scholarly journals Barriers and facilitators to the implementation of a school-based physical activity policy in Canada: application of the theoretical domains framework

2017 ◽  
Vol 17 (1) ◽  
Author(s):  
Katie A. Weatherson ◽  
Rhyann McKay ◽  
Heather L. Gainforth ◽  
Mary E. Jung
Keyword(s):  
Physical Activity ◽  
Theoretical Domains Framework ◽  
Barriers And Facilitators ◽  
School Based ◽  
Physical Activity Policy

scholarly journals Educator perspectives on factors influencing children’s school-based physical activity

2018 ◽  
Vol 34 (5) ◽  
pp. 931-940 ◽  
Author(s):  
Matthew S Domville ◽  
Paula M Watson ◽  
Dave J Richardson ◽  
Lee E F Graves
Keyword(s):  
Physical Activity ◽  
Driving Force ◽  
Barriers And Facilitators ◽  
Organizational Level ◽  
Ecological Approach ◽  
Institutional Barriers ◽  
Intrapersonal Factors ◽  
School Based ◽  
Factors Influencing ◽  
Interpersonal Level

Summary Formative research is an important first step in the design and development of children’s school-based physical activity (PA) interventions. Exploration of educator [headteacher and physical education (PE)-co-ordinator] perceptions toward the promotion of school-based PA, including PE delivery has however been limited. This study took a socio-ecological approach to explore the barriers and facilitators of children’s school-based PA from the perspective of school educators. Interviews were conducted with headteachers (n = 4), PE-co-ordinators (n = 4) and a deputy headteacher (n = 1) and data thematically analysed using Nvivo software (version 10). Findings suggested that, at an organizational level headteachers were the predominant driving force in the promotion of PA opportunities, yet institutional barriers including low priority for PA and PE were perceived to negate delivery. At an interpersonal level, strategies to increase the delivery of school-based PA were developed, however poor teacher-coach relationships and significant others reduced PA promotion opportunities. Child PA was further negated through intrapersonal factors, including lack of PE-specific teacher training and varying teacher interest in PA and sport. To increase primary school children’s school-based PA, barriers and facilitators at the organizational, interpersonal and intrapersonal level must be considered and targeted and researchers and schools should work in partnership to develop future interventions.

scholarly journals Implementation strategies, and barriers and facilitators for implementation of physical activity at work: a scoping review

2019 ◽  
Vol 27 (1) ◽  
Author(s):  
Anne Garne-Dalgaard ◽  
Stephanie Mann ◽  
Thomas Viskum Gjelstrup Bredahl ◽  
Mette Jensen Stochkendahl
Keyword(s):  
Physical Activity ◽  
Scoping Review ◽  
Social Influences ◽  
Theoretical Domains Framework ◽  
Implementation Strategies ◽  
Professional Role ◽  
Environmental Context ◽  
Barriers And Facilitators ◽  
Factors Affecting ◽  
Study Characteristics

Abstract Background Inactivity and sedentary lifestyle have led experts to recommend an increase in structured, workplace-based physical activity (PA) initiatives. Previous studies on workplace-based PA have only shown moderate and short-term effects. This has been attributed to the lack of clear implementation strategies and understanding of factors that may hinder or enable uptake of PA. To ensure long-term, sustainable outcomes, there is a need for a better understanding of implementation strategies, and barriers and facilitators to workplace-based PA. Method A scoping review of studies investigating implementation approaches and factors affecting uptake of workplace-based PA was conducted. Qualitative and quantitative articles published in MEDLINE, Embase, Scopus, or PsycINFO between 2008 and 2018 evaluating the implementation of PA were included. Data on study characteristics, evaluation, and implementation methods applied were systematically extracted. Two reviewers extracted, coded, and organised factors affecting uptake using the Theoretical Domains Framework (TDF). Results After dual, blinded screening of titles and abstracts, 16 articles reporting on eight studies were included in the review. Several different methods of implementation were applied, including information meeting, kick-off events, and “change agents” as the most common. A total of 109 factors influencing implementation were identified, consisting of 57 barriers and 52 facilitators. Barriers most often related to the TDF domains Environmental Context and Resources (n = 34, 36.2%), Social influences (n = 13, 13.8%), and Social/Professional Role and Identity (n = 8, 8.5%). Likewise, facilitators most often related to the TDF domains Social influences (n = 17, 19.5%), Environmental Context and Resources (n = 16, 18.4%), and Social/Professional Role and Identity (n = 9, 10.3%). Conclusion Our review has highlighted the multilevel factors affecting the uptake of workplace-based PA and underpins the complexities in implementation of such initiatives. The published literature predominantly provides details from the employees’ perspectives on factors that need to be addressed and a lack of attention to these factors will cause them to hamper uptake of PA. The analysis of barriers and facilitators provides a theoretical foundation to guide future intervention design. However, further research is needed to fully understand the success or failure of implementation processes.

