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Randomized Controlled Trial
. 2017 Mar;7(1):28-38.
doi: 10.1007/s13142-015-0380-6.

Improving physical activity program adoption using integrated research-practice partnerships: an effectiveness-implementation trial

Affiliations
Randomized Controlled Trial

Improving physical activity program adoption using integrated research-practice partnerships: an effectiveness-implementation trial

Samantha M Harden et al. Transl Behav Med. 2017 Mar.

Abstract

Integrated research-practice partnerships (IRPPs) may improve adoption of evidence-based programs. The aim of this study is to compare adoption of an IRPP-developed physical activity (PA) program (Fit Extension, FitEx) to a typical efficacy-effectiveness-dissemination pipeline model program (Active Living Every Day, ALED). Guided by the Reach Effectiveness Adoption Implementation Maintenance (RE-AIM) framework, a randomized controlled trial assigned health educators (HEs) to FitEx (n = 18) or ALED (n = 18). Fourteen HEs adopted FitEx, while two HEs adopted ALED (χ 2 = 21.8; p < 0.05). FitEx HEs took less time to deliver (p < 0.05), stated greater intentions for continued program delivery (p < 0.05), and reached more participants (n = 1097 total; 83 % female; 70 % Caucasian; M age = 44 ± 11.8) per HE than ALED (n = 27 total; 60 % female; 50 % Caucasian; M age = 41 ± 11.3). No significant difference existed in FitEx or ALED participants' increased PA (M increase = 9.12 ±29.09 min/day; p > 0.05). IRPP-developed programs may improve PA program adoption, implementation, and maintenance and may also result in programs that have higher reach-without reducing effectiveness.

Keywords: Physical activity; RE-AIM; Research-practice; Translation.

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Conflict of interest statement

Conflict of interest

The authors declared 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 (no. 08-466).

Figures

Fig 1
Fig 1
Research to practice models
Fig 2
Fig 2
Recruitment and retention of health educators. The primary outcome of adoption through the recruitment and retention process is displayed

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