Adapting and RE-AIMing a heart disease prevention program for older women with diabetes

Deborah J. Toobert, Russell E. Glasgow, Lisa A. Strycker, Manuel Barrera, Diane K. King

Research output: Contribution to journalArticlepeer-review

7 Scopus citations


Coronary heart disease is a pervasive public health problem with a heavy burden among older women. There is a need for developing effective interventions for addressing this problem and for evaluating the dissemination potential of such interventions. A multiple-behavior-change program originally designed for men with heart disease was adapted for women at high risk of heart disease in two randomized clinical trials-the Mediterranean Lifestyle Program and ¡Viva Bien!. Results from these two trials, including readiness for dissemination, are evaluated using the RE-AIM framework in terms of Reach, Effectiveness, Adoption, Implementation, and Maintenance. Program adaptations produced relative high reach as well as consistent and replicated effectiveness and maintenance, and were adopted by a high percentage of primary care offices and clinicians approached. We discuss key findings, lessons learned, future directions for related research, and use of RE-AIM for program development, adaptation, scale-up, and evaluation.

Original languageEnglish (US)
Pages (from-to)180-187
Number of pages8
JournalTranslational behavioral medicine
Issue number2
StatePublished - Jun 2012


  • Coronary heart disease
  • Diabetes
  • Evaluation
  • Latino
  • RE-AIM

ASJC Scopus subject areas

  • Applied Psychology
  • Behavioral Neuroscience


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