Shah Sonam, Allison Kenneth R, Schoueri-Mychasiw Nour, Pach Beata, Manson Heather, Vu-Nguyen Karen
Faculty of Medicine, University of Toronto, 1 King's College Circle, Toronto, Ontario M5S 1A8.
Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario M5T 3M7.
J Sch Health. 2017 Jun;87(6):474-486. doi: 10.1111/josh.12514.
Measuring the implementation of school-based physical activity (PA) interventions is an important prerequisite in assessing their impact. Prior to conducting a study to assess the implementation of the daily physical activity (DPA) policy in Ontario, Canada, a literature review was conducted to identify existing survey instruments to measure 5 implementation outcomes: adoption, fidelity, implementation cost, reach, and sustainability.
A search for survey instruments to assess these implementation outcomes at the teacher and school administrator levels was conducted in 7 bibliographic databases, as well as the gray literature. Each survey instrument was coded as assessing 1 of the 5 implementation outcomes if it included at least 1 item measuring the construct.
Twenty-three survey instruments were identified. None of the instruments were specifically developed to measure the implementation outcomes. Fidelity was the most common implementation outcome measured, followed by adoption. The least common implementation outcome measured was sustainability. Thirty-five percent of survey instruments assessed were previously tested for validity and 26% were previously tested for reliability.
Based on this review, a gap in available instruments to measure implementation outcomes of school-based PA programs was identified. An adapted theoretical framework, presented here, has potential application in future implementation studies.
衡量基于学校的体育活动（PA）干预措施的实施情况是评估其影响的重要前提。在开展一项评估加拿大安大略省日常体育活动（DPA）政策实施情况的研究之前，进行了一项文献综述，以确定用于衡量5个实施结果的现有调查工具：采用情况、保真度、实施成本、覆盖范围和可持续性。
在7个书目数据库以及灰色文献中搜索用于评估教师和学校管理人员层面这些实施结果的调查工具。如果每个调查工具至少包含1个测量该结构的项目，则将其编码为评估5个实施结果中的1个。
共识别出23种调查工具。没有一种工具是专门为测量实施结果而开发的。保真度是最常被测量的实施结果，其次是采用情况。测量最少的实施结果是可持续性。35%的被评估调查工具之前进行过效度测试，26%之前进行过信度测试。
基于本次综述，发现了衡量基于学校的PA项目实施结果的现有工具存在差距。这里提出的一个经过改编的理论框架在未来的实施研究中具有潜在应用价值。
