Hunter New England Population Health, Longworth Avenue, Wallsend, 2287, NSW, Australia.
School of Medicine and Public Health, University of Newcastle, University Dr, Callaghan, NSW, 2308, Australia.
Trials. 2020 Mar 17;21(1):268. doi: 10.1186/s13063-020-4187-5.
Physical Activity 4 Everyone (PA4E1) is a physical activity program for secondary schools located in low-socioeconomic areas. Over a 24-month period, schools in the program arm of a cluster randomised controlled trial (n = up to 38 schools) will receive a multi-component implementation support strategy to embed the seven school physical activity practices of the PA4E1 program. This article describes the process evaluation of the PA4E1 hybrid implementation-effectiveness trial. The process evaluation aims to describe the fidelity and reach of the implementation support strategies using quantitative data; and to describe the acceptability, appropriateness and feasibility of the implementation support strategies and physical activity practices to school stakeholders using mixed methods.
Quantitative and qualitative data will be collected from participants (Physical Education teachers, in-School Champions, students) in the program arm. Data collection will involve semi-structured interviews, focus groups, a fidelity monitoring log, a fidelity checklist, surveys, and routinely collected administrative and website data. Quantitative data will be analysed descriptively and qualitative data will be analysed thematically within and across data sets. Triangulation between data sources will be used to synthesise findings regarding the implementation and potential mechanisms of impact of PA4E1 on school physical activity practice adoption, with respect to context.
Results of the process evaluation will facilitate the interpretation of the findings of the trial outcomes. It will comprehensively describe what was actually implemented and identify the potential contribution of the various components of the implementation support strategy to the school physical activity practice adoption outcomes. Findings will inform future improvement and scale-up of PA4E1 and approaches to implementing secondary school-based physical activity programs more broadly.
Australian New Zealand Clinical Trials Registry ACTRN12617000681358 registered 12 May 2017.
“全民体育活动 4 所有人”（PA4E1）是一项针对位于低社会经济地区的中学的体育活动计划。在为期 24 个月的时间里，参与一项整群随机对照试验（n=最多 38 所学校）的项目组学校将获得一个多组件实施支持策略，以嵌入 PA4E1 计划的七个学校体育活动实践。本文描述了 PA4E1 混合实施-有效性试验的过程评估。该过程评估旨在使用定量数据描述实施支持策略的保真度和覆盖范围；并使用混合方法描述实施支持策略和体育活动实践对学校利益相关者的可接受性、适当性和可行性。
将从项目组中的参与者（体育教师、在校冠军、学生）中收集定量和定性数据。数据收集将包括半结构化访谈、焦点小组、保真度监测日志、保真度检查表、调查以及常规收集的行政和网站数据。定量数据将进行描述性分析，定性数据将在数据集内和跨数据集进行主题分析。将使用数据源之间的三角关系综合分析 PA4E1 对学校体育活动实践采用的实施和潜在影响机制的结果，考虑到背景因素。
过程评估的结果将有助于解释试验结果的发现。它将全面描述实际实施的情况，并确定实施支持策略的各个组成部分对学校体育活动实践采用结果的潜在贡献。研究结果将为未来改进和推广 PA4E1 以及更广泛地实施中学基础体育活动计划提供信息。
澳大利亚新西兰临床试验注册 ACTRN12617000681358 于 2017 年 5 月 12 日注册。
