scholarly journals Physical activity promotion in care homes

2017 ◽  
Vol 21 (4) ◽  
pp. 206-214 ◽  
Author(s):  
Lindsay Turpie ◽  
Sandy Whitelaw ◽  
Christopher Topping
Keyword(s):  
Physical Activity ◽  
Physical Activity Promotion ◽  
Care Homes ◽  
Successful Implementation ◽  
Structured Interviews ◽  
Content Type ◽  
Private Care ◽  
Activity Promotion ◽  
Key Staff ◽  
Insight Into

Purpose The purpose of this paper is to report on the implementation of a physical activity (PA) scheme – Let’s Motivate (LM) – within private care homes (CHs) in Dumfries and Galloway (D&G), Scotland; aiming to provide an insight into the different factors which might contribute to its success and further sustainability. Design/methodology/approach A qualitative study is described in which one-to-one semi-structured interviews were carried out with eight key staff involved in implementing the project within two purposively sampled CHs; in order to explore their views and experiences of implementation. Findings The paper provides an insight into the different factors which stand to both promote and impede the successful implementation of LM, within the two CHs involved. Originality/value This paper explores a new and innovative PA initiative in CHs in D&G, Scotland. Studies exploring the factors which can both promote and impede implementation are important as they can help to usefully inform the implementation and sustainability of initiatives.

scholarly journals Acceptability, reach and implementation of a training to enhance teachers’ skills in physical activity promotion

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Elina Renko ◽  
Keegan Knittle ◽  
Minttu Palsola ◽  
Taru Lintunen ◽  
Nelli Hankonen
Keyword(s):  
Physical Activity ◽  
Program Implementation ◽  
Real World ◽  
Physical Activity Promotion ◽  
School Staff ◽  
Future Research ◽  
Successful Implementation ◽  
Behavior Change Interventions ◽  
Activity Promotion ◽  
Long Term Follow Up

Abstract Background To achieve real-world impacts, behavior change interventions need to be scaled up and broadly implemented. Implementation is challenging however, and the factors influencing successful implementation are not fully understood. This study describes the nationwide implementation of a complex theory-based program targeting physical activity and sedentary behavior in vocational schools (Lets’s Move It; LMI). The implementation primarily involved a systematic and theory-based training and user manual for school staff. We explore how the perceived acceptability of this training (in line with the Theoretical Framework of Acceptability) relates to (un) successful implementation. The study evaluates (1) the experienced acceptability of the training and anticipated acceptability of later delivering the program; (2) reach and implementation, including adaptations and barriers; (3) whether acceptability ratings predict teachers’ intentions for implementation. Methods Upper secondary school staff from vocational and high schools (n = 194) enrolled in a two-part training, covering implementation of the LMI program and training in motivational interaction styles. One hundred fifty-one participants attended both parts of the training. Participants reported their perceived acceptability of the training and their implementation efforts in online questionnaires at baseline, after training sessions and at long-term follow-up. Qualitative data (open-ended questions) were analysed with content analysis to collate responses. Quantitative data analyses involved correlations and logistic regression. Results Participants rated the training as highly acceptable on all dimensions (average ratings exceeded 4.0 on a 5-point scale). The implementation reached at least 6100 students and 341 school classes. Most teachers intended to continue program implementation. Acceptability ratings explained 51.7% of teachers’ intentions to implement the student program (훘2 = 30.08; df = 8; p < .001), with affective attitude, perceived effectiveness and self-efficacy the most influential. Teachers commonly reported condensing program content, and reported deficits of time and collegial support as common barriers to implementation. Conclusion High acceptability and reach of the training indicate strong potential for implementation success. Multiple facets of acceptability seem important to successful implementation. Future research should explore ways to improve acceptability, thereby promoting successful implementation in real-world settings.

scholarly journals Physical activity promotion in German vocational education: does capacity building work?

2020 ◽  
Vol 35 (6) ◽  
pp. 1577-1589 ◽  
Author(s):  
Johanna Popp ◽  
Johannes Carl ◽  
Eva Grüne ◽  
Jana Semrau ◽  
Peter Gelius ◽  
...  
Keyword(s):  
Physical Activity ◽  
Nursing Students ◽  
Vocational Education ◽  
Capacity Building ◽  
Qualitative Content Analysis ◽  
Physical Activity Promotion ◽  
Structured Interviews ◽  
Policy And Practice ◽  
Physically Active ◽  
Activity Promotion

Abstract Apprentices in many sectors are exposed to increased health risks and show low levels of physical activity (PA). Environmental and policy approaches seem to be promising tools for PA promotion as they can positively influence the context in which PA occurs. This article reports results from a German research project (2015–2018) that developed and implemented measures for PA promotion in the field of vocational education (VE). A participatory approach—cooperative planning (COP)—involving researchers as well as stakeholders from policy and practice was used in two VE settings—nursing care and automotive mechatronics. We assessed the extent to which new capacities for PA promotion were created by conducting semi-structured interviews with stakeholders from both sectors (n = 12) and one group interview with nursing students (n = 4). Transcripts were analysed using qualitative content analysis. Findings show that new capacities were created mainly in the form of resources and opportunities and that several measures for PA promotion (e.g. a regular lesson on the issue of PA and health and a tutoring system) were successfully integrated into VE routines. However, establishing new organizational goals and obligations appeared to be challenging. Moreover, the article presents influencing factors, such as the participation of the main actors that strongly supported the process of capacity building within their organization. We conclude that COP seems promising in creating new capacities for PA promotion in the field of VE, and therefore has the potential to promote a physically active lifestyle among apprentices.

Implementation of innovative technologies in small-scale construction firms

2016 ◽  
Vol 23 (2) ◽  
pp. 177-191 ◽  
Author(s):  
Jacquetta Shelton ◽  
Igor Martek ◽  
Chuan Chen
Keyword(s):  
Construction Industry ◽  
Small Firms ◽  
Small Scale ◽  
Successful Implementation ◽  
Structured Interviews ◽  
Content Type ◽  
Face To Face ◽  
Construction Firms ◽  
Barriers To Implementation ◽  
Insight Into

Purpose – The users of construction technologies such as builders and trades people have been acknowledged as sources of potentially important innovations. These innovations may be in the form of safer, less labour intensive, or cheaper methods and processes. The purpose of this paper is to assess whether the Australian construction industry is providing an environment where user-based innovation is being supported and implemented. Design/methodology/approach – An explorative study was undertaken to provide an insight into actual experiences of the implementation of user-based innovation. The data were collected through face-to-face semi-structured interviews providing case studies on multiple aspects of the implementation of innovative construction technologies. The cases involved a cross section of advances, including product, tool, and system technologies. Findings – The main motivation behind developing the technologies was problem solving. The associated industries of manufacturing and retail, as well as consultants within the construction industry present the greatest barriers to implementation. Originality/value – This research provides a better understanding of the factors that are preventing the successful implementation of user-based innovative construction technologies in small firms.

scholarly journals “They turn to you first for everything”: insights into midwives’ perspectives of providing physical activity advice and guidance to pregnant women

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Marlize De Vivo ◽  
Hayley Mills
Keyword(s):  
Physical Activity ◽  
Pregnant Women ◽  
Local Community ◽  
Policy Research ◽  
Physical Activity Promotion ◽  
Support Network ◽  
Structured Interviews ◽  
Activity Engagement ◽  
Activity Promotion ◽  
Physical Activity Advice

Abstract Background The antenatal period is associated with a decline in physical activity among women. Midwives are viewed central to the dissemination of information during pregnancy, however, there is little research relating to their promotion of physical activity. The purpose of this study was to gain insight into midwives’ perspectives of providing physical activity advice and guidance to pregnant women Methods Community midwives (N = 10) from ten randomly selected antenatal clinics in England took part in semi-structured interviews which were audio recorded, transcribed and analysed thematically Results In relation to perceived role and responsibilities in providing physical activity advice and guidance, midwives emphasised the extent to which their profession has evolved, the perceived burden of responsibility, and the tick box approach to physical activity discussion. Midwives identified a lack of training, knowledge, confidence, time, resources, and perceptions of vulnerability as barriers to effective physical activity promotion. Despite these issues midwives proposed eight opportunities to facilitate pregnant women’s physical activity engagement: (1) recognising and addressing barriers in the uptake and maintenance of physical activities, (2) professional development, (3) inter-professional collaboration, (4) communicating effectively through simple, reliable resources, (5) improved access, availability, and awareness of suitable activities in the local community, (6) encouraging a support network, (7) “selling” physical activity by challenging misconceptions and focusing on benefits, and (8) suitable motivation, incentives and reward. Conclusions These opportunities identified by midwives provide foundations from which improvements in practice can result. Whilst midwives are ideally placed to promote physical activity as part of a healthy pregnancy, this is likely to be most effective as part of a wider network of practitioners that share consistent and confident messages regarding physical activity engagement. This notion has far reaching implications for practice, policy, research and the normalisation of active pregnancies in the wider population.

scholarly journals Recognition of Barriers to Physical Activity Promotion in Immigrant Children in Spain: A Qualitative Case Study

2019 ◽  
Vol 16 (3) ◽  
pp. 431 ◽  
Author(s):  
Romain Marconnot ◽  
Antonio Marín-Rojas ◽  
Jose Delfa-de-la-Morena ◽  
Jorge Pérez-Corrales ◽  
Javier Gueita-Rodríguez ◽  
...  
Keyword(s):  
Physical Activity ◽  
Qualitative Case Study ◽  
Social Contact ◽  
Physical Activity Promotion ◽  
Immigrant Children ◽  
School Principal ◽  
Gender Inequalities ◽  
Structured Interviews ◽  
Activity Promotion

Physical activity facilitates the acquisition of healthy habits from childhood to adulthood. Differences exist regarding the performance of physical activity among immigrant children compared to native Spanish children. The purpose of the study was to describe the barriers that exist for the promotion of physical activity. A qualitative case-study approach was implemented. Parents of immigrant children, teachers, a school principal, and priests were included, using purposeful sampling. Data were collected from 25 participants, via unstructured and semi-structured interviews, focus groups, and researchers’ field notes. A thematic analysis was performed and ecological levels were identified. Our findings revealed the following barriers to performing physical activity: (a) the meaning of physical activity, (b) gender inequalities, (c) academic burden, (d) lack of social contact, (e) expenses and family economy, (f) lack of infrastructure and natural surroundings, (g) time constraints, (h) fear and insecurity, and (i) the reason for immigrating. These results may be used to revise the school curriculum, promoting equal opportunities for physical activity and encouraging family participation. Additionally, urban design policies should be encouraged to facilitate access to open spaces for recreation within cities.

scholarly journals Using system mapping to help plan and implement city-wide action to promote physical activity

2020 ◽  
Vol 9 (3) ◽  
Author(s):  
Nick Cavill ◽  
Debra Richardson ◽  
Mark Faghy ◽  
Chris Bussell ◽  
Harry Rutter
Keyword(s):  
Physical Activity ◽  
Systems Approach ◽  
Physical Activity Promotion ◽  
Key Factors ◽  
Structured Interviews ◽  
Promotion Programme ◽  
Activity Promotion ◽  
Conceptual Maps ◽  
System Mapping ◽  
The City

Background. There is growing interest in conceptualising public health problems such as physical inactivity as the outcome of multiple interacting factors within complex systems.    Methods. We worked with stakeholders involved in a city-wide physical activity promotion programme in Derby, UK to prodiuce conceptual maps of the major modifiable drivers of physical activity, and used them  to explore ways in which the existing programme took a systems approach, and how it might be enhanced. Semi-structured interviews were subsequently undertaken to assess their views on the contribution of the mapping approach. Results. Feedback from stakeholders described the mapping as valuable, especially in helping to identify the limitations of the original approach taken in the city. Conclusions. Even a very simple application of systems thinking can be a useful tool for disaggregating the key factors driving a system, helping to identify areas that merit greater attention, and supporting effective action.  

scholarly journals Perceptions of Physical Activity Promotion, Transportation Support, Physical Activity, and Body Mass: an Insight into Parent-Child Dyadic Processes

2019 ◽  
Vol 26 (3) ◽  
pp. 255-265 ◽  
Author(s):  
Karolina Horodyska ◽  
Monika Boberska ◽  
Magdalena Kruk ◽  
Zofia Szczuka ◽  
John Wiggers ◽  
...  
Keyword(s):  
Physical Activity ◽  
Body Mass ◽  
Physical Activity Promotion ◽  
Activity Promotion ◽  
Insight Into ◽  
Parent Child

scholarly journals Theory-Based, Participatory Development of a Cross-Company Network Promoting Physical Activity in Germany: A Mixed-Methods Approach

2020 ◽  
Vol 17 (23) ◽  
pp. 8952
Author(s):  
Carina Hoffmann ◽  
Gerrit Stassen ◽  
Andrea Schaller
Keyword(s):  
Physical Activity ◽  
Workplace Health Promotion ◽  
Physical Activity Promotion ◽  
Participatory Development ◽  
Workplace Health ◽  
Structured Interviews ◽  
Multicomponent Intervention ◽  
Activity Promotion ◽  
Health Project ◽  
The Cross

The untapped potential of workplace health promotion (WHP) in smaller companies and the promising approach to promote physical activity in the workplace requires application-oriented approaches. This study describes the participatory, theory-based development of a cross-company network with a multicomponent intervention for promoting physical activity in smaller companies. The BIG-Manual (from the “Movement as an Investment for Health” project, German—BIG) was the theoretical framework for developing the cross-company network. Qualitative and quantitative data sources were used to identify the requests and requirements of stakeholders (employees on site, local exercise providers, company representatives and network partners) regarding measures promoting physical activity and the cross-company network. The methods applied included two workshops (n = 13; n = 15), individual semi-structured interviews (n = 8) and a survey (n = 285). The analysis revealed that a large number of stakeholders must be taken into consideration for physical activity promotion in cross-company networks. Many similarities between the requests of employees and further stakeholders concerning a multicomponent intervention for promoting physical activity could be identified. Present gender-specific and physical activity-related differences show the importance of target group-specific intervention planning in the context of WHP. This study makes an important contribution for the development of future cross-company networks promoting physical activity and yields valuable information for the design of a multicomponent intervention promoting physical activity.

