Background There is a lack of effective intervention strategies that promote physical activity (PA) in school children. Furthermore, there is a gap between PA intervention research and the delivery of programmes in practice. Evaluation studies seldom lead to adaptations in interventions that are subsequently evaluated by implementation on a wider scale. The stepwise development and study of JUMP-in aims to add knowledge to better understand how, when and for whom intervention effects (or lack of effects) occur.
This paper describes the stepwise development of JUMP-in, a Dutch school-based multi-level intervention programme, aimed at the promotion of PA behaviour in 6–12-year-old children. JUMP-in incorporates education, sports, care and policy components. JUMP-in consists of six programme components:
Pupil Follow-up Monitoring System;
School sports clubs;
In-class exercises with “The Class Moves!”;
Personal workbook “This is the way you move!”;
Parental Information Services;
Extra lessons in physical education, Motor Remedial
Teaching and extra care.
The process and effect outcomes of a pilot study were translated into an improved programme and intervention organisation, using the RE-AIM framework (Reach, Efficacy, Adoption, Implementation and Maintenance).
This paper presents the process and results of the application of this framework, which resulted in a widescale implementation of JUMP-in.
Results The application of the RE-AIM framework resulted in challenges and remedies for an improved JUMP-in intervention. The remedies required changes at three different levels: (1) the content of the programme components; (2) the organisation and programme management; and (3) the evaluation design.
Conclusions Considering factors that determine the impact of PA interventions in ‘real life’ is of great importance. The RE-AIM framework appeared to be a useful guide by which process and effect outcomes could be translated into an improved programme content and organisation.
- Accepted 28 October 2008
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Funding The pilot study was supported financially by the Public Health Fund (Fonds OGZ) and the Ministry of Health, Welfare and Sport. JUMP-in receives financial support from the Larger City Policy funds of Amsterdam.
Competing interests None.
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