RT Journal Article
SR Electronic
T1 Physical activity is good for older adults—but is programme implementation being overlooked? A systematic review of intervention studies that reported frameworks or measures of implementation
JF British Journal of Sports Medicine
JO Br J Sports Med
FD BMJ Publishing Group Ltd and British Association of Sport and Exercise Medicine
SP 84
OP 91
DO 10.1136/bjsports-2020-102465
VO 55
IS 2
A1 Samantha M Gray
A1 Heather A McKay
A1 Lindsay Nettlefold
A1 Douglas Race
A1 Heather M Macdonald
A1 Patti-Jean Naylor
A1 Joanie Sims-Gould
YR 2021
UL http://bjsm.bmj.com/content/55/2/84.abstract
AB Objective To examine older adult physical activity (PA) intervention studies that evaluated implementation and/or scale-up. Research question 1: What implementation and/or scale-up indicators (specific, observable and measurable characteristics that show the progress of implementation) were reported? Research question 2: What implementation and/or scale-up frameworks were reported? Research question 3: Did studies evaluate the relationship between implementation or scale-up of the intervention and individual level health/behaviour outcomes? If yes, how?Design Systematic review.Data sources Publications from electronic databases and hand searches (2000 to December 2019).Eligibility criteria for selecting studies Any PA intervention studies with community-dwelling older adult participants (mean age ≥60 years). Required indicators: (a) Must report amount of PA as an outcome, with validated self-report or objective measures, and (b) Must have reported at least one implementation or scale-up framework and/or one implementation or scale-up indicator.Results 137 studies were included for research question 1, 11 for question 2 and 22 for question 3. 137 studies reported an implementation indicator: 14 unique indicators. None were specified as indicators for scale-up evaluation. 11 studies were guided by an implementation or scale-up framework. 22 studies described a relationship between an implementation indicator and an individual-level health outcome.Conclusion There is need for implementation research that extends beyond analysis at the individual level, includes clearly defined indicators and provides a guiding framework to support PA initiatives in older adults. Such implementation studies should evaluate factors in the broader context (eg,political, environmental) that influence scale-up.PROSPERO registration CRD42018091839