Barriers and facilitators to implementing community-based physical activity interventions: a qualitative systematic review.

Background: Over the past decade several physical activity (PA) interventions have been shown to be efficacious in a controlled research setting, however there is a continued lack of evidence for how to successfully implement these PA interventions in real-world settings such as the community. This...

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Publicado en:International Journal of Behavioral Nutrition & Physical Activity Vol. 18; no. 1; pp. 1 - 14
Autores principales: Cooper, Jemima, Murphy, Joey, Woods, Catherine, Van Nassau, Femke, McGrath, Aisling, Callaghan, David, Carroll, Paula, Kelly, Paul, Murphy, Niamh, Murphy, Marie, Irish Physical Activity Research Collaboration (I-PARC), Bauman, Adrian, Cullen, Benny, Brolly, Colette, Bengoechea, Enrique García, Mansergh, Fiona, O'Donoghue, Grainne, Lavelle, James, Mutrie, Nanette, Barry, Niamh
Formato: research systematic review tables/charts Journal Article
Publicado: BioMed Central 9/7/2021
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 9/7/2021
      vid: 18
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      pub: BioMed Central
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        10.1186/s12966-021-01177-w
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        atl: Barriers and facilitators to implementing community-based physical activity interventions: a qualitative systematic review.
      aug:
        au:
          Cooper, Jemima
          Murphy, Joey
          Woods, Catherine
          Van Nassau, Femke
          McGrath, Aisling
          Callaghan, David
          Carroll, Paula
          Kelly, Paul
          Murphy, Niamh
          Murphy, Marie
          Irish Physical Activity Research Collaboration (I-PARC)
          Bauman, Adrian
          Cullen, Benny
          Brolly, Colette
          Bengoechea, Enrique García
          Mansergh, Fiona
          O'Donoghue, Grainne
          Lavelle, James
          Mutrie, Nanette
          Barry, Niamh
        affil: Physical Activity for Health Research Cluster, Physical Education & Sport Sciences Department, University of Limerick, Limerick, Ireland
      sug:
        subj:
          Physical Activity
          Health Promotion
          Community Programs
          Program Implementation
          Implementation Science
          Human
          Systematic Review
          CINAHL Database
          PubMed
          Exercise
          Thematic Analysis
      ab: Background: Over the past decade several physical activity (PA) interventions have been shown to be efficacious in a controlled research setting, however there is a continued lack of evidence for how to successfully implement these PA interventions in real-world settings such as the community. This review aims to explore the barriers and facilitators that affect the implementation of community-based PA interventions and make recommendations to improve implementation from the included studies. Methods: A systematic literature search of EBSCOhost, Scopus, PUBMED and Web of Science was conducted to identify articles that reported qualitative data on the implementation factors of community-based interventions where PA was a primary outcome. Data were extracted using the Consolidated Framework for Implementation Research (CFIR) as a guide. Implementation factors and recommendations were then mapped onto the 5 domains of the CFIR and synthesised thematically. Results: From 495 articles, a total of 13 eligible studies were identified, with 6 studies using a mixed methods approach, and 7 reporting qualitative methods only. There were 82 implementation factors identified, including 37 barriers and 45 facilitators, and a further 26 recommendations from the papers across all 5 domains of the CFIR. More barriers than facilitators were identified within the CFIR domain inner setting, in contrast to all other domains where facilitator numbers outweighed barriers. Conclusions: This review identified many facilitators and barriers of implementing physical activity interventions in the community. A key finding of this review was the impact of implementation strategies on successful implementation of community PA interventions. From the evidence, it was clear that many barriers to implementation could have been negated or reduced by an implementation plan in which several strategies are embedded. The findings of this review also suggest more attention to individual' skills and involvement is needed to improve self-efficacy and knowledge. The role of individuals across all organisational levels, from providers to leaders, can impact on the implementation of an intervention and its success. Trial registration: PROSPERO - CRD42020153821.
      pubtype: Academic Journal
      doctype:
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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