Tara McGoey1, Zach Root2, Mark W Bruner3, Barbi Law4. 1. Schulich School of Education, Nipissing University, 100 College Drive, North Bay, ON P1B 8L7, Canada. Electronic address: m0259261@community.nipissingu.ca. 2. Schulich School of Education, Nipissing University, 100 College Drive, North Bay, ON P1B 8L7, Canada. Electronic address: zlroot885@community.nipissingu.ca. 3. Schulich School of Education, Nipissing University, 100 College Drive, North Bay, ON P1B 8L7, Canada. Electronic address: markb@nipissingu.ca. 4. Schulich School of Education, Nipissing University, 100 College Drive, North Bay, ON P1B 8L7, Canada. Electronic address: barbil@nipissingu.ca.
Abstract
CONTEXT: An identified limitation of existing reviews of physical activity interventions in school-aged youth is the lack of reporting on issues related to the translatability of the research into health promotion practice. OBJECTIVE: This review used the Reach, Efficacy/Effectiveness, Adoption, Implementation and Maintenance framework to determine the extent to which intervention studies promoting physical activity in youth report on factors that inform generalizability across settings and populations. METHODS AND RESULTS: A systematic search for controlled interventions conducted within the last ten years identified 50 studies that met the selection criteria. Based on Reach, Efficacy/Effectiveness, Adoption, Implementation and Maintenance criteria, most of these studies focused on statistically significant findings and internal validity rather than on issues of external validity. Due to this lack of information, it is difficult to determine whether or not reportedly successful interventions are feasible and sustainable in an uncontrolled, real-world setting. CONCLUSIONS: Areas requiring further research include costs associated with recruitment and implementation, adoption rate, and representativeness of participants and settings. This review adds data to support recommendations that interventions promoting physical activity in youth should include assessment of adoption and implementation issues.
CONTEXT: An identified limitation of existing reviews of physical activity interventions in school-aged youth is the lack of reporting on issues related to the translatability of the research into health promotion practice. OBJECTIVE: This review used the Reach, Efficacy/Effectiveness, Adoption, Implementation and Maintenance framework to determine the extent to which intervention studies promoting physical activity in youth report on factors that inform generalizability across settings and populations. METHODS AND RESULTS: A systematic search for controlled interventions conducted within the last ten years identified 50 studies that met the selection criteria. Based on Reach, Efficacy/Effectiveness, Adoption, Implementation and Maintenance criteria, most of these studies focused on statistically significant findings and internal validity rather than on issues of external validity. Due to this lack of information, it is difficult to determine whether or not reportedly successful interventions are feasible and sustainable in an uncontrolled, real-world setting. CONCLUSIONS: Areas requiring further research include costs associated with recruitment and implementation, adoption rate, and representativeness of participants and settings. This review adds data to support recommendations that interventions promoting physical activity in youth should include assessment of adoption and implementation issues.
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Authors: Nádia P Pinheiro-Carozzo; Sheila G Murta; Luís Gustavo do A Vinha; Isabela M da Silva; Anne Marie G V Fontaine Journal: Psicol Reflex Crit Date: 2021-06-15