Implementation at-scale of school-based physical activity interventions : A systematic review utilizing the RE-AIM framework
Journal article
Kennedy, Sarah G., Sanders, Taren, Estabrooks, Paul A., Smith, Jordan J., Lonsdale, Chris, Foster, Charlie and Lubans, David R.. (2021). Implementation at-scale of school-based physical activity interventions : A systematic review utilizing the RE-AIM framework. Obesity Reviews. 22(7), p. e13184. https://doi.org/10.1111/obr.13184
Authors | Kennedy, Sarah G., Sanders, Taren, Estabrooks, Paul A., Smith, Jordan J., Lonsdale, Chris, Foster, Charlie and Lubans, David R. |
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Abstract | School-based interventions can increase young people's physical activity levels, but few are implemented at-scale (i.e., the expanded delivery of efficacious interventions under real-world conditions into new/broader populations). The Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework can be used to describe the extent to which interventions have been implemented at-scale. The aim of our review was to determine the extent to which studies of school-based physical activity interventions implemented at-scale reported information across the RE-AIM dimensions. We conducted a systematic search of seven electronic databases to identify studies published up to June 2019. A total of 26 articles (representing 14 individual studies) met the inclusion criteria and were analyzed. Eleven studies reported actual or estimated number of students exposed to the intervention; however, the representativeness of these students was rarely reported. Nine studies reported the intervention effect on the primary outcome during scale-up. Ten studies reported the rate of participating schools/teachers; however, none reported on the characteristics of adopters/nonadopters. Eight studies reported intervention fidelity. Eleven studies described the extent to which the intervention was sustained in schools. There was considerable variability in the reporting of RE-AIM outcomes across studies. There is a need for greater consistency in the evaluation, and reporting of, school-based physical activity interventions implemented at-scale. |
Keywords | adolescents; children; implementation; physical activity; school-based intervention |
Year | 2021 |
Journal | Obesity Reviews |
Journal citation | 22 (7), p. e13184 |
Publisher | Wiley-Blackwell Publishing Ltd. |
ISSN | 1467-7881 |
Digital Object Identifier (DOI) | https://doi.org/10.1111/obr.13184 |
Scopus EID | 2-s2.0-85100219293 |
Research or scholarly | Research |
Page range | 1-34 |
Funder | National Health and Medical Research Council (NHMRC) |
Publisher's version | File Access Level Controlled |
Output status | Published |
Publication dates | |
Online | 01 Feb 2021 |
Publication process dates | |
Accepted | 03 Dec 2020 |
Deposited | 15 Aug 2021 |
Grant ID | NHMRC/1154507 |
https://acuresearchbank.acu.edu.au/item/8w968/implementation-at-scale-of-school-based-physical-activity-interventions-a-systematic-review-utilizing-the-re-aim-framework
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