Implementers' perceptions of barriers and facilitators in the implementation setting is associated with physical activity changes among participants of a planning intervention.
Karolina Lobczowska, Ewa Kulis, Anna Banik, Maria Siwa, Monika Boberska, Zofia Szczuka, Hanna Zaleskiewicz, Dominika Wietrzykowska, Paulina Krzywicka, Jowita Misiakowska, Anna Kornafel, Julia Kuzminska, Natalia Paduszynska, Karolina Zalewska-Lunkiewicz, Aleksandra Luszczynska
{"title":"Implementers' perceptions of barriers and facilitators in the implementation setting is associated with physical activity changes among participants of a planning intervention.","authors":"Karolina Lobczowska, Ewa Kulis, Anna Banik, Maria Siwa, Monika Boberska, Zofia Szczuka, Hanna Zaleskiewicz, Dominika Wietrzykowska, Paulina Krzywicka, Jowita Misiakowska, Anna Kornafel, Julia Kuzminska, Natalia Paduszynska, Karolina Zalewska-Lunkiewicz, Aleksandra Luszczynska","doi":"10.1080/08870446.2025.2496239","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>The present study applies the Consolidated Framework for Implementation Research to investigate the associations between: (1) implementation process indicators, namely implementers' perceptions of barriers/facilitators in the outer and inner implementation setting, (2) implementer self-efficacy and (3) changes in moderate-to-vigorous physical activity (MVPA) among participants of two intervention studies (physical activity planning interventions versus control [education] conditions).</p><p><strong>Methods and measures: </strong>Data collected among 372 participants (66.9% women; 9-86 years old) were matched with implementers' data (<i>n</i> = 21, 100% women, 25-46 years old). MVPA was assessed with accelerometers at the baseline and 14-month follow-up. Implementation process indicators were self-reported by implementers.</p><p><strong>Results: </strong>We found significant interaction effects of Time x Implementation Process indicators on MVPA. Participants who were supported by implementers who perceived barriers/facilitators in the inner and outer implementation setting as adequately addressed, maintained their MVPA at 14-month follow-up. A decline in MVPA was found among participants supported by implementers perceiving lower adequacy of addressing respective barriers/facilitators. Implementer self-efficacy was unrelated to MVPA of participants of intervention studies.</p><p><strong>Conclusions: </strong>Implementers' positive evaluation of the ways barriers/facilitators were addressed in the implementation setting may protect participants (regardless of their intervention or control group assignment) from a decline in MVPA time.</p>","PeriodicalId":20718,"journal":{"name":"Psychology & Health","volume":" ","pages":"1-19"},"PeriodicalIF":1.9000,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Psychology & Health","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/08870446.2025.2496239","RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PSYCHOLOGY, MULTIDISCIPLINARY","Score":null,"Total":0}
引用次数: 0
Abstract
Objective: The present study applies the Consolidated Framework for Implementation Research to investigate the associations between: (1) implementation process indicators, namely implementers' perceptions of barriers/facilitators in the outer and inner implementation setting, (2) implementer self-efficacy and (3) changes in moderate-to-vigorous physical activity (MVPA) among participants of two intervention studies (physical activity planning interventions versus control [education] conditions).
Methods and measures: Data collected among 372 participants (66.9% women; 9-86 years old) were matched with implementers' data (n = 21, 100% women, 25-46 years old). MVPA was assessed with accelerometers at the baseline and 14-month follow-up. Implementation process indicators were self-reported by implementers.
Results: We found significant interaction effects of Time x Implementation Process indicators on MVPA. Participants who were supported by implementers who perceived barriers/facilitators in the inner and outer implementation setting as adequately addressed, maintained their MVPA at 14-month follow-up. A decline in MVPA was found among participants supported by implementers perceiving lower adequacy of addressing respective barriers/facilitators. Implementer self-efficacy was unrelated to MVPA of participants of intervention studies.
Conclusions: Implementers' positive evaluation of the ways barriers/facilitators were addressed in the implementation setting may protect participants (regardless of their intervention or control group assignment) from a decline in MVPA time.
期刊介绍：
Psychology & Health promotes the study and application of psychological approaches to health and illness. The contents include work on psychological aspects of physical illness, treatment processes and recovery; psychosocial factors in the aetiology of physical illnesses; health attitudes and behaviour, including prevention; the individual-health care system interface particularly communication and psychologically-based interventions. The journal publishes original research, and accepts not only papers describing rigorous empirical work, including meta-analyses, but also those outlining new psychological approaches and interventions in health-related fields.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
