Between-country analysis of implementing an obesity prevention intervention using RE-AIM: HENRY in Israel and UK

Mary C.J. Rudolf, Shiran Bord, Ronnie Hasson, Yair Sahar, Lisa Rubin, Niva Manor, Yuval Paldi, Orna Baron-Epel

Research output: Contribution to journalArticlepeer-review


Health Exercise Nutrition for the Really Young (HENRY) is a UK community-based early childhood obesity prevention intervention that was adopted and implemented in Israel between 2013 and 2018. The aim of this study was to explore the implementation process in Israel and compare it with that of the 'parent' programme in the UK, in order to throw light on the challenges of introducing complex interventions into different countries and cultures. Published reports from HENRY and Haifa University's evaluation of the Israeli implementation were reviewed and comparisons between the UK and Israel were carried out utilizing the RE-AIM framework. In both countries, the intention was to implement in lower SES communities. When comparing the individual items, Reach and Effectiveness, we found a difference in the Reach although Effectiveness was similar: Reach was proportionally lower in Israel, but parent and professional changes in behaviour were positive in both countries. For the organizational items Adoption, Implementation and Maintenance, we found large differences between the countries. Major challenges identified in Israel included: failing to take adequate account when planning and implementing the intervention of the different ways social and health services are organized and how local authorities are structured and provide services. In addition, differences in culture beyond language and professional variations were challenges, when trying to transfer the intervention with high fidelity from the UK to Israel. Lessons learnt may benefit others in attempting cross-country implementation of complex interventions

Original languageEnglish
Article numberdaab119
JournalHealth Promotion International
Issue number2
StatePublished - 29 Apr 2022

Bibliographical note

Publisher Copyright:
© 2021 The Author(s) 2021. Published by Oxford University Press. All rights reserved.


  • RE-AIM
  • implementation
  • intervention
  • obesity

ASJC Scopus subject areas

  • Health(social science)
  • Public Health, Environmental and Occupational Health


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