- Title
- Implementation at-scale of school-based physical activity interventions: A systematic review utilizing the RE-AIM framework
- Creator
- Kennedy, Sarah G.; Sanders, Taren; Estabrooks, Paul A.; Smith, Jordan J.; Lonsdale, Chris; Foster, Charlie; Lubans, David R.
- Relation
- NHMRC.APP1154507
- Relation
- Obesity Reviews Vol. 22, Issue 7, no. e13184
- Publisher Link
- http://dx.doi.org/10.1111/obr.13184
- Publisher
- Wiley-Blackwell
- Resource Type
- journal article
- Date
- 2021
- Description
- 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.
- Subject
- adolescents; children; implementation; physical activity; school-based intervention
- Identifier
- http://hdl.handle.net/1959.13/1441665
- Identifier
- uon:41494
- Identifier
- ISSN:1467-7881
- Language
- eng
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