一项横断面研究,评估对多成分实施策略("走出户外,积极锻炼 "计划)的实施所做的修改,以改善幼儿教育和保育服务中的儿童体育活动。

IF 1.4 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Health Promotion Journal of Australia Pub Date : 2024-08-26 DOI:10.1002/hpja.920
Luke Giles, Nicole Pearson, Hannah Lamont, Alice Grady, Sze Lin Yoong
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引用次数: 0

摘要

解决的问题:走出户外,积极参加户外活动(GOGA)计划是一项随机对照试验,该试验测试了由多部分组成的实施策略的影响,以支持幼儿教育和保育(ECEC)服务机构用室内-室外自由游戏取代室内自由游戏。这项横断面研究旨在利用基于证据的实施策略调整和修改报告框架(FRAME-IS)描述对实施策略和行为改变技术(BCTs)所做修改的程度和性质,并描述在整个 GOGA 过程中 BCT 实施的忠实性:方法:在干预组的整个干预实施期间对记录进行审计。GOGA 包括六种实施策略中的 14 种标准 BCT。健康促进官员通过项目记录对修改和BCT实施情况进行了记录。根据 FRAME-IS 对修改进行分类。采用核对表记录幼儿保育和教育项目的实施情况:结果:44 项幼儿保育和教育服务接受了 GOGA 计划。总共记录了 60 项修改。根据 FRAME-IS 的分类,大多数修改涉及:内容;形式;实用或实际考虑;定制/调整/改进性质;忠实性不一致;目标是提高实施工作的可接受性、适当性或可行性;理由是从业人员层面的;计划外/反应性。总体而言,96.4% 的标准 BCT 按计划实施:结论:从BCT的实施水平来看,GOGA的实施高度忠实于协议。本文详细介绍了记录修改的全面方法,并为今后的研究提供了指导。所以呢:这篇文章为新出现的有关记录公共卫生实施干预的调整和修改的证据做出了贡献。
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A cross-sectional study assessing modifications to the delivery of a multi-component implementation strategy (the Get Outside, Get Active program) to improve child physical activity in early childhood education and care services.

Issue addressed: The Get Outside, Get Active (GOGA) program is a randomised controlled trial which tested the impact of a multi-component implementation strategy to support early childhood education and care (ECEC) services to replace indoor-only free play with indoor-outdoor-free play. This cross-sectional study aims to describe the extent and nature of modifications made to implementation strategies and Behaviour Change Techniques (BCTs) using the Framework for Reporting Adaptations and Modifications to Evidence-based Implementation Strategies (FRAME-IS) and to describe the fidelity of BCT delivery throughout GOGA.

Methods: An audit of records was undertaken throughout the intervention delivery period in the intervention arm. GOGA included 14 standard BCTs within six implementation strategies. Modifications and BCT delivery were recorded by Health Promotion Officers via project records. Modifications were categorised according to the FRAME-IS. BCT delivery was recorded using a checklist.

Results: Forty-four ECEC services received the GOGA program. Overall, 60 modifications were recorded. According to FRAME-IS categories, most modifications related to: content; format; pragmatic or practical considerations; tailoring/tweaking/refining in nature; fidelity was inconsistent; the goal was to increase the acceptability, appropriateness, or feasibility of the implementation effort; the rationale was at the practitioner level; and were unplanned/reactive. Overall, 96.4% of standard BCTs were delivered as intended.

Conclusions: GOGA was delivered with high fidelity to protocol as indicated by the level of BCT delivery. This article details a thorough approach to documenting modifications and provides guidance for future studies. SO WHAT?: This article contributes to the emerging evidence regarding documentation of adaptations and modifications to public health implementation interventions.

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来源期刊
Health Promotion Journal of Australia
Health Promotion Journal of Australia PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
3.10
自引率
10.50%
发文量
115
期刊介绍: The purpose of the Health Promotion Journal of Australia is to facilitate communication between researchers, practitioners, and policymakers involved in health promotion activities. Preference for publication is given to practical examples of policies, theories, strategies and programs which utilise educational, organisational, economic and/or environmental approaches to health promotion. The journal also publishes brief reports discussing programs, professional viewpoints, and guidelines for practice or evaluation methodology. The journal features articles, brief reports, editorials, perspectives, "of interest", viewpoints, book reviews and letters.
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