Twenty years of the fitness and mobility exercise (FAME) program for people post-stroke: a multi-data source evaluation of implementation using the RE-AIM framework
Year: 2026
Type: article
Abstract: Background The Fitness and Mobility Exercise (FAME) program is an evidence‑based, community program designed to support stroke recovery. The extent of real‑world implementation of FAME is unknown.Objective To evaluate the dissemination and implementation of FAME.Methods This mixed‑methods, multi-data source study used the RE-AIM Framework to synthesize bibliometric analysis, FAME manual downloaders data, and an online survey of manual downloaders. Quantitative data were summarized descriptively. Qualitative responses underwent inductive content analysis. Findings were converged and triangulated using the RE‑AIM Framework.Results Thirty‑five publications were identified, demonstrating evidence through randomized trials (49%) and international research uptake (43% outside Canada). Between 2015–2024, 4279 individuals downloaded the manual; 188 completed the online survey. The Reach of FAME has primarily been stroke survivors, but also reached non-stroke neurological and non-neurological populations. Effectiveness has been tested beyond physical outcomes, including cognition. Manual downloads data indicated that Adoption has been primarily by physiotherapists (49%) within healthcare settings (42%). Survey data indicated Implementation facilitators as primarily the ease of finding equipment (51%) and meeting user priorities and goals (48%). Maintenance barriers were primarily staffing‑related (48%).Conclusion FAME has achieved global implementation beyond the stroke population. The findings highlight the need to further support community-based adoption.
Source: Disability and Rehabilitation
Language: English
Subfield: General Health Professions
Field: Health Professions
Domain: Health Sciences
Open Access status: hybrid
Award: G6303281076
OpenAlex ID: W7203693977