Using the RE-AIM framework to evaluate a school-based municipal programme tripling time spent on PE

Jonas Vestergaard Nielsen; Thomas Skovgaard; Thomas Viskum Gjelstrup Bredahl; Anna Bugge; Niels Wedderkopp; Heidi Klakk

doi:10.1016/j.evalprogplan.2018.05.005

Using the RE-AIM framework to evaluate a school-based municipal programme tripling time spent on PE

Eval Program Plann. 2018 Oct:70:1-11. doi: 10.1016/j.evalprogplan.2018.05.005. Epub 2018 Jun 1.

Authors

Jonas Vestergaard Nielsen¹, Thomas Skovgaard², Thomas Viskum Gjelstrup Bredahl³, Anna Bugge⁴, Niels Wedderkopp⁵, Heidi Klakk⁶

Affiliations

¹ Research and Innovation Centre for Human Movement and Learning, Institute of Sports Science and Clinical Biomechanics, University of Southern Denmark, Denmark; Research in Childhood Health, Institute of Sports Science and Clinical Biomechanics, University of Southern Denmark, Denmark. Electronic address: Jvestergaard@health.sdu.dk.
² Research and Innovation Centre for Human Movement and Learning, Institute of Sports Science and Clinical Biomechanics, University of Southern Denmark, Denmark.
³ Active Living, Institute of Sports Science and Clinical Biomechanics, University of Southern Denmark, Denmark.
⁴ Research in Childhood Health, Institute of Sports Science and Clinical Biomechanics, University of Southern Denmark, Denmark.
⁵ Research in Childhood Health, Institute of Sports Science and Clinical Biomechanics, University of Southern Denmark, Denmark; The Orthopaedic department, Hospital of South-Western Denmark, Denmark; Institute of Regional Health Research, University of Southern Denmark, Denmark.
⁶ Research in Childhood Health, Institute of Sports Science and Clinical Biomechanics, University of Southern Denmark, Denmark; University College Lillebaelt, Denmark.

PMID: 29890448
DOI: 10.1016/j.evalprogplan.2018.05.005

Abstract

Documenting the implementation of effective real-world programmes is considered an important step to support the translation of evidence into practice. Thus, the aim of this study was to identify factors influencing the adoption, implementation and maintenance of the Svendborgproject (SP) - an effective real-world programme comprising schools to implement triple the amount of physical education (PE) in pre-school to sixth grade in six primary schools in the municipality of Svendborg, Denmark. SP has been maintained for ten years and scaled up to all municipal schools since it was initiated in 2008. The Reach, Effectiveness, Adoption, Implementation and Maintenance framework (RE-AIM) was applied as an analytic tool through a convergent mixed method triangulation design. Results show that SP has been implemented with high fidelity and become an established part of the municipality and school identity. The successful implementation and dissemination of the programme has been enabled through the introduction of a predominantly bottom-up approach combined with simple non-negotiable requirements. The results show that this combination has led to a better fit of programmes to the individual school context while still obtaining high implementation fidelity. Finally, the early integration of research has legitimated and benefitted the programme.

Keywords: CHAMPS-study DK; Health promotion; Implementation; Physical activity; Physical education; Process evaluation; RE-AIM; School setting.

Publication types

Evaluation Study
Research Support, Non-U.S. Gov't

MeSH terms

Attitude to Health*
Child
Denmark
Exercise
Health Promotion / methods*
Health Promotion / organization & administration
Humans
Interviews as Topic
Physical Education and Training / methods*
Physical Education and Training / organization & administration*
Program Development
Program Evaluation
School Health Services / organization & administration*
School Teachers / psychology*
Schools
Students
Surveys and Questionnaires