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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. Judith S.B. de Meij (jdmeij{at}ggd.amsterdam.nl)
  1. Municiple Health Centre of Amsterdam; EMGO institute VU University Medical Centre, Amsterdam, Netherlands
    1. Marijke J.M. Chinapaw (m.chinapaw{at}vumc.nl)
    1. EMGO institute VU University Medical Centre, Amsterdam, Netherlands
      1. Stef P.J. Kremers (s.kremers{at}gvo.unimaas.nl)
      1. Maastricht University Maastricht, Netherlands
        1. Marcel F. van der Wal (mvdwal{at}ggd.amsterdam.nl)
        1. Municiple Health Centre of Amsterdam, Netherlands
          1. Merlin M.E. Jurg (mjurg{at}ggd.amsterdam.nl)
          1. Municiple Health Centre of Amsterdam, Netherlands
            1. Willem van Mechelen (w.vanmechelen{at}vumc.nl)
            1. EMGO institute VU University Medical Centre, Amsterdam, Netherlands

              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 seldomly lead to adaptations in interventions which are subsequently evaluated on a wider scale implementation. 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.

              Methods: 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 to 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 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 wide-scale 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 in which process- and effect outcomes could be translated into an improved programme content and organisation.

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