Promoting the implementation of a computer-tailored physical activity intervention: development and feasibility testing of an implementation intervention.

Autor: Peels DA; Department of Psychology, Open University of the Netherlands, Heerlen, P.O. Box 2960, Heerlen, 6401 DL, The Netherlands. Denise.peels@ou.nl., Boekhout JM; Department of Psychology, Open University of the Netherlands, Heerlen, P.O. Box 2960, Heerlen, 6401 DL, The Netherlands., van Nassau F; Department of Public and Occupational Health, Amsterdam UMC, Location Vrije Universiteit Amsterdam, Boelelaan 1117, Amsterdam, The Netherlands., Lechner L; Department of Psychology, Open University of the Netherlands, Heerlen, P.O. Box 2960, Heerlen, 6401 DL, The Netherlands., Bolman CAW; Department of Psychology, Open University of the Netherlands, Heerlen, P.O. Box 2960, Heerlen, 6401 DL, The Netherlands., Berendsen BAJ; Department of Nutrition and Movement Sciences, Faculty of Health Medicine and Life Sciences, Maastricht University Medical Centre, PO Box 616, Maastricht, 6200 MD, The Netherlands.
Jazyk: angličtina
Zdroj: Implementation science communications [Implement Sci Commun] 2024 Aug 19; Vol. 5 (1), pp. 90. Date of Electronic Publication: 2024 Aug 19.
DOI: 10.1186/s43058-024-00622-8
Abstrakt: Background: Although there are many proven effective physical activity (PA) interventions for older adults, implementation in a real world setting is often limited. This study describes the systematic development of a multifaceted implementation intervention targeting the implementation of an evidence-based computer-tailored PA intervention and evaluates its use and feasibility.
Methods: The implementation intervention was developed following the Intervention Mapping (IM) protocol, supplemented with insights from implementation science literature. The implementation intervention targets the municipal healthcare policy advisors, as an important implementation stakeholder in Dutch healthcare system. The feasibility of the implementation intervention was studied among these stakeholders using a pretest-posttest design within 8 municipal healthcare settings. Quantitative questionnaires were used to assess task performance (i.e. achievement of performance objectives), and utilization of implementation strategies (as part of the intervention). Furthermore, changes in implementation determinants were studied by gathering quantitative data before, during and after applying the implementation intervention within a one-year period. Additionally, semi-structured interviews with stakeholders assessed their considerations regarding the feasibility of the implementation intervention.
Results: A multi-faceted implementation intervention was developed in which implementation strategies (e.g. funding, educational materials, meetings, building a coalition) were selected to target the most relevant identified implementation determinants. Most implementation strategies were used as intended. Execution of performance objectives for adoption and implementation was relatively high (75-100%). Maintenance objectives were executed to a lesser degree (13-63%). No positive changes in implementation determinants were found. None of the stakeholders decided to continue implementation of the PA intervention further, mainly due to the unforeseen amount of labour and the disappointing reach of end-users.
Conclusion: The current study highlights the importance of a thorough feasibility study in addition to the use of IM. Although feasibility results may have demonstrated that stakeholders broadly accepted the implementation intervention, implementation determinants did not change favorably, and stakeholders had no plans to continue the PA intervention. Yet, choices made during the development of the implementation intervention (i.e. the operationalization of Implementation Mapping) might not have been optimal. The current study describes important lessons learned when developing an implementation intervention, and provides recommendations for developers of future implementation interventions.
(© 2024. The Author(s).)
Databáze: MEDLINE
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