Barriers and facilitators to the adoption of physical activity policies in elementary schools from the perspective of principals

An application of the consolidated framework for implementation research–A cross-sectional study

Datos Bibliográficos

ID22071364
AutoresJanine Wendt (0000-0003-3915-6144, University Hospital Ulm, autor de correspondencia), Daniel A Scheller (0000-0001-7761-8245, University Hospital Ulm), Marion Flechtner-Mors, Marion Flechtner‐Mors (0000-0003-4899-6903, University Hospital Ulm), Biljana Meshkovska (0000-0002-2030-5245, University of Oslo), Aleksandra Luszczynska (0000-0002-4704-9544, The University of Melbourne), Nancy Lien (0000-0003-1486-4769, University of Oslo), Nanna Lien (University of Oslo), Sarah Forberger (0000-0002-7169-675X, Leibniz Institute for Prevention Research and Epidemiology - BIPS), Anna Banik (0000-0002-8674-9981, Uniwersytet SWPS), Karolina Łobczowska (0000-0002-8589-9494, Uniwersytet SWPS), Jürgen M Steinacker (0000-0001-8901-9450, University Hospital Ulm)
Año2023
Volumen11
Páginas935292-935292
Fecha de publicación2023-02-22
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaFrontiers in Public Health (JOURNAL)
Identificadores de la revistaISSN: 2296-2565 • E-ISSN: 2296-2565
EditorialFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/fpubh.2023.935292
PMID36908436
OpenAlexW4321499629
IdiomaEN
Citas recibidas9
Referencias citadas49

Background: Studies have shown that policies to promote physical activity in schools can have a positive impact on children's physical activity behavior. However, a large research gap exists as to what determinants may influence the adoption of such policies. Applying the Consolidated Framework for Implementation Research (CFIR), we investigated barriers and facilitators to the adoption of physical activity policies in elementary schools in Baden-Wuerttemberg, Germany, from the perspective of school principals. Methods: = 2,838) were invited to participate in the study. The online questionnaire used was developed based on the CFIR and included questions on school characteristics and constructs of the CFIR domains inner setting, characteristics of individuals, and process. Logistic regression analyses were performed to examine associations between policy adoption and school characteristics as well as CFIR determinants. Results: In total, 121 schools (4%) participated in the survey, of which 49 (40.5%) reported having adopted a policy to promote physical activity. Positive associations with policy adoption were found for general willingness among teaching staff [odds ratio (OR): 5.37, 95% confidence interval (CI): 1.92-15.05], available resources (OR: 2.15, 95% CI: 1.18-3.91), access to knowledge and information (OR: 2.11, 95% CI: 1.09-4.09), and stakeholder engagement (OR: 3.47, 95% CI: 1.24-9.75). Conclusions: This study provides a first insight into potential barriers and facilitators at the organizational level of schools that may be relevant to the adoption of physical activity policies, from the perspective of school principals. However, due to a low response rate, the results must be interpreted with caution. A strength of this study includes theoretical foundation through the use of the CFIR. The CFIR could be well-adapted to the school setting and provided valuable support for developing the questionnaire and interpreting the study results

Cross-sectional study · Mathematics education · Medical education · Children's Physical and Motor Development · Computer Science · Health Policy Implementation Science · Medicine · Obesity, Physical Activity, Diet · Psychology