A Mixed Method Evaluation of Practitioners’ Perspectives on Implementation Strategies for Healthy Eating and Active Living Policy, Systems, and Environmental Changes
Journal of Public Health Management and Practice,
Journal Year:
2025,
Volume and Issue:
unknown
Published: Jan. 20, 2025
Context:
The
National
Cooperative
Extension
System
is
a
leader
in
delivering
healthy
eating
and
active
living
(HEAL)
policy,
systems,
environmental
(PSE)
changes;
however,
these
interventions
are
challenging,
technical
assistance
efforts
often
misalign
with
implementation
science
concepts.
Objective:
study
objective
was
to
understand
the
importance
of
strategies
tailoring
needs
support
Louisiana
Nutrition
Community
Health
(NCH)
practitioners’
delivery
rural
HEAL
PSE
changes.
Design:
An
explanatory
sequential
mixed
method
design
used,
including
survey
rank
for
changes
follow-up
interview.
A
review
available
(practice
activities/resources)
also
conducted.
Setting:
This
occurred
within
focused
on
NCH
ongoing
change
throughout
state,
emphasis
community
settings.
Participants:
All
practitioners
were
eligible
participate.
“Practitioners”
included
administrators
agents/educators
directly
Main
Outcomes:
main
quantitative
outcome
ranked
For
interviews,
perceptions
higher
lower
opportunities
interest.
alignment
activities/resources
possible
assessed.
Results:
Highly
engaging
dedicated
partners
members
starting
small
ensure
success,
generate
buy-in,
demonstrate
feasibility.
Opportunities
capacity
building
areas
identified.
strategy,
changing
organizational
structures,
considered
less
likely
occur
but
possibly
necessary
improve
job
satisfaction,
retention,
return
investment.
Available
overlapped
few
strategies.
Conclusions:
identified
use
concepts
program
complex
Language: Английский
Implementation strategies used in policy, systems, and environmental interventions addressing obesity-related outcomes in early childhood education settings: a systematic review
Implementation Science Communications,
Journal Year:
2025,
Volume and Issue:
6(1)
Published: March 31, 2025
Policy,
systems,
and
environmental
(PSE)
approaches,
including
those
enacted
in
early
childhood
education
(ECE)
settings,
can
improve
child
health
outcomes.
The
use
of
implementation
strategies,
or
the
ways
which
these
approaches
are
across
may
modify
intervention
impact.
Therefore,
purpose
this
review
was
to
examine
strategies
used
among
interventions
utilizing
PSE
ECE
setting.
Seven
databases
MEDLINE,
PubMed,
Web
Science,
EMBASE,
were
searched
for
settings
children
(0–6
years)
that
utilized
≥
1
approach.
Eligible
studies
included
either
a
child-level
outcome
(i.e.,
weight,
physical
activity,
diet)
an
nutrition
activity
environment).
Data
extracted
study
characteristics,
description
intervention,
intervention.
Implementation
coded
using
School
Strategies
Translating
ERIC
Resources
(SISTER)
taxonomy.
Downs
Black
checklist
completed
assess
quality.
One
hundred
four
representing
97
identified.
Fourteen
(14%)
did
not
report
any
strategies.
Of
remaining
83
reporting
mean
number
employed
per
3.8
(±
2.3)
(range
1–11).
However,
few
(5/83,
6%)
clearly
named
defined
Most
came
from
"train
educate
stakeholders"
SISTER
domain
(177/318,
56%),
most
frequently
strategy
"conduct
educational
meetings
(50/83,
60%).
classified
as
good
(59/104,
57%)
fair
(40/104,
38%)
In
review,
many
appeared
multiple
support
interventions,
though
explicitly
documented
described
These
findings
suggest
more
precise
documentation
is
needed
enhance
replication
scalability
interventions.
PROSPERO#
CRD42022306670.
Language: Английский
The Strategies Timeline and Activities Reporting Tables: Improving HIV Care by Improving the Reporting of Implementation Strategies
JAIDS Journal of Acquired Immune Deficiency Syndromes,
Journal Year:
2025,
Volume and Issue:
98(5S), P. e205 - e215
Published: March 31, 2025
Background:
The
United
States
has
made
significant
progress
toward
achieving
the
goals
of
its
Ending
HIV
Epidemic
initiative.
However,
systematic
reviews
on
implementation
research
have
identified
problems
regarding
strategy
specification
that
limit
research's
transparency
and
replicability,
in
turn
improvements
care
real-world
practice.
Methods:
strategies
timeline,
activities,
resources
(STAResources)
Table,
developed
as
part
substance
abuse
treatment
to
Care
II
Project,
was
completed
for
it
3
other
projects
funded
by
National
Institute
Health.
Each
evaluated
terms
extent
which
addressed
prior
recommendations
specification;
issues
related
rigor
reproducibility;
seemed
pragmatic,
simple,
adaptable,
relevant,
helpful,
useful,
acceptable,
appropriate,
suitable,
applicable,
fitting.
rated
a
4-point
scale
(0
=
not
at
all;
1
little;
2
moderately,
very
much).
Results:
Overall,
STAResources
Table
favorably.
It
received
mean
3.0
(SD
0)
being
applicable.
Strategies
Timeline,
Activities,
Rationale
(STARationale)
emerged
during
process
also
Conclusions:
To
help
initiative
achieve
goals,
there
is
critical
need
transparent
replicable
identifying
most
effective
equitably
implementing
evidence-based
practices
within
settings.
Addressing
this
need,
Timeline
Activities
Reporting
(STAReporting)Tables
are
pragmatic
tools
helping
improve
replicability
research.
Language: Английский