英国布拉德福德创建活跃学校的影响和实施的初步见解。

IF 5.5 1区 医学 Q1 NUTRITION & DIETETICS
Jade L Morris, Anna E Chalkley, Zoe E Helme, Oliver Timms, Emma Young, Gabriella M McLoughlin, John B Bartholomew, Andy Daly-Smith
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引用次数: 0

摘要

背景:很少有全校体育活动规划在设计、实施和评估中整合了实施科学框架。因此,缺乏对支持大规模实现的关键因素的了解。创建活跃学校(CAS)项目是由能力、机会、动机和行为(COM-B)模型和实施研究综合框架(CFIR)共同设计和支持的。本研究旨在利用McKay等人(2019)的实施评估路线图,了解CAS在布拉德福德9个月内的初步影响和实施情况。方法:对学校工作人员(n = 30,学校= 25)、中科院领军者(n = 9)和中科院战略领导(n = 1)进行焦点小组和访谈。定性数据进行了归纳和演绎分析。演绎分析涉及基于McKay等人的实施评估路线图将数据编码为先验主题,使用代码本方法进行主题分析。归纳分析包括编写初始代码和在定稿前审查主题。结果:确定的主题分为三类:(i)成功采用和实施CAS的关键因素,(ii) CAS实施:挑战和解决方案,以及(iv)学校层面CAS的感知有效性。这包括学校在被认为是高质量的、符合当前学校价值观的情况下,是否愿意采用和实施全校教学方法。方案执行过程被认为是支持性的;学校确定并重视逐步改变的方法来长期实施CAS。正式和非正式的实践社区为跨学校的支持提供了“安全空间”。相反,在学校内部获得更广泛的影响力、学校员工的自我能力以及围绕体育活动的学校文化转变方面,挑战依然存在。这导致了学校之间和学校内部的不同吸收。结论:本研究为CAS的实施提供了新的见解,其结果与采用、覆盖和可持续性相一致。CAS的成功实施是由可接受性、干预复杂性、学校文化和学校利益相关者感知的自我效能等决定因素所支撑的。McKay的评估路线图和CFIR的结合建立了一个严格的方法来评估以行为和实施科学为基础的活动促进计划。因此,本研究在理解全校体育活动方法的实施和有效性方面提供了独创性和进步。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Initial insights into the impact and implementation of Creating Active Schools in Bradford, UK.

Initial insights into the impact and implementation of Creating Active Schools in Bradford, UK.

Initial insights into the impact and implementation of Creating Active Schools in Bradford, UK.

Background: Few whole-school physical activity programmes integrate implementation science frameworks within the design, delivery, and evaluation. As a result, knowledge of the key factors that support implementation at scale is lacking. The Creating Active Schools (CAS) programme was co-designed and is underpinned by the Capability, Opportunity, Motivation and Behaviour (COM-B) model and the Consolidated Framework for Implementation Research (CFIR). The study aims to understand the initial impact and implementation of CAS in Bradford over 9 months using McKay's et al.'s (2019) implementation evaluation roadmap.

Methods: Focus groups and interviews were conducted with school staff (n = 30, schools = 25), CAS Champions (n = 9), and the CAS strategic lead (n = 1). Qualitative data were analysed both inductively and deductively. The deductive analysis involved coding data into a priori themes based on McKay et al's implementation evaluation roadmap, using a codebook approach to thematic analysis. The inductive analysis included producing initial codes and reviewing themes before finalising.

Results: Identified themes aligned into three categories: (i) key ingredients for successful adoption and implementation of CAS, (ii) CAS implementation: challenges and solutions, and (iv) the perceived effectiveness of CAS at the school level. This included the willingness of schools to adopt and implement whole-school approaches when they are perceived as high quality and aligned with current school values. The programme implementation processes were seen as supportive; schools identified and valued the step-change approach to implementing CAS long-term. Formal and informal communities of practice provided "safe spaces" for cross-school support. Conversely, challenges persisted with gaining broader reach within schools, school staff's self-competence and shifting school culture around physical activity. This resulted in varied uptake between and within schools.

Conclusions: This study provides novel insights into the implementation of CAS, with outcomes aligning to the adoption, reach, and sustainability. Successful implementation of CAS was underpinned by determinants including acceptability, intervention complexity, school culture and school stakeholders' perceived self-efficacy. The combination of McKay's evaluation roadmap and CFIR establishes a rigorous approach for evaluating activity promotion programmes underpinned by behavioural and implementation science. Resultantly this study offers originality and progression in understanding the implementation and effectiveness of whole-school approaches to physical activity.

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来源期刊
CiteScore
13.80
自引率
3.40%
发文量
138
审稿时长
4-8 weeks
期刊介绍: International Journal of Behavioral Nutrition and Physical Activity (IJBNPA) is an open access, peer-reviewed journal offering high quality articles, rapid publication and wide diffusion in the public domain. IJBNPA is devoted to furthering the understanding of the behavioral aspects of diet and physical activity and is unique in its inclusion of multiple levels of analysis, including populations, groups and individuals and its inclusion of epidemiology, and behavioral, theoretical and measurement research areas.
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