Scalability and scaling-up strategy of a physical activity policy intervention in Australian childcare centres.
There is an urgent need for scalable interventions to promote physical activity in early childhood. An early childhood education and care (ECEC) physical activity policy intervention with implementation support strategies (Play Active) has been proposed for scale-up in Australia. This study sought t...
| Publicado en: | Health Promotion International Vol. 40; no. 5; pp. 1 - 12 |
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| Autores principales: | , , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Oxford University Press / USA
Oct2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=189288959&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 189288959 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09574824 F9Y jtl: Health Promotion International issn: 09574824 maglogo: N pubinfo: dt: Oct2025 vid: 40 iid: 5 pid: 622 pub: Oxford University Press / USA artinfo: ui: 189288959 189288959 189288959 10.1093/heapro/daaf145 189288959 ppf: 1 ppct: 11 formats: tig: atl: Scalability and scaling-up strategy of a physical activity policy intervention in Australian childcare centres. aug: au: Christian, Hayley Mclaughlin, Matthew Nathan, Andrea Adams, Emma Bauman, Adrian Naylor, Patti-Jean Shilton, Trevor Maher, Carol Trost, Stewart G Schipperijn, Jasper affil: The Kids Research Institute Australia, The University of Western Australia, 15 Hospital Avenue, Nedlands, Perth, WA 6009, Australia sug: subj: Health Promotion Methods Physical Activity Health Policy Early Childhood Intervention Child Day Care Australia Program Implementation Psychosocial Factors Program Evaluation Human Australia Scales Time Professional Development Personnel, Health Facility World Wide Web Implementation Science Sedentary Behavior Prevention and Control Exercise Health Behavior Cost Effectiveness Analysis Professional Knowledge Prospective Studies Western Australia South Australia Queensland Descriptive Statistics Stakeholder Participation Funding Source Parents Qualitative Studies Interviews Focus Groups Membership Self Assessment Child, Preschool Child, Preschool: 2-5 years ab: There is an urgent need for scalable interventions to promote physical activity in early childhood. An early childhood education and care (ECEC) physical activity policy intervention with implementation support strategies (Play Active) has been proposed for scale-up in Australia. This study sought to assess the scalability of Play Active and describe the Play Active scaling-up strategy. The Intervention Scalability Assessment Tool was used to assess scalability. The PRACTical planning for Implementation and Scale-up (PRACTIS) guided the scaling-up strategy and involved: (i) characterizing the implementation setting; (ii) identifying existing/new partnerships; (iii) identifying barriers and facilitators to implementation; (iv) addressing barriers through adaptations. The Play Active scalability assessment domains with the highest scores (>2.5/3) were for the problem, intervention, reach and acceptability. Four additional domains scored highly (>2/3): fidelity and adaptation, delivery settings and workforce, implementation infrastructure, and strategic/political context. The lowest scores (<2/3) were the evidence of effectiveness, intervention costs and benefits, and sustainability domains. The PRACTIS guide showed that the implementation setting and existing and new partnerships were appropriate for scaling-up Play Active. The PRACTIS guide also identified key barriers (e.g. staff time) and enablers (e.g. staff professional development) to implementation at scale. Adaptations were identified to address these barriers (e.g. intervention delivery via a customised website). Overall, the scalability assessment revealed gaps in some scalability domains to be addressed through further research and adaptation of Play Active. The proposed scale-up trial evaluation is crucial to support decision-makers to fund, scale and institutionalize Play Active in the real world. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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