Implementation models and frameworks used to guide community-based physical activity programs for children: a scoping review

Emma Ostermeier; Shauna M Burke; Jason Gilliland; Patricia Tucker

doi:10.1186/s12889-023-16465-2

Implementation models and frameworks used to guide community-based physical activity programs for children: a scoping review

BMC Public Health. 2023 Aug 23;23(1):1604. doi: 10.1186/s12889-023-16465-2.

Authors

Emma Ostermeier¹, Shauna M Burke^{2

3}, Jason Gilliland^{2

3

4

5

6

7

8}, Patricia Tucker^{9

10

11}

Affiliations

¹ Health and Rehabilitation Sciences, Faculty of Health Sciences, Western University, London, ON, Canada.
² School of Health Studies, Western University, London, ON, Canada.
³ Children's Health Research Institute, London, ON, Canada.
⁴ Human Environments Analysis Laboratory, Department of Geography and Environment, Western University, London, ON, Canada.
⁵ Department of Geography & Environment, Western University, London, ON, Canada.
⁶ Department of Epidemiology & Biostatistics, Western University, London, ON, Canada.
⁷ Department of Paediatrics, Western University, London, ON, Canada.
⁸ Lawson Health Research Institute, London, ON, Canada.
⁹ Children's Health Research Institute, London, ON, Canada. ttucker2@uwo.ca.
¹⁰ Lawson Health Research Institute, London, ON, Canada. ttucker2@uwo.ca.
¹¹ School of Occupational Therapy, Faculty of Health Sciences, Elborn College, Western University, 1201 Western Rd, ON, N6G 1H1, London, Canada. ttucker2@uwo.ca.

Abstract

Background: 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.

Methods: 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.

Results: 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.

Conclusions: 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.

Keywords: Development; Dissemination; Intervention; Population-level; Youth.

Publication types

Review

MeSH terms

Checklist*
Child
Databases, Factual
Exercise*
Humans
Research Personnel