of interventions, as recent systematic reviews of physical activity interventions for children and youth show (94, 95).”
From How can physical activity be promoted among children and adolescents? A systematic review of reviews across settings (2019) · cites this paper as [94]
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Television Viewing: Moderator or Mediator of an Adolescent Physical Activity Intervention?
Graham, D. J., Schneider, M. L., & Cooper, D. M. (2008) · American Journal of Health Promotion · doi:10.4278/ajhp.07053050 · Cited by 16 · see citing works
DerAnanian, C. A., Desai, P., Smith-Ray, R. L., Seymour, R. B., & Hughes, S. L. (2012) · Translational Behavioral Medicine · doi:10.1007/s13142-012-0131-x · Cited by 14 · see citing works
Lubans, D. R., & Morgan, P. J. (2008) · Health Education Journal · doi:10.1177/0017896908097072 · Cited by 14 · see citing works
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Messing, S., Rütten, A., Abu-Omar, K., Ungerer-Röhrich, U., Goodwin, L., Burlacu, I., & Gediga, G. (2019) · Frontiers in Public Health · doi:10.3389/fpubh.2019.00055 · Cited by 259 · see citing works
McGoey, T., Root, Z., Bruner, M. W., & Law, B. (2016) · Preventive Medicine · doi:10.1016/j.ypmed.2015.11.004 · Cited by 93 · see citing works
Self-citationAn RCT to facilitate implementation of school practices known to increase physical activity
Sutherland, R. L., Nathan, N. K., Lubans, D. R., Cohen, K., Davies, L. J., Desmet, C., Cohen, J., McCarthy, N. J., Butler, P., Wiggers, J., et al. (2017) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2017.08.009 · Cited by 58 · see citing works
- Authors
- McGoey, T., Root, Z., Bruner, M. W., & Law, B.
- Affiliations
- Nipissing University (CA)
- Corresponding author
- McGoey, Tara
- Venue
- Preventive Medicine
- Publisher
- Elsevier BV
- Published
- 2015-07
- Volume
- 76
- Pages
- 58-67
- ISSN
- 0091-7435 (ISSN-L)
- OpenAlex
- W4210984859
- Cited by
- 61
- References
- 106
- Citations by year
- 2026: 3 · 2025: 1 · 2024: 4 · 2023: 5 · 2022: 10 · 2021: 7 · 2020: 7 · 2019: 4 · 2018: 5 · 2017: 3 · 2016: 9 · 2015: 3
- FWCI
- 0.82
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Preventive Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
- Health Sciences › Health Professions › Speech and Hearing › School Health and Nursing Education
- Keywords
- physical activity interventions, youth, school-aged children, RE-AIM framework, generalizability, intervention adoption, intervention implementation, intervention maintenance, health promotion
- MeSH terms
- Adolescent, Child, Health Promotion, Humans, Reproducibility of Results, Exercise, Randomized Controlled Trials as Topic
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
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