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Implementation determinants of physical activity interventions in primary health care settings using the TICD framework: a systematic review

BACKGROUND: Translation into practice of effective physical activity interventions in primary care is difficult, due to a complex interaction of implementation determinants. We aimed to identify implementation barriers and facilitators of four primary care interventions: physical activity assessment...

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Autores principales: Silva, Catarina Santos, Godinho, Cristina, Encantado, Jorge, Rodrigues, Bruno, Carraça, Eliana V., Teixeira, Pedro J., Silva, Marlene Nunes
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10568782/
https://www.ncbi.nlm.nih.gov/pubmed/37821932
http://dx.doi.org/10.1186/s12913-023-09881-y
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author Silva, Catarina Santos
Godinho, Cristina
Encantado, Jorge
Rodrigues, Bruno
Carraça, Eliana V.
Teixeira, Pedro J.
Silva, Marlene Nunes
author_facet Silva, Catarina Santos
Godinho, Cristina
Encantado, Jorge
Rodrigues, Bruno
Carraça, Eliana V.
Teixeira, Pedro J.
Silva, Marlene Nunes
author_sort Silva, Catarina Santos
collection PubMed
description BACKGROUND: Translation into practice of effective physical activity interventions in primary care is difficult, due to a complex interaction of implementation determinants. We aimed to identify implementation barriers and facilitators of four primary care interventions: physical activity assessment, counselling, prescription, and referral. METHODS: A systematic review of qualitative, quantitative and mixed-methods studies published since 2016 was conducted. The “Tailored Implementation for Chronic Diseases” (TICD) framework was adapted to extract and synthesize barriers and facilitators. RESULTS: Sixty-two studies met the inclusion criteria. Barriers (n = 56) and facilitators (n = 55) were identified across seven domains, related to characteristics of the intervention, individual factors of the implementers and receivers, organizational factors, and political and social determinants. The five most frequently reported determinants were: professionals’ knowledge and skills; intervention feasibility/compatibility with primary health care routine; interventions’ cost and financial incentives; tools and materials; and professionals’ cognitions and attitudes. “Social, political and legal factors” domain was the least reported. Physical activity counselling, prescription, and referral were influenced by determinants belonging to all the seven domains. CONCLUSION: The implementation of physical activity interventions in primary care is influenced by a broader range of determinants. Barriers and facilitators related with health professionals, intervention characteristics, and available resources were the most frequently reported. A deep understanding of the local context, with particularly emphasis on these determinants, should be considered when preparing an intervention implementation, in order to contribute for designing tailored implementation strategies and optimize the interventions’ effectiveness. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12913-023-09881-y.
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spelling pubmed-105687822023-10-13 Implementation determinants of physical activity interventions in primary health care settings using the TICD framework: a systematic review Silva, Catarina Santos Godinho, Cristina Encantado, Jorge Rodrigues, Bruno Carraça, Eliana V. Teixeira, Pedro J. Silva, Marlene Nunes BMC Health Serv Res Research BACKGROUND: Translation into practice of effective physical activity interventions in primary care is difficult, due to a complex interