Pacific Institute for Research and Evaluation, Louisville, KY, USA.
University of Arkansas System, Little Rock, AR, USA.
Health Promot Pract. 2023 May;24(3):502-513. doi: 10.1177/15248399221081835. Epub 2022 May 13.
Built environment approaches are recommended to improve population physical activity levels. Implementation strategies are needed to improve uptake, but little is known about effective strategies to translate research to practice in community settings.
Inform implementation strategies through understanding delivery agents' perceptions of (1) built environment approaches, (2) a toolkit developed to support implementation, and (3) other required implementation strategies.
A toolkit was developed to detail the process of partnering to change the built environment and provide examples of built environment approaches (e.g., walking paths, traffic calming). Data were collected through focus groups (N = 3) with Extension Agents (n = 46) in 2020. The semi-structured focus group script was based on the Consolidated Framework for Implementation Research and the Technology Acceptance model. Rapid content analysis techniques and a deductive, grounded theory approach were used to interpret the data. Results. Focus groups generated meaning units coded into themes of perceptions of the intervention (subthemes: barriers, resources needed, and facilitators) and perceptions of the toolkit (subthemes: components to add, positive perceptions, and helpful components). The most common resources needed were coalition guidance and funding.
Agents experience barriers and facilitators to implementing built environment approaches and have specific needs for support. Based on the results, we created implementation strategies: (1) Places for Physical Activity toolkit, (2) Coalition Coaching, and (3) Mini-Grants. Future work is needed to investigate the effectiveness of these implementation strategies.
建议采用建筑环境方法来提高人口的身体活动水平。需要实施策略来提高接受度，但对于如何将研究成果有效地转化为社区环境中的实践策略知之甚少。
通过了解实施者对（1）建筑环境方法、（2）支持实施而开发的工具包以及（3）其他必要实施策略的看法，为实施策略提供信息。
开发了一个工具包，详细说明了合作改变建筑环境的过程，并提供了建筑环境方法的示例（例如，步行道、交通减速）。2020 年，通过与延伸代理人（n=46）进行的焦点小组（n=3）收集数据。半结构化焦点小组脚本基于实施研究的综合框架和技术接受模型。采用快速内容分析技术和演绎扎根理论方法来解释数据。结果：焦点小组生成了编码为干预措施看法的意义单位（子主题：障碍、所需资源和促进因素）和工具包看法（子主题：需要添加的组件、积极看法和有用组件）。最常见的资源需求是联盟指导和资金。
代理人在实施建筑环境方法方面存在障碍和促进因素，并且有具体的支持需求。根据研究结果，我们创建了实施策略：（1）体育活动场所工具包、（2）联盟指导和（3）小额赠款。未来需要研究这些实施策略的有效性。