scholarly journals Utilising the perspectives of patients with lower-limb osteoarthritis on prescribed physical activity to develop a theoretically informed physiotherapy intervention

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Matthew Willett ◽  
Carolyn Greig ◽  
Sally Fenton ◽  
David Rogers ◽  
Joan Duda ◽  
...  
Keyword(s):  
Physical Activity ◽  
Lower Limb ◽  
Theoretical Domains Framework ◽  
Barriers And Facilitators ◽  
Physical Factors ◽  
Behaviour Change Techniques ◽  
Personal Factors ◽  
Post Discharge ◽  
Access To Resources ◽  
Physiotherapy Intervention

Abstract Background Lower-limb osteoarthritis (OA) causes high levels of pain and disability. Physiotherapists are the primary healthcare provider of non-pharmacological treatments, and incorporate strategies to optimise physical activity (PA) to aid patients with lower-limb OA to moderate their clinical symptoms. However, patients with lower-limb OA have low adherence to PA recommendations both during treatment and after discharge. This study aimed to use knowledge of identified barriers and facilitators to physiotherapy prescribed PA (during treatment and post-discharge) to develop a theoretically informed intervention to optimise adherence to PA for patients with lower-limb OA during treatment and post-discharge. Methods 1) A purposive sample of 13 patients with lower-limb OA participated in semi-structured interviews following physiotherapy treatment. Inductive analysis identified themes/subthemes reflecting barriers and facilitators to physiotherapist prescribed PA, which were organised deductively according to personal factors, treatment and post-discharge phases. 2) Themes/subthemes were mapped onto the theoretical domains framework (TDF). 3) Behaviour change techniques (BCTs) were coded from the key identified domains and a theoretically informed physiotherapy intervention addressing barriers and using facilitators, was developed. Results Themes of patient confidence, mind-set, motivation, OA symptoms and PA experiences were primary personal factors that influenced PA adherence; with the TDF domain ‘Beliefs about capabilities’ most important to target. During treatment, the theme of routine formation was the major driver of personal factors; and primarily influenced by developing a positive physiotherapist-patient relationship. Post-discharge, physical factors, psychosocial factors and ongoing access to resources were important themes influencing PA maintenance. ‘Environmental context and resources’ and ‘social influences’ emerged as the key TDF domains to target during treatment and post-discharge. The proposed theoretically informed intervention included 26 BCTs delivered across conceptual phases of adoption, routine formation, and maintenance. Conclusion A theoretically informed physiotherapy intervention was proposed to optimise PA adherence in patients with lower-limb OA. The included BCTs primarily target patients’ perceived beliefs about their capabilities, by developing a PA routine during treatment and facilitating appropriate psychosocial support and access to resources for PA maintenance post-discharge. The feasibility of delivering the intervention in clinical practice will now be evaluated.

scholarly journals Physical activity promotion in primary care: Health professional and patient views on connecting primary care patients with community-based physical activity opportunities

