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Implementation and scale up of population physical activity interventions for clinical and community settings: the PRACTIS guide

Koorts, Harriet, Eakin, Elizabeth, Estabrooks, Paul, Timperio, Anna, Salmon, Jo and Bauman, Adrian 2018, Implementation and scale up of population physical activity interventions for clinical and community settings: the PRACTIS guide, International journal of behavioural nutrition and physical activity, vol. 15, pp. 1-11, doi: 10.1186/s12966-018-0678-0.

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Title Implementation and scale up of population physical activity interventions for clinical and community settings: the PRACTIS guide
Author(s) Koorts, HarrietORCID iD for Koorts, Harriet orcid.org/0000-0003-1303-6064
Eakin, Elizabeth
Estabrooks, Paul
Timperio, AnnaORCID iD for Timperio, Anna orcid.org/0000-0002-8773-5012
Salmon, JoORCID iD for Salmon, Jo orcid.org/0000-0002-4734-6354
Bauman, Adrian
Journal name International journal of behavioural nutrition and physical activity
Volume number 15
Article ID 51
Start page 1
End page 11
Total pages 11
Publisher BioMed Central
Place of publication London, Eng.
Publication date 2018-06
ISSN 1479-5868
Keyword(s) Dissemination
Health behaviour
Implementation
Physical activity
Public health
Translation
Science & Technology
Life Sciences & Biomedicine
Nutrition & Dietetics
Physiology
CARDIOVASCULAR HEALTH CATCH
PUBLIC-HEALTH
ACTIVITY PROGRAMS
ADOLESCENT TRIAL
PROMOTION
MODELS
IMPACT
CHILD
Summary BACKGROUND: Few efficacious physical activity interventions are successfully translated and sustained in practice. We propose a practical guide for researchers to increase the likelihood of successful implementation and scale up of physical activity interventions in practice contexts. The guide is based on two principles: (i) differences between the research and practice context can be addressed during intervention development and implementation planning by focusing on system, delivery personnel, and intervention characteristics; and (ii) early planning for implementation barriers and facilitators can improve subsequent translation into practice.

METHODS: From the published literature, we identified evidence of strategies to improve research-practice translation, along with narrative descriptions of different approaches to addressing translational challenges. These, along with constructs taken from widely cited implementation outcome, process, and mechanistic models were collated and inform the guide.

RESULTS: The resultant PRACTIS guide (PRACTical planning for Implementation and Scale-up) comprised the following four iterative steps: Step 1) Characterize the parameters of the implementation setting; Step 2) Identify and engage key stakeholders across multiple levels within the delivery system(s); Step 3) Identify contextual barriers and facilitators to implementation, and; Step 4) Address potential barriers to effective implementation.

CONCLUSIONS: A lack of practical guidance for researchers on how to effectively plan implementation and scale up of physical activity interventions prevents us moving quickly from evidence to action. We recommend that intervention development and adaptation for broad and sustained implementation be prioritized early in intervention planning and include active engagement from delivery organizations and stakeholders. The PRACTIS guide is also relevant for clinical and public health researchers in other areas of prevention.
Language eng
DOI 10.1186/s12966-018-0678-0
Field of Research 11 Medical And Health Sciences
13 Education
HERDC Research category C1 Refereed article in a scholarly journal
Grant ID NHMRC CRE 1057608
Copyright notice ©2018, The Authors
Free to Read? Yes
Use Rights Creative Commons Attribution licence
Persistent URL http://hdl.handle.net/10536/DRO/DU:30109474

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Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.