Improving physical activity program adoption using integrated research-practice partnerships: an effectiveness-implementation trial
Improving physical activity program adoption using integrated research-practice partnerships: an effectiveness-implementation trial
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DOI：
10.1007/s13142-015-0380-6
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发表时间：
2017-03-01
影响因子：
3.6
通讯作者：
Estabrooks, Paul A.
中科院分区：
文献类型：
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作者：
Harden, Samantha M.;Johnson, Sallie Beth;Estabrooks, Paul A.
综合研究实践伙伴关系（IRPPs）可以改善循证方案的采用。本研究的目的是比较采用IRPP开发的身体活动（PA）计划（健身扩展，FitEx），一个典型的功效，效果，传播管道模型计划（每天积极生活，ALED）。在达到有效性采用实施维护（RE-AIM）框架的指导下，一项随机对照试验将健康教育工作者（HE）分配到FitEx（n=18）或ALED（n = 18）。14名HE采用FitEx，而2名HE采用ALED（卡方（2）=21.8; p < 0.05）。FitEx家用电器交付时间更短（p < 0.05），表示更愿意继续执行计划（p < 0.05），并达到更多的参与者（共n = 1097; 83%女性; 70%白人; M-年龄= 44 +/- 11.8），而不是ALED（共n = 27; 60%女性; 50%白人; M-年龄= 41 +/- 11.3）。FitEx或ALED参与者的PA增加无显著差异（M增加= 9.12 +/- 29.09分钟/天; p > 0.05）。IRPP开发的程序可以提高PA程序的采用，实施和维护，也可能导致程序，有更高的影响力，而不降低有效性。
Integrated research-practice partnerships (IRPPs) may improve adoption of evidence-based programs. The aim of this study is to compare adoption of an IRPP-developed physical activity (PA) program (Fit Extension, FitEx) to a typical efficacy-effectiveness-dissemination pipeline model program (Active Living Every Day, ALED). Guided by the Reach Effectiveness Adoption Implementation Maintenance (RE-AIM) framework, a randomized controlled trial assigned health educators (HEs) to FitEx (n=18) or ALED (n = 18). Fourteen HEs adopted FitEx, while two HEs adopted ALED (chi(2)=21.8; p < 0.05). FitEx HEs took less time to deliver (p < 0.05), stated greater intentions for continued program delivery (p < 0.05), and reached more participants (n = 1097 total; 83 % female; 70 % Caucasian; M-age = 44 +/- 11.8) per HE than ALED (n = 27 total; 60 % female; 50 % Caucasian; M-age = 41 +/- 11.3). No significant difference existed in FitEx or ALED participants' increased PA (M-increase = 9.12 +/- 29.09 min/day; p > 0.05). IRPP-developed programs may improve PA program adoption, implementation, and maintenance and may also result in programs that have higher reach-without reducing effectiveness.