Online Program

What can RE-AIM tell us about a long-term, community-based smoke alarm installation program?

Monday, November 4, 2013

Shelli Stephens-Stidham, MPA, Injury Prevention Center of Greater Dallas, Parkland Health & Hospital System, Dallas, TX
Mary McCoy, MPH, Injury Prevention Center of Greater Dallas, Parkland Health & Hospital System, Dallas, TX
Gregory Istre, MD, Injury Prevention Center of Greater Dallas, Parkland Health & Hospital System, Dallas, TX
Operation Installation is a collaborative smoke alarm installation program of the Injury Prevention Center and Dallas Fire-Rescue. It began in 1999 in the 36 census tracts in Dallas, TX with the highest rates of house fire-related deaths and injuries, and has continued to the present. We used the 5 RE-AIM dimensions (Reach, Efficacy, Adoption, Implementation, Maintenance) to determine the impact of Operation Installation. Reach: The program had a 26.5% reach into the target population. Efficacy: The rate of deaths and injuries in program houses were 90% lower than non-program houses for the first 6 years after smoke alarm installation, but minimal efficacy in years 7 through 10. Adoption/Implementation: Only one fire department was recruited to participate in the program; the fire department continued to implement the program throughout the 10-year period, increasing the average number of smoke alarms installed per house from 1.4 in 2000 to 3.0 in 2011. Maintenance: At the setting level, the number of canvassing sessions conducted per year doubled from 5 in 2000 to 10 sessions in 2011, while the number of census tracts canvassed varied by year. At the individual level, 94.5% of smoke alarms installed during the program were still installed and working 2 years following the original installation, but only 22% were still installed and working after 10 years. The RE-AIM model provided insight into areas to focus future activities. We only reached a quarter of the target population. Only 22% of smoke alarms were still installed and functioning 10 years following installation.

Learning Areas:

Administer health education strategies, interventions and programs
Conduct evaluation related to programs, research, and other areas of practice
Planning of health education strategies, interventions, and programs

Learning Objectives:
Describe lessons learned from applying the RE-AIM evaluation model to a long-term smoke alarm installation program in Dallas, Texas.

Keyword(s): Injury Prevention, Community Health Programs

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: Shelli Stephens-Stidham, M.P.A., is the Director of the Injury Prevention Center of Greater Dallas (IPC) in Dallas, Texas. Ms. Stephens-Stidham has 30 years of experience in public health, including 23 years in injury and violence prevention. She is the past-president of the Safe States Alliance. She chairs the Texas Governor’s EMS & Trauma Advisory Council (GETAC) Injury Prevention Committee and is a member of the Society for the Advancement of Violence and Injury Research (SAVIR).
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.