Aligning Organizational Priorities and System Policies to Support Implementation Scale‐Up of a Tailored Classroom‐Based Physical Activity Intervention in Low‐Resource Schools*.

Background: A mismatch between organizational priorities and system‐level policies can negatively impact implementation and sustainment of classroom‐based physical activity (PA) interventions. The purpose of this study was twofold: (1) present methods to systematically identify organization‐ and sys...

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Publicado en:Journal of School Health Vol. 93; no. 6; pp. 464 - 475
Autores principales: Hasson, Rebecca E., Eisman, Andria B., Wassmann, Amy, Beemer, Lexie R., Templin, Thomas, Malinoff, Lynn, Zernicke, Ronald, Rabaut, Lisa
Formato: research tables/charts Journal Article
Publicado: Wiley-Blackwell Jun2023
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jun2023
      vid: 93
      iid: 6
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        10.1111/josh.13321
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        atl: Aligning Organizational Priorities and System Policies to Support Implementation Scale‐Up of a Tailored Classroom‐Based Physical Activity Intervention in Low‐Resource Schools*.
      aug:
        au:
          Hasson, Rebecca E.
          Eisman, Andria B.
          Wassmann, Amy
          Beemer, Lexie R.
          Templin, Thomas
          Malinoff, Lynn
          Zernicke, Ronald
          Rabaut, Lisa
        affil: University of Michigan School of Kinesiology, Ann Arbor, MI 48109
      sug:
        subj:
          Schools
          Learning Environment
          Physical Activity
          Program Implementation
          Health Policy
          Organizational Objectives Michigan
          Health Priorities
          Social Determinants of Health
          Michigan
          Semi-Structured Interview
          Human
          Scales
          Child Health
          Adolescent Health
          Implementation Science
          Quasi-Experimental Studies
          Multimethod Studies
          Quantitative Studies
          Qualitative Studies
          Summated Rating Scaling
          Phenomenological Research
          Thematic Analysis
          Content Analysis
          Comparative Studies
          Adult
          Middle Age
          Male
          Female
          Teachers
          Social Workers
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Male
          Female
      ab: Background: A mismatch between organizational priorities and system‐level policies can negatively impact implementation and sustainment of classroom‐based physical activity (PA) interventions. The purpose of this study was twofold: (1) present methods to systematically identify organization‐ and system‐level implementation barriers, and (2) align organizational priorities and system policies by designing multi‐level implementation strategies. This alignment will support implementation scale‐up of a tailored PA intervention in one low‐resource intermediate school district (ISD; 16 districts, 32 schools) in central Michigan. Methods: Multi‐level assessments of organizational readiness were conducted using the Hexagon Discussion and Analysis Tool to assess intervention‐context fit, the Wellness School Assessment Tool 3.0 to evaluate district PA policy strength and comprehensiveness, and semi‐structured interviews were conducted to assess administrative support and priorities related to PA programming. Results: Our assessments revealed three implementation barriers: limited structural capacity to sustain teacher training, limited resources across districts and school buildings to support teachers, and misalignment of ISD and district PA policies and priorities. Conclusions: Greater attention to organizational capacity and existing infrastructure should be considered a priori to support effective implementation and sustainment of PA interventions in low‐resource schools.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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