From a clinical point of view, these findings imply that ABM is not yet ready for wide-scale dissemination as a treatment for SAD in routine care.
Next, wide-scale dissemination occurs using the optimized material (i.e. beta testing) [ 10].
There are insufficient research reports on the wide-scale dissemination of effective whole-community physical activity (PA) programs.
However, information on the wide-scale dissemination of evidence-based PA interventions into practice is also needed [ 5].
However, the wide-scale dissemination of '10,000 Steps' outside the pilot project area requires further study.
The current study applied the RE-AIM framework to the evaluation of the wide-scale dissemination of '10,000 Steps' beyond initial applications ('10,000 Steps Ghent').
Although BGAT has been operationalized as an Internet-based intervention (25), issues of wide-scale dissemination and long-term sustainability remain a challenge.
The purpose of this paper is to evaluate the impact of the wide-scale dissemination of '10,000 Steps', using the RE-AIM framework.
'10,000 Steps' shows potential for wide-scale dissemination but a supportive linkage system seems recommended to encourage adoption levels and high quality implementation.
Therefore, this paper reports on the impact of the wide-scale dissemination of '10,000 Steps' to the entire region of Flanders.
That is, ABM is not ready for wide-scale dissemination as a mainstream intervention, nor should it yet be directly marketed to mental health consumers.