2020 ◽  
Author(s):  
Sharon Ann Carstairs ◽  
Rayna H Rogowsky ◽  
Kathryn B Cunningham ◽  
Frank Sullivan ◽  
Gozde Ozakinci
Keyword(s):  
Physical Activity ◽  
Primary Care ◽  
Health Professionals ◽  
Local Community ◽  
Theoretical Domains Framework ◽  
Barriers And Facilitators ◽  
Community Based ◽  
Activity Promotion ◽  
Primary Care Patients ◽  
Potential Methods

Abstract Background Inconclusive evidence in support of referrals from health professionals to gym-based exercise programmes has raised a concern for the roll-out of such schemes and highlights the importance of developing and maintaining links between primary care settings and community-based opportunities to improve physical activity levels. This study aimed to identify methods of connecting primary care patients to community-based physical activity opportunities, using the example of jog scotland , and to explore what factors can facilitate this connection. Methods We conducted a qualitative exploratory study utilising semi-structured interviews with primary care patients (n=14) and health professionals (HP) (n=14) from one UK National Health Service (NHS) board. We analysed the transcripts separately for patients and HPs using thematic analysis and synthesised them for potential methods of connection. Sub-themes for patients and HPs were mapped onto relevant components of the capability, opportunity, motivation behavioural (COM-B) model and theoretical domains framework (TDF) to identify barriers and facilitators for connecting primary care to community jog scotland groups. Results Three potential methods of connecting patients to community-based jog scotland groups were identified: informal passive signposting, informal active signposting, and formal referral or prescribing. Barriers and facilitators to connecting patients to jog scotland groups fell into five TDF domains for HPs and two COM-B model components for patients. Conclusions Our findings suggest that for patients, the acknowledgement and raising of the topic of physical activity improvement by their HP can help to justify as well as facilitate and motivate action to change. The workload associated with connecting patients to community-based opportunities is central to the implementation by HPs. Resource solutions (e.g. intermediary person or community information hub) and social support opportunities for patients (e.g. meet and greet) can provide patients with a greater variety of physical activity options and the vital information and support for connecting with local community-based opportunities, such as jog scotland .

Using a Participatory Approach to the Development of a School-Based Physical Activity Policy in an Indigenous Community

2014 ◽  
Vol 84 (12) ◽  
pp. 786-792 ◽  
Author(s):  
Lindsay Hogan ◽  
Enrique García Bengoechea ◽  
Jon Salsberg ◽  
Judi Jacobs ◽  
Morrison King ◽  
...  
Keyword(s):  
Physical Activity ◽  
Participatory Approach ◽  
Indigenous Community ◽  
School Based ◽  
Physical Activity Policy

scholarly journals Connecting primary care patients to community-based physical activity: a qualitative study of health professional and patient views

BJGP Open ◽  
2020 ◽  
Vol 4 (3) ◽  
pp. bjgpopen20X101100
Author(s):  
Sharon Ann Carstairs ◽  
Rayna H Rogowsky ◽  
Kathryn B Cunningham ◽  
Frank Sullivan ◽  
Gozde Ozakinci
Keyword(s):  
Physical Activity ◽  
Primary Care ◽  
Health Professionals ◽  
Theoretical Domains Framework ◽  
Barriers And Facilitators ◽  
Structured Interviews ◽  
Community Based ◽  
Healthcare Settings ◽  
Primary Care Patients ◽  
Exercise Programmes

BackgroundInconclusive evidence supporting referrals from health professionals to gym-based exercise programmes has raised concern for the roll-out of such schemes, and highlights the importance of developing links between healthcare settings and community-based opportunities to improve physical activity (PA) levels.AimThis study aimed to identify methods, and explore barriers and facilitators, of connecting primary care patients with PA opportunities from the perspectives of both health professionals (HPs) and patients, using the example of jogscotland.Design & settingAn exploratory study utilising semi-structured interviews with primary care patients (n = 14) and HPs (n = 14) from one UK NHS board was conducted.MethodPatient and HP transcripts were analysed separately using thematic analysis. Potential methods of connection were identified. The Capability, Opportunity, Motivation, behavioural (COM-B) model and theoretical domains framework (TDF) were employed to facilitate identification of barriers and facilitators for connecting primary care to community jogscotland groups.ResultsThree methods of connecting patients to community-based groups were identified: informal passive signposting, informal active signposting, and formal referral or prescribing. Barriers and facilitators for patient connection fell into five TDF domains for HPs and two COM-B model components for patients.ConclusionFor patients, HPs raising the topic of PA can help to justify, facilitate, and motivate action to change. The workload associated with connecting patients with community-based opportunities is central to implementation by HPs. Integrative resource solutions and social support for patients can provide a greater variety of PA options and the vital information and support for connecting with local opportunities, such as jogscotland.

