Health and Rehabilitation Sciences, Faculty of Health Sciences, Western University, London, ON, Canada.
School of Health Studies, Western University, London, ON, Canada.
BMC Public Health. 2023 Aug 23;23(1):1604. doi: 10.1186/s12889-023-16465-2.
The implementation of community-based programs is key to effective, sustainable initiatives that can support population-level changes in children's physical activity. The purpose of this scoping review was to explore the implementation models and frameworks used to develop (process models), explore (determinant frameworks), and/or evaluate (evaluation frameworks) community-based physical activity programs for children. Also, the foundational components of the implementation models and frameworks and practical application in real-world settings were described.
The methodological framework developed by Arksey and O'Malley (2005) and the updated recommendations from Levac, Colquhoun and O'Brien (2010) were used to search, identify, and summarize applicable studies. This review also met the requirements in the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Scoping Reviews Checklist (PRISMA-ScR). A detailed search of six databases and three academic journals was conducted. Information about the article, the program, and the implementation model/framework were extracted and summarized.
The search retrieved 42,202 articles, of which 27 met the inclusion criteria. Eleven process models, one determinant framework, and two evaluation frameworks were identified. Nineteen components were developed from the models and frameworks. Tailoring, situational analysis, and element identification were common components among the identified models and frameworks.
Since the execution of interventions is vital for creating successful health-promoting initiatives, researchers and program developers should consider using implementation models and frameworks to guide their community-based physical activity programs. Further research examining the application of new and existing implementation models and frameworks in developing, exploring, and evaluating community-level programs is warranted.
社区为基础的项目的实施是支持人群层面儿童身体活动改变的有效、可持续举措的关键。本范围综述的目的是探索用于开发（过程模型）、探索（决定因素框架）和/或评估（评估框架）儿童社区身体活动计划的实施模型和框架。此外，还描述了实施模型和框架的基本组成部分及其在现实环境中的实际应用。
阿特斯基和奥马利（2005 年）制定的方法框架和莱维克、科尔夸霍恩和奥布赖恩（2010 年）的更新建议被用于搜索、识别和总结适用的研究。本综述还符合系统评价和荟萃分析范围综述首选报告项目的要求（PRISMA-ScR）。对六个数据库和三个学术期刊进行了详细搜索。提取并总结了有关文章、计划和实施模型/框架的信息。
搜索共检索到 42202 篇文章，其中 27 篇符合纳入标准。确定了 11 个过程模型、1 个决定因素框架和 2 个评价框架。从模型和框架中开发了 19 个组件。定制、情境分析和要素识别是确定的模型和框架中的常见组件。
由于干预措施的执行对于创建成功的促进健康的举措至关重要，因此研究人员和项目开发者应考虑使用实施模型和框架来指导其社区身体活动计划。有必要进一步研究新的和现有的实施模型和框架在制定、探索和评估社区层面计划中的应用。
