Priority Research Centre for Physical Activity and Nutrition, School of Education, University of Newcastle, Newcastle, New South Wales, Australia.
Institute for Positive Psychology and Education, Australian Catholic University, North Sydney, New South Wales, Australia.
Obes Rev. 2021 Jul;22(7):e13184. doi: 10.1111/obr.13184. Epub 2021 Feb 1.
School-based interventions can increase young people's physical activity levels, but few are implemented at-scale (i.e., the expanded delivery of efficacious interventions under real-world conditions into new/broader populations). The Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework can be used to describe the extent to which interventions have been implemented at-scale. The aim of our review was to determine the extent to which studies of school-based physical activity interventions implemented at-scale reported information across the RE-AIM dimensions. We conducted a systematic search of seven electronic databases to identify studies published up to June 2019. A total of 26 articles (representing 14 individual studies) met the inclusion criteria and were analyzed. Eleven studies reported actual or estimated number of students exposed to the intervention; however, the representativeness of these students was rarely reported. Nine studies reported the intervention effect on the primary outcome during scale-up. Ten studies reported the rate of participating schools/teachers; however, none reported on the characteristics of adopters/nonadopters. Eight studies reported intervention fidelity. Eleven studies described the extent to which the intervention was sustained in schools. There was considerable variability in the reporting of RE-AIM outcomes across studies. There is a need for greater consistency in the evaluation, and reporting of, school-based physical activity interventions implemented at-scale.
基于学校的干预措施可以提高年轻人的身体活动水平，但很少有措施能大规模实施（即，在现实条件下，将有效的干预措施扩大到新的/更广泛的人群）。RE-AIM（实施范围、效果、采用、实施和维持）框架可用于描述干预措施在多大程度上实现了大规模实施。我们的综述旨在确定在多大程度上，对大规模实施的基于学校的身体活动干预措施的研究报告了 RE-AIM 各个维度的信息。我们对七个电子数据库进行了系统搜索，以确定截至 2019 年 6 月发表的研究。共有 26 篇文章（代表 14 项单独的研究）符合纳入标准并进行了分析。11 项研究报告了实际或估计有多少学生接触到干预措施；然而，这些学生的代表性很少被报道。9 项研究报告了在扩大规模过程中主要结果的干预效果。10 项研究报告了参与学校/教师的比率；然而，没有报告采用者/非采用者的特征。8 项研究报告了干预的忠实性。11 项研究描述了干预措施在学校中持续的程度。研究之间在 RE-AIM 结果的报告上存在很大的差异。需要在规模实施的基于学校的身体活动干预措施的评估和报告方面更加一致。