scholarly journals How prepared are healthcare professionals for delivering physical activity guidance to those with diabetes? A formative evaluation

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
N. Kime ◽  
A. Pringle ◽  
S. Zwolinsky ◽  
D. Vishnubala
Keyword(s):  
Physical Activity ◽  
Formative Evaluation ◽  
Healthcare Professionals ◽  
Diabetes Management ◽  
Physical Activity Promotion ◽  
Structured Interviews ◽  
Two Phase ◽  
Long Term Conditions ◽  
Activity Promotion ◽  
Promotion Of Physical Activity

Abstract Background Physical activity is recognised as important for diabetes management and improved overall health of individuals with diabetes, yet many adults with diabetes are inactive. Healthcare professionals have been identified as key to promoting physical activity, including individuals with diabetes, but are ill-prepared to deliver this. Our paper evaluates the barriers/facilitators of healthcare professionals’ delivery of physical activity guidance to adults with diabetes and aims to inform efforts to investigate and enhance their preparedness to promote physical activity. Methods A sequential mixed method, two-phase design was adopted involving a purposeful sample of healthcare professionals. Phase one was an online pilot survey designed to test assumptions around healthcare professionals’ knowledge, training and preparedness to deliver physical activity guidance. Phase two comprised eighteen semi-structured interviews, thematically analysed to provide an in-depth exploration of healthcare professionals’ experiences of delivering physical activity guidance to adults with diabetes. Results Healthcare professionals are committed to promoting physical activity to adults with diabetes and are reasonably confident in giving basic, generic guidance. Yet, significant challenges prevent them from achieving this in their practice, including: lack of education and training around physical activity, diabetes and health; ignorance of recommended physical activity and diabetes guidelines; lack of awareness of referral options; limited time and accessibility to appropriate resources. Nevertheless, healthcare professionals believed discussions around physical activity needed to be an integral part of consultations, incorporating improved communication strategies for conveying key physical activity messages. Conclusions HCPs have a key role in the promotion of physical activity to people with long-term conditions such as diabetes and they are identified within both the strategic policy context and national interventions for physical activity. Yet, this study indicated that HCPs face multiple and at times complex barriers to physical activity promotion generally and with diabetes patients. Conversely HCPs also reported what works, why and how, when promoting physical activity. Rich information derived from the day-to-day, working healthcare professional is integral to shaping future practices going forward. The bottom up, iterative design adopted in this study provides an approach to tap into this information.

scholarly journals Promoting integration within the public health domain of physical activity promotion

2017 ◽  
Vol 25 (3) ◽  
pp. 174-185 ◽  
Author(s):  
Sandy Whitelaw ◽  
Chris Topping ◽  
Michele McCoy ◽  
Lindsay Turpie
Keyword(s):  
Public Health ◽  
Physical Activity ◽  
Diagnostic Tool ◽  
Third Sector ◽  
Physical Activity Promotion ◽  
Senior Leaders ◽  
Content Type ◽  
The Public ◽  
Health Domain ◽  
Activity Promotion

Purpose The purpose of this paper is to report and critically reflect on the methodological processes involved in a formal attempt to promote health and social integration in the rarely reported public health domain of physical activity promotion. Design/methodology/approach A quality improvement (QI) methodology was deployed, comprising three elements: a diagnostic tool that assessed strategic and practice positions; a half-day workshop that brought senior leaders together for to reflect this evidence; and a structured process that sought to generate proposals for future integrated action. A mixed-method evaluative approach was used, capturing insights of the integration processes via quantitative and qualitative data collection pre-event, in-event, immediate post-event and at six-month follow-up. Findings Insights suggested that despite some critical concerns, this QI process can be considered as robust, offering pointers to elements required to successfully promote integration in this domain, including the significance of leadership, the preparatory contribution of a diagnostic tool and position paper, the opportunities for active exchange and planning within a workshop situation and the initiation of a process of integrated work via tangible “pledges”. Originality/value The paper offers originality in two respects. Generally, it describes and reflects on the relationship between theoretical and empirical dimensions of a model of integration promotion. Specifically, in offering an account of integrative public health work across health service, local authority and third sector partners, it addressed an area that has received relatively limited prior attention.

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