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Systematic dissemination of a preschool physical activity intervention to the control preschools
Institution:1. Department of Exercise Science, Arnold School of Public Health, University of South Carolina, 921 Assembly St, Suite 212, Columbia, SC 29208, United States;2. Department of Educational Studies, College of Education, University of South Carolina, Wardlaw College, Columbia, SC 29208, United States;3. Department of Health Promotion, Education and Behavior, University of South Carolina, 800 Sumter St, Columbia, SC 29208, United States;1. Rollins School of Public Health, Emory University, 1518 Clifton Rd, Atlanta, GA 30322, United States;2. University of Texas School of Public Health, 7000 Fannin St., Suite 2668, Houston, TX 77030, United States;3. University of North Carolina at Chapel Hill, 200 N. Greensboro Street, Suite D-13, Carrboro, NC 27510, United States;1. Department of Pediatrics, University of Southern California Keck School of Medicine, Children''s Hospital Los Angeles, Los Angeles, Calif;2. Department of Pediatrics, Riley Hospital at IU Health, Indiana School of Medicine, Indianapolis, Ind;3. Department of Pediatrics, Kravis Children''s Hospital, Icahn School of Medicine at Mount Sinai, New York, NY;1. University of North Carolina Wilmington, 601 S. College Road, 3039 McNeill Hall, Wilmington, NC 28403, United States;2. University of North Carolina Wilmington, 601 S. College Road, 3069 McNeill Hall, Wilmington, NC 28403, United States;1. Division of General and Community Pediatrics, Cincinnati Children’s Hospital Medical Center, University of Cincinnati College of Medicine, Cincinnati, Ohio;2. Division of Biostatistics and Epidemiology, Cincinnati Children’s Hospital Medical Center, University of Cincinnati College of Medicine, Cincinnati, Ohio;1. Faculty of Forestry, Universiti Putra Malaysia, 43400 Serdang, Selangor, Malaysia;2. Institute of Tropical Forestry & Forest Products (INTROP), Universiti Putra Malaysia, 43400 Serdang, Selangor, Malaysia
Abstract:For public health interventions to have a meaningful impact on public health, they must be disseminated to the wider population. Systematic planning and evaluation of dissemination efforts can aid translation from experimental trials to larger dissemination programs. The Study of Health and Activity in Preschool Environments (SHAPES) was a group-randomized intervention trial conducted in 16 preschools that successfully increased the physical activity of preschool age children. Following the completion of the research study protocol, the intervention was abbreviated, modified and implemented in four preschools that participated as control preschools in the original research study. The purposes of the current study were to describe the process of refining the intervention for dissemination to the control preschools, and to assess the acceptability of the resulting abbreviated intervention delivery. Five overarching behavioral objectives, informed by process evaluation, data from the original trial and collaboration with intervention teachers, were used to guide the implementation. Teachers in the dissemination classrooms reported high levels of acceptability, potential for sustainability of the program, and positive results in knowledge, skills, and child outcomes. Researchers can include a systematic approach to dissemination of effective intervention elements to the control participants in experimental studies to inform future dissemination efforts and begin to bridge the dissemination gap.
Keywords:Physical activity  Young children  Intervention  Preschool  Implementation  Translation  Dissemination
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