Although many interventions aiming to improve social and physical environments in low socio-economic status neighborhoods have been and are being implemented, what enhances and what promotes implementation of such interventions has rarely been studied. In a paper just published in the European Journal of Public Health, with Dr. Jeroen Lakerveld as first author, we assessed 18 implemented interventions in three underprivileged neighborhoods. Health promotion experts and representatives from the neighborhoods scored each of the interventions on 'RE-AIM', i.e. on reach, efficacy, adoption, implementation and maintenance of the interventions.
Effectiveness and implementation success were higher when the target group was involved in the planning of the intervention. Interventions were better maintained in the absence of competition with other projects. If the intervention was informed by a thorough inventory of the current situation the effectiveness, adoption and implementation were better. Involvement of the target group during implementation resulted in higher reach, effectiveness and adoption. Finally, the reach was higher when the intervention was supported by manpower.
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