Clifford Lauren, Mars Adam, Hamer Oliver
Sport, Physical Activity, Health and Wellbeing Research Group, Department of Sport and Physical Activity, Edge Hill University, Ormskirk, Lancashire, United Kingdom.
Evaluation and Policy Analysis Unit, Faculty of Health, Social Care and Medicine, Edge Hill University, Ormskirk, Lancashire, United Kingdom.
PLoS One. 2025 May 27;20(5):e0324174. doi: 10.1371/journal.pone.0324174. eCollection 2025.
Physical inactivity remains a substantial public health concern, with complex socio-environmental factors contributing to increasing inactivity. Whole systems approaches to physical activity seek to address these complexities by promoting multi-component, place-based interventions. This study reflects on the experiences of three embedded researchers working within a whole systems approach initiative aimed at reducing physical inactivity in the United Kingdom. Researchers were embedded within a local authority and affiliated to a university whilst responsible for evaluating the effectiveness and efficacy of the whole systems approach initiative. Using a reflective journaling method, followed by inductive thematic analysis, the findings identified key challenges and enablers to evaluating the initiative. Key challenges included the perceived value of research and evaluation within the local authority, a lack of capacity to conduct evaluative activity, and the presence of confirmation and reporting bias within the wider delivery team. Key enablers included relationship-building, skill development, and protected time for evaluation and research activity. The findings suggest that institutions supporting embedded researchers should establish regular contact with the local authority, help to establish realistic expectations, and support researchers to overcome emerging challenges. Recommendations for researchers include developing robust relationships, setting out clear expectations, and ensure they have protected time at key points during the evaluation. Through these recommendations, researchers may be better prepared to overcome implementation challenges and improve the efficiency of the evaluation process.
缺乏身体活动仍然是一个重大的公共卫生问题,复杂的社会环境因素导致身体活动不足的情况日益增加。促进身体活动的全系统方法旨在通过推动多成分、基于场所的干预措施来应对这些复杂性。本研究反思了三位参与一项旨在减少英国身体活动不足的全系统方法倡议的嵌入式研究人员的经历。研究人员被嵌入到一个地方当局并隶属于一所大学,同时负责评估全系统方法倡议的有效性和功效。采用反思日记法,随后进行归纳主题分析,研究结果确定了评估该倡议的关键挑战和促进因素。关键挑战包括地方当局内部对研究和评估的认知价值、开展评估活动的能力不足,以及更广泛的实施团队中存在的确认和报告偏差。关键促进因素包括建立关系、技能发展,以及为评估和研究活动留出的专门时间。研究结果表明,支持嵌入式研究人员的机构应与地方当局建立定期联系,帮助建立现实的期望,并支持研究人员克服新出现的挑战。对研究人员的建议包括建立稳固的关系、明确期望,并确保他们在评估过程中的关键节点有专门时间。通过这些建议,研究人员可能会更好地准备好克服实施挑战并提高评估过程的效率。