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Promoting physical activity in children: the stepwise development of the primary school-based JUMP-in intervention applying the RE-AIM evaluation framework
  1. J S B De Meij1,2,
  2. M J M Chinapaw2,
  3. S P J Kremers3,
  4. M F Van der wal1,
  5. M E Jurg1,
  6. W Van Mechelen2
  1. 1Department of Epidemiology, Documentation and Health Promotion, Municipal Health Service of Amsterdam, Amsterdam, The Netherlands
  2. 2EMGO Institute and Department of Public & Occupational Health, VU University Medical Centre, Amsterdam, The Netherlands
  3. 3Department of Health Education and Promotion, Maastricht University, Maastricht, The Netherlands
  1. Correspondence to Miss Judith S B de Meij, Nieuwe Achtergracht 100 Amsterdam, 1018WT, The Netherlands; jdmeij{at}ggd.amsterdam.nl

Abstract

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:

  1. Pupil Follow-up Monitoring System;

  2. School sports clubs;

  3. In-class exercises with “The Class Moves!”;

  4. Personal workbook “This is the way you move!”;

  5. Parental Information Services;

  6. 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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  • Accepted 28 October 2008
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Footnotes

  • 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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