Barriers and facilitators influencing the sustainment of health behaviour interventions in schools and childcare services: a systematic review.
Barriers and facilitators influencing the sustainment of health behaviour interventions in schools and childcare services: a systematic review.
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DOI：
10.1186/s13012-021-01134-y
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发表时间：
2021-06-12
期刊：
影响因子：
--
通讯作者：
Nathan N
中科院分区：
文献类型：
--
作者：
Shoesmith A;Hall A;Wolfenden L;Shelton RC;Powell BJ;Brown H;McCrabb S;Sutherland R;Yoong S;Lane C;Booth D;Nathan N
维持的定义是，在外部执行支助停止后，在实践中持续使用或提供干预措施。本综述旨在识别和综合影响学校和儿童保育服务中干预措施（政策，实践或计划）的持续性的因素（障碍和促进因素），以解决慢性病的主要风险因素。检索了7个电子数据库和相关参考文献列表，以查找从成立到2020年3月以英语发表的任何设计的文章。如果文章定性和/或定量地报告了学校或儿童保育利益相关者（包括教师、校长、行政人员或管理人员）认为的维持干预措施的障碍或促进因素，以解决饮食/营养不良、缺乏身体活动、肥胖、吸烟或有害酒精使用，则将其纳入。两名独立审查员在综合可持续性框架的指导下筛选文本，提取和编码数据，这是一个评估可持续因素的现有多层次可持续性具体框架。在识别的13，158篇文章中，31篇文章符合纳入标准（8篇定量文章，12篇定性文章，10篇混合方法文章和1篇总结文章）。总体而言，29篇文章在学校进行（小学n=17，中学n=3，中学n=4，或组合n=5）和两个在儿童保育机构。目标主要健康行为包括体力活动（n=9），饮食（n=3），饮食和体力活动（n=15），吸烟（n=4），或单独（n=1）或与其他健康行为（n=3）相结合。研究结果表明，大多数的59个障碍和74个调解人确定影响干预的可持续性是相似的，在整个学校和儿童保育环境。主要与组织的“内部环境因素”相关的因素包括：设施或设备的可用性，持续的行政或领导支持，以及团队凝聚力，支持或团队合作被利益相关者视为对干预维持有影响力。确定战略，以改善这些环境中的健康行为干预措施的可持续性，需要全面了解可能阻碍或促进其持续交付的因素。本次审查确定了多层次的因素，可以解决的战略，以提高这种干预措施的可持续性，并建议未来的研究如何解决证据基础的差距。该综述于2020年1月在PROSPERO上前瞻性注册：CRD 42020127869。在线版本包含补充材料，可通过10.1186/s13012-021-01134-y获得。
Sustainment has been defined as the sustained use or delivery of an intervention in practice following cessation of external implementation support. This review aimed to identify and synthesise factors (barriers and facilitators) that influence the sustainment of interventions (policies, practices, or programmes) in schools and childcare services that address the leading risk factors of chronic disease. Seven electronic databases and relevant reference lists were searched for articles, of any design, published in English, from inception to March 2020. Articles were included if they qualitatively and/or quantitatively reported on school or childcare stakeholders’ (including teachers, principals, administrators, or managers) perceived barriers or facilitators to the sustainment of interventions addressing poor diet/nutrition, physical inactivity, obesity, tobacco smoking, or harmful alcohol use. Two independent reviewers screened texts, and extracted and coded data guided by the Integrated Sustainability Framework, an existing multi-level sustainability-specific framework that assesses factors of sustainment. Of the 13,158 articles identified, 31 articles met the inclusion criteria (8 quantitative, 12 qualitative, 10 mixed-methods, and 1 summary article). Overall, 29 articles were undertaken in schools (elementary n=17, middle n=3, secondary n=4, or a combination n=5) and two in childcare settings. The main health behaviours targeted included physical activity (n=9), diet (n=3), both diet and physical activity (n=15), and smoking (n=4), either independently (n=1) or combined with other health behaviours (n=3). Findings suggest that the majority of the 59 barriers and 74 facilitators identified to impact on intervention sustainment were similar across school and childcare settings. Factors predominantly relating to the ‘inner contextual factors’ of the organisation including: availability of facilities or equipment, continued executive or leadership support present, and team cohesion, support, or teamwork were perceived by stakeholders as influential to intervention sustainment. Identifying strategies to improve the sustainment of health behaviour interventions in these settings requires a comprehensive understanding of factors that may impede or promote their ongoing delivery. This review identified multi-level factors that can be addressed by strategies to improve the sustainment of such interventions, and suggests how future research might address gaps in the evidence base. This review was prospectively registered on PROSPERO: CRD42020127869, Jan. 2020. The online version contains supplementary material available at 10.1186/s13012-021-01134-y.
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影响因子：
12.7
作者：
Glasgow, RE;Vogt, TM;Boles, SM
通讯作者：
Boles, SM
DOI：
10.1186/1748-5908-4-50
发表时间：
2009-08-07
期刊：
Implementation science : IS
影响因子：
--
作者：
Damschroder LJ;Aron DC;Keith RE;Kirsh SR;Alexander JA;Lowery JC
通讯作者：
Lowery JC
DOI：
10.1055/s-0043-117878
发表时间：
2018-08-01
影响因子：
0.9
作者：
Adametz, Luise;Richter, Felicitas;Berger, Uwe
通讯作者：
Berger, Uwe
影响因子：
4.5
作者：
Day, Rhiannon Eleanor;Sahota, Pinki;Christian, Meaghan Sarah
通讯作者：
Christian, Meaghan Sarah
影响因子：
1.9
作者：
de Meij, Judith S. B.;van der Wal, Marcel F.;Chinapaw, Mai J. M.
通讯作者：
Chinapaw, Mai J. M.