Implementation and scale up of population physical activity interventions for clinical and community settings: the PRACTIS guide
Implementation and scale up of population physical activity interventions for clinical and community settings: the PRACTIS guide
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DOI：
10.1186/s12966-018-0678-0
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发表时间：
2018-06-08
影响因子：
8.7
通讯作者：
Bauman, Adrian
中科院分区：
文献类型：
--
作者：
Koorts, Harriet;Eakin, Elizabeth;Bauman, Adrian
背景：很少有有效的身体活动干预措施在实践中被成功地转化和维持。我们提出了一个实用的指导研究人员，以增加成功实施的可能性，并在实践环境中扩大身体活动干预。该指南基于两个原则：（i）研究和实践背景之间的差异可以在干预措施制定和实施规划期间通过关注系统、交付人员和干预措施特征来解决;（ii）早期规划实施障碍和促进者可以改善随后的实践转化。从已发表的文献中，我们确定了改善研究实践翻译的策略的证据，沿着叙述性描述了解决翻译挑战的不同方法。这些，沿着从广泛引用的实施结果，过程和机制模型中提取的结构进行了整理，并为指南提供信息。（实施和扩展的实践规划）包括以下四个迭代步骤：步骤1）描述实施环境的参数;步骤2）识别并吸引交付系统内多个级别的关键利益相关者;第3步）确定实施的背景障碍和促进因素;第4步）解决有效实施的潜在障碍。结论：缺乏对研究人员如何有效规划实施和扩大体力活动干预措施的实用指导，使我们无法快速从证据转向行动。我们建议，在干预规划的早期阶段，应优先考虑制定和调整干预措施，以便广泛和持续地实施，并让实施组织和利益攸关方积极参与。PRACTIS指南也适用于其他预防领域的临床和公共卫生研究人员。
Background: Few efficacious physical activity interventions are successfully translated and sustained in practice. We propose a practical guide for researchers to increase the likelihood of successful implementation and scale up of physical activity interventions in practice contexts. The guide is based on two principles: (i) differences between the research and practice context can be addressed during intervention development and implementation planning by focusing on system, delivery personnel, and intervention characteristics; and (ii) early planning for implementation barriers and facilitators can improve subsequent translation into practice.Methods: From the published literature, we identified evidence of strategies to improve research-practice translation, along with narrative descriptions of different approaches to addressing translational challenges. These, along with constructs taken from widely cited implementation outcome, process, and mechanistic models were collated and inform the guide.Results: The resultant PRACTIS guide (PRACTical planning for Implementation and Scale-up) comprised the following four iterative steps: Step 1) Characterize the parameters of the implementation setting; Step 2) Identify and engage key stakeholders across multiple levels within the delivery system(s); Step 3) Identify contextual barriers and facilitators to implementation, and; Step 4) Address potential barriers to effective implementation.Conclusions: A lack of practical guidance for researchers on how to effectively plan implementation and scale up of physical activity interventions prevents us moving quickly from evidence to action. We recommend that intervention development and adaptation for broad and sustained implementation be prioritized early in intervention planning and include active engagement from delivery organizations and stakeholders. The PRACTIS guide is also relevant for clinical and public health researchers in other areas of prevention.