Planned adaptation and implementation of the Community Guide recommendations for increasing physical activity in rural community settings: A qualitative study.
Planned adaptation and implementation of the Community Guide recommendations for increasing physical activity in rural community settings: A qualitative study.
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DOI：
10.3389/fpubh.2023.1032662
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发表时间：
2023
影响因子：
5.2
通讯作者：
Davis, Sally M.
中科院分区：
文献类型：
--
作者：
Hess, Julia Meredith;Davis, Sally M.
本文的目的是报告基于证据的模型VIVA的实施情况，该模型旨在将体育活动（PA）建议转化为农村环境，并扩展到新墨西哥州的12个农村社区。我们的纵向定性研究描述了农村环境下的计划适应过程，并探索了内部和外部环境适应，其中考虑了包括领导、伙伴关系和协作在内的重要实施结构。RE-AIM框架的增强版本用于制定社区一级的参与和对实施科学至关重要的过程问题。定性方法采用主题方法，包括归纳和演绎编码，并关注过程，用于探索社区层面的适应。数据包括对17位社区领导人的半结构化访谈，以及10位随访、实地记录和技术援助跟踪表格。采用NVivo定性数据分析软件进行分析。分析表明，有计划地调整实施模式对于在农村社区传播至关重要。理解和适应当地环境——包括地理、文化、经济——是实施的关键。内部背景结构被认为在实施模式中很重要，包括领导、伙伴关系和政治参与，是实施成功的关键。此外，我们还提供了具体的例子，说明农村社区中这些问题的范围和复杂性，以及这些问题如何影响实施的接受和成功。研究农村环境下有计划的适应过程将进一步落实科学工作，将证据转化为实践。至关重要的是，要将有计划的适应纳入地方和社区背景，以创建易于鼓励采用的模式，以证据为基础，并在不损害以证据为基础的模式的完整性的情况下适应当地条件。
The purpose of this paper is to report on the implementation of an evidence-based model, VIVA, which was developed to translate physical activity (PA) recommendations to rural environments and was scaled-up to 12 rural communities across New Mexico. Our longitudinal qualitative research describes processes of planned adaptation in the rural context with an exploration of inner and outer context adaptations that consider important implementation constructs including leadership, partnership and collaboration. An enhanced version of the RE-AIM framework was used to formulate community-level engagement and process questions essential to implementation science. Qualitative methods, using a thematic approach that included both inductive and deductive coding with attention to processes, was used to explore adaptation at the community level. Data included semi-structured interviews with 17 community leaders at baseline and 10 at follow-up, fieldnotes, and technical assistance tracking forms. Analysis was conducted with NVivo qualitative data analysis software. Analysis demonstrated how planned adaptation of the implementation model was critical to dissemination in rural communities. Understanding and adapting to local context—including geography, culture, economics—is essential for implementation. Inner context constructs, recognized as important across implementation models, including leadership, partnerships and political engagement were found to be key to implementation success. Moreover, we provide concrete examples of the range and complexity of these issues in rural communities, and how these shaped implementation uptake and success. Studying processes of planned adaptation in rural contexts will further implementation science efforts to move evidence into practice. It is essential to incorporate planned adaptation to local, community contexts to create models which are simple to encourage adoption, are evidence-based, and are adaptable to local conditions without compromising the integrity of the evidence-based model.
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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/s13012-015-0242-0
发表时间：
2015-04-21
期刊：
Implementation science : IS
影响因子：
--
作者：
Nilsen P
通讯作者：
Nilsen P
DOI：
10.1353/cpr.2017.0019
发表时间：
2017-06-01
影响因子：
1.1
作者：
Davis, Sally M.;Cruz, Theresa H.;Page-Reeves, Janet
通讯作者：
Page-Reeves, Janet
影响因子：
7.2
作者：
Stirman, Shannon Wiltsey;Baumann, Ana A.;Miller, Christopher J.
通讯作者：
Miller, Christopher J.
影响因子：
7.2
作者：
Aarons, Gregory A.;Sklar, Marisa;Brown, C. Hendricks
通讯作者：
Brown, C. Hendricks