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Barriers and facilitators to the implementation of physical activity policies in schools: A systematic review
journal contribution
posted on 2023-02-20, 05:00 authored by N Nathan, B Elton, M Babic, N McCarthy, R Sutherland, J Presseau, K Seward, R Hodder, D Booth, Serene YoongSerene Yoong, L WolfendenResearch consistently indicates that schools fail to implement mandatory physical activity policies. This review aimed to describe factors (barriers and facilitators) that may influence the implementation of school physical activity policies which specify the time or intensity that physical activity should be implemented and to map these factors to a theoretical framework. A systematic search was undertaken in six databases for quantitative or qualitative studies published between 1995-March 2016 that examined teachers’ principals’ or school administrators’ reported barriers and/or facilitators to implementing mandated school physical activity policies. Two independent reviewers screened texts, extracted and coded data from identified articles using the Theoretical Domains Framework (TDF). Of the 10,346 articles identified, 17 studies met the inclusion criteria (8 quantitative, 9 qualitative). Barriers and facilitators identified in qualitative studies covered 9 and 10 TDF domains respectively. Barriers and facilitators reported in quantitative studies covered 8 TDF domains each. The most common domains identified were: ‘environmental context and resources’ (e.g., availability of equipment, time or staff), ‘goals’ (e.g., the perceived priority of the policy in the school), ‘social influences’ (e.g., support from school boards), and ‘skills’ (e.g., teachers’ ability to implement the policy). Implementation support strategies that target these factors may represent promising means to improve implementation of physical activity policies and increase physical activity among school-aged children. Future studies assessing factors that influence school implementation of physical activity policies would benefit from using a comprehensive framework to help identify if any domains have been overlooked in the current literature. Registration: This review was prospectively registered with PROSPERO (CRD42016051649) on the 8th December 2016.
History
Journal
Preventive MedicineVolume
107Pagination
45-53Location
United StatesPublisher DOI
ISSN
0091-7435eISSN
1096-0260Language
EnglishPublisher
ACADEMIC PRESS INC ELSEVIER SCIENCEUsage metrics
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Keywords
Science & TechnologyLife Sciences & BiomedicinePublic, Environmental & Occupational HealthMedicine, General & InternalGeneral & Internal MedicineSchoolsPhysical activityPoliciesGuidelinesBarriersFacilitatorsImplementationTheoretical Domains FrameworkEDUCATIONQUALITYExerciseHealth Plan ImplementationHealth PolicyHealth PromotionHumansStudentsTime FactorsPediatricPrevention4 Quality EducationHuman Movement and Sports Science not elsewhere classifiedPublic Health and Health Services not elsewhere classified
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