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

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Integrated research-practice partnerships (IRPPs) significantly improved physical activity (PA) program adoption and reach compared to traditional models. IRPP-developed programs show promise for better implementation and maintenance without sacrificing effectiveness.

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Area of Science:

  • Public Health
  • Health Promotion
  • Implementation Science

Background:

  • Integrated research-practice partnerships (IRPPs) are proposed to enhance the adoption of evidence-based programs.
  • Traditional dissemination models often face challenges in widespread and effective program implementation.

Purpose of the Study:

  • To compare the adoption, implementation, and reach of a physical activity (PA) program developed through an IRPP (FitEx) versus a program from a standard efficacy-effectiveness-dissemination pipeline (ALED).

Main Methods:

  • A randomized controlled trial guided by the Reach Effectiveness Adoption Implementation Maintenance (RE-AIM) framework was conducted.
  • Health educators (HEs) were assigned to deliver either the FitEx or ALED program.
  • Program adoption rates, delivery time, intentions for continued delivery, participant reach, and changes in PA were assessed.

Main Results:

  • Significantly higher adoption rates for FitEx (14 HEs) compared to ALED (2 HEs) were observed.
  • FitEx programs required less delivery time and showed greater HE intentions for continued use.
  • FitEx reached substantially more participants per HE than ALED.
  • No significant differences in PA increases were found between participants in either program.

Conclusions:

  • IRPP-developed programs, like FitEx, may significantly improve the adoption, implementation, and maintenance of PA interventions.
  • IRPP models can lead to programs with broader reach without compromising effectiveness.
  • This suggests IRPPs are a valuable strategy for disseminating evidence-based health promotion programs.