A Mixed Methods Process Evaluation of the Implementation of JUMP-in, a Multilevel School-Based Intervention Aimed at Physical Activity Promotion
A Mixed Methods Process Evaluation of the Implementation of JUMP-in, a Multilevel School-Based Intervention Aimed at Physical Activity Promotion
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DOI：
10.1177/1524839912465750
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发表时间：
2013-09-01
影响因子：
1.9
通讯作者：
Chinapaw, Mai J. M.
中科院分区：
文献类型：
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作者：
de Meij, Judith S. B.;van der Wal, Marcel F.;Chinapaw, Mai J. M.
背景本研究的目的是调查影响因素的采用，实施和制度化的过程中，跨层次的学校为基础的体育活动促进计划，以优化传播的干预措施，提高其有效性。过程评价关注社会政治、组织、用户和干预层面的制约因素和成败因素。方法.在两个学年（2006-2008年）期间采用了包括定性和定量数据的混合方法。结果JUMP-in成功地融入了阿姆斯特丹市政政策以及相关部门的组织结构和日常实践。一个普遍的阻碍因素是多层次方案的复杂性，需要各组织之间的多学科合作。此外，关于使创新标准化和简化的建议与根据当地环境、社会和文化方面调整战略的必要性之间存在差异。结论.这一过程评价为管理有效创新的先决条件与日常实施实践要求之间的差异提供了挑战和补救措施。主要建议是：（a）标准化、简化的指导方针;（B）逐步实施;（c）正式结盟、政策一体化以及任务和协议的同步化;（d）通过明确的沟通和反馈手段进行明智的规划和控制。如果将这些建议纳入JUMP干预和组织中，可以预期提高有效性和长期效果。
Background. The aim of the present study was to investigate factors influencing the adoption, implementation, and institutionalization process of JUMP-in-a multilevel school-based physical activity promotion program-to optimize the dissemination of the intervention and improve its effectiveness. The process evaluation concerned the constraints and success and failure factors at sociopolitical, organizational, user, and intervention levels. Methods. A mixed methods approach including qualitative and quantitative data was conducted during two school years (2006-2008). Results. JUMP-in was successfully embedded in the Amsterdam municipal policy and in the organizational structure and daily practices of the sectors involved. A general impeding factor was the complexity of the multilevel programme requiring multidisciplinary collaboration between organizations. In addition, there was a discrepancy between the recommendation to standardize and simplify the innovation and the need to tailor the strategies to local environmental, social, and cultural aspects. Conclusions. This process evaluation provides challenges and remedies for managing discrepancies between prerequisites for an effective innovation and demands of daily implementation practice. The main recommendations are (a) standardized, simplified guidelines; (b) stepwise implementation; (c) formalized coalitions, integration of policy, and synchronization of tasks and protocols; and (d) smart planning and control by clear communication and feedback instruments. If these recommendations are incorporated into the JUMP-in intervention and organization, increased effectiveness and long-term effects can be expected.