scholarly journals Barriers and facilitators to the use of digital systems in primary care to deliver physical activity advice using COM-B and theoretical domains framework

2021 ◽  
Author(s):  
Paulina Bondaronek ◽  
Samuel James Dicken ◽  
Seth Jennings ◽  
Verity Mallion ◽  
Chryssa Stefanidou
Keyword(s):  
Physical Activity ◽  
Primary Care ◽  
Physical Inactivity ◽  
Data Privacy ◽  
Theoretical Domains Framework ◽  
Ease Of Use ◽  
Digital Systems ◽  
Barriers And Facilitators ◽  
Long Term Conditions ◽  
Physical Activity Advice

Background: Physical inactivity is a leading risk factor for many health conditions, including cardiovascular disease, diabetes and cancer; increasing physical activity (PA) is therefore a public health priority. Healthcare professionals (HCPs) in primary care have been identified as being pivotal in addressing physical inactivity, yet few HCPs provide PA advice to patients. There can be obstacles to delivering PA advice, including a lack of time, confidence or knowledge. Digital technology has the potential to overcome obstacles and facilitate delivering PA advice. However, it is unknown if and how digital systems are used to deliver physical activity advice in primary care consultations, and what factors influence their use.The aim of this study was to understand the use of digital systems to support primary care consultations and to identify the barriers and facilitators to using these systems.Methods: 25 semi-structured interviews were conducted with HCPs in primary care. Professionals were sampled purposively based on profession (general practitioners, practice nurses and healthcare assistants), prevalence of long-term conditions within their practice area, and rural-urban classification. Data were analysed using thematic analysis to identify influences on the use of digital systems. Themes were categorised using COM-B and the theoretical domains framework (TDF) to identify the barriers and facilitators to using digital systems to support the delivery of PA advice in primary care consultations.Results: Identified themes fell within eight TDF domains (linked COM-B component follows in parentheses): Knowledge (Psychological Capability), Skills (Psychological Capability), Environmental Context and Resources (Physical Opportunity), Social Influence (Social Opportunity), Beliefs about Capabilities (Reflective Motivation), Beliefs about Consequences (Reflective Motivation), Reinforcement (Automatic Motivation), and Emotions (Automatic Motivation). The most prominent barrier/facilitator within psychological capability was ‘having the skills to use digital systems’. ‘Training in the use of digital systems’ was also mentioned several times. The most notable barriers/facilitators within physical opportunity were ‘time constraints’, the ‘efficiency of digital systems’, the ‘simplicity and ease of use’ of digital systems, and ‘integration with existing systems’. Other physical opportunity barriers were ‘lack of access to digital systems’ and ‘technical support in the use of digital systems’. With respect to social opportunity, a notable barrier was the sense that ‘digital systems reduce interpersonal communications’ with patients. ‘Patient preference’ was also mentioned as a barrier/facilitator. Several important barriers and/or facilitators were within reflective motivation, including ‘confidence to use digital systems’, ‘beliefs about the usefulness of digital systems’, the ‘belief that digital systems ‘are the way forward’’, ‘beliefs related to data privacy and security concerns’, and ‘perceptions about patient capabilities’. With respect to automatic motivation, barriers/facilitators included ‘familiarity and availability’ regarding digital systems, and the fact that digital systems ‘prompt behaviour’. Conclusions: A variety of influences were identified on the use of digital systems to support primary care consultations. These findings provide a foundation to design a digital system that addresses the barriers and leverages the facilitators to support PA advice provision within primary care, to elicit patient behaviour change and increase PA.

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