Uptake of evidence-based physical activity programs: comparing perceptions of adopters and nonadopters
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Translating evidence-based physical activity interventions into practice have been problematic. Limited research exists on the adoption decision-making process. This study explored health educator perceptions of two evidence-based, physical activity programs—one was developed through an integrated research-practice partnership approach (FitEx) and the other was research-developed, Active Living Every Day (ALED). Semi-structured interviews were conducted with 12 health educators who were trained on either ALED (n = 6) or FitEx (n = 6) and had either delivered (n = 6) or did not deliver (n = 6) the intervention. Program adopters identified with program characteristics, materials, processes, implementation, fit within system, and collaborations as more positive factors in decision-making when compared to those that did not deliver. FitEx health educators were more likely to deliver the program and found it to be a better fit and easier to use. An integrated research-practice partnership may improve adoption of physical activity programs in typical practice settings.
KeywordsAdoption Physical activity promotion Decision-making Integrated research-practice partnerships Qualitative
We would like to acknowledge the health educators who participated in our interviews and candidly shared their experiences with ALED or FitEx, as well as Joan Wages who served as the interviewer for this qualitative study.
Compliance with ethical standards
Conflict of interest
The authors declare that they have no competing interests.
Adherence to ethical principles
This study followed accepted principles of ethical and professional conduct. The study received expedited review by the Virginia Tech Institutional Review Board (#08-466) and had approved exemption for waiver of written consent.
- 1.Centers for Disease Control and Prevention. Surgeon General's report on physical activity and health. JAMA. 1996, 276:522.Google Scholar
- 7.Task Force for Community Preventive Services. Methods used for reviewing evidence and linking evidence to recommendation. In by Zaza S BP, Harris KW, eds. The Guide to Community Preventive Services: What Works to Promote Health?. Atlanta, GA: Oxford University Press; 2005: 431-448Google Scholar
- 18.Rogers E. Diffusion of innovations. New York: Free Press; 1962.Google Scholar
- 19.Rogers E. Diffusion of innovations. New York: Free Press; 2003.Google Scholar
- 29.Brownson RC, Colditz GA, Proctor EK. Dissemination and implementation research in health: translating science to practice. Oxford University Press; 2012.Google Scholar
- 38.Rubin HJ, Rubin IS. Qualitative Interviewing: The Art of Hearing Data. Thousand Oaks, CA: Sage Publications; 2004.Google Scholar
- 39.Dedoose 4.5. Web application for managing, analyzing, and presenting qualitative and mixed method research data Los Angeles, CA: SocioCultural Research Consultants, LLC; 2013.Google Scholar
- 41.Harden S, Johnson S, Almeida F, Estabrooks P. Improving physical activity program adoption using integrated research-practice partnerships: an effectiveness-implementation hybrid trial. Trans Behav Med. Under Review.Google Scholar
- 43.Ory MG, Towne Jr SD, Stevens AB, Park CH, et al. Implementing and disseminating exercise programs for older adult populations. Exercise for Aging Adults. 2015: 139-150.Google Scholar
- 48.Harden S, Gaglio B, Shoup J, Kinney K, et al. Fidelity to and comparative results across behavioral interventions evaluated through the RE-AIM framework: A systematic review. Systematic Reviews. 2015.Google Scholar