Systems approaches to scaling up: a systematic review and narrative synthesis of evidence for physical activity and other behavioural non-communicable disease risk factors

International Journal of Behavioral Nutrition and Physical Activity, Год журнала: 2024, Номер 21(1)

Опубликована: Март 21, 2024

Abstract Background Non-communicable diseases (NCDs) are the leading causes of death worldwide. Systems approaches have potential for creating sustainable outcomes at scale but rarely been used to support up in physical activity/nutrition promotion or NCD prevention more generally. This review aimed to: (i) synthesise evidence on use systems scaling interventions targeting four behavioural risk factors NCDs; and (ii) explore how conceptualised intervention implementation up. Method Seven electronic databases were searched studies published 2016–2021. Eligible targeted least one (physical inactivity, tobacco use, alcohol consumption, diet), described evaluation an planned scaled Studies categorised as having a high , moderate (iii) no approach. A narrative synthesis had operationalised up, following PRISMA guidelines. Results Twenty-one included. Only 19% ( n = 4) explicitly thinking inform design, (targeting all 2, diet 1, 1). Five (‘high use’) implemented with explicit focus relations between system elements changes drive impact scale. (‘moderate considered impacting scale-up processes did not require achieving system-level from outset. Nine (‘no designed work multiple levels among agencies setting, complexity was articulated. We synthesised reported barriers facilitators within each group approaches, methods, frameworks principles Conclusion In activity research, broadly, remains its infancy. For researchers, practitioners policymakers wishing adopt scale, guidance is needed communicate operationalise research practice. Trial registration PROSPERO (CRD42021287265).

Язык: Английский

---

The Secret Sauce? Taking the Mystery Out of Scaling-Up School-Based Physical Activity Interventions

Journal of Physical Activity and Health, Год журнала: 2024, Номер 21(8), С. 731 - 740

Опубликована: Июнь 27, 2024

Over the last 4 decades, physical activity researchers have invested heavily in determining "what works" to promote healthy behaviors schools. Single and multicomponent school-based interventions that target education, active transportation, and/or classroom breaks effectively increased among children youth. Yet, few of these are ever scaled-up implemented under real-world conditions diverse populations. To achieve population-level health benefits, there is a need design health-promoting for scalability consider key aspects scale-up process. In this opinion piece, we aim identify challenges advance knowledge action toward scaling-up interventions. We highlight roles planning at outset, pathways, trust partners program support, adaptation, evaluation scale-up, barriers facilitators scaling-up. draw upon our experience effective provide solid foundation from which others can work bridging implementation-to-scale-up gap.

Язык: Английский

---

‘Walk Buds’: A walking intervention to increase physical activity, physical fitness, and emotional wellbeing, in 9–13 year old children with intellectual disabilities. Results of a clustered randomised feasibility trial

Journal of Applied Research in Intellectual Disabilities, Год журнала: 2024, Номер 37(5)

Опубликована: Июнь 27, 2024

Abstract Background Children with intellectual disability are less physically active and more sedentary than typically developing peers. To date no studies have tested the feasibility of a school‐based walking intervention for children Intellectual Disability. Method A clustered randomised controlled trial (cRCT), an embedded process evaluation, was used to test intervention. Eight schools ( n = 161 pupils aged 9–13 years) were into either arm or ‘exercise as usual’ arm. Measures included physical activity, fitness emotional wellbeing. Baseline 3‐month follow‐up data collected. Results The ‘Walk Buds’ found be acceptable teaching staff pupils, uptake rate sessions offered 84%. Conclusion number challenges experienced, relating COVID‐19 pandemic, difficulties collecting accelerometer data. Barriers, facilitators required changes identified through mixed methods evaluation discussed.

Язык: Английский

---

Effects of a staff-led multicomponent physical activity intervention on preschooler's fundamental motor skills and physical fitness: The ACTNOW cluster-randomized controlled trial

International Journal of Behavioral Nutrition and Physical Activity, Год журнала: 2024, Номер 21(1)

Опубликована: Июль 3, 2024

Abstract Background Fundamental motor skills (FMS) and physical fitness (FIT) play important roles in child development provide a foundation for lifelong participation activity (PA). Unfortunately, many children have suboptimal levels of PA, FMS, FIT. The Active Learning Norwegian Preschool(er)s (ACTNOW) study investigated the effects staff-led PA intervention on FIT, 3–5-year-old children. Methods Preschools Western Norway having ≥ six 3–4-year-old were invited ( n = 56). Of these, 46 agreed to participate cluster-randomized into an 23 preschools [381 children, 3.8 yrs., 55% boys]) or control group [438, 3.7 52% boys]). Intervention participated 18-month involving 7-month staff professional between 2019 2022, amounting 50 h, including face-to-face seminars, webinars, digital lectures. Primary outcomes ACTNOW cognition variables, whereas this secondary outcomes. FMS was measured through 9 items covering locomotor, object control, balance skills. FIT assessed as (4 × 10 shuttle-run test) upper lower muscular strength (handgrip standing long jump). with accelerometers (ActiGraph GT3X +). All measures took place at baseline, 7-, follow-up. Effects analysed using repeated linear mixed model preschool random adjustment baseline scores. Results Participants showed positive, significant 7 months (standardized effect size (ES) 0.17) locomotor 18 (ES 0.21) relative controls. A negative found handgrip -0.16) months. No skills, jump, fitness. During hours, sedentary time decreased -0.18), light 0.14) moderate-to-vigorous 0.16) increased months, -0.15), vs control. other intensities full day PA. Conclusions improved some short-term. Further research is needed investigate how improve effectiveness interventions achieve sustainable improvements children’s Trial registration Clinicaltrials.gov, identifier NCT04048967 , registered August 7, 2019. Funding supported by Research Council (grant number 287903), County Governor Sogn og Fjordane, Sparebanken Fjordane Foundation, University Applied Sciences.

Язык: Английский

---

Creativity outcomes of physical activity interventions for children and adolescents: A Systematic Review

Thinking Skills and Creativity, Год журнала: 2024, Номер unknown, С. 101644 - 101644

Опубликована: Сен. 1, 2024

Язык: Английский

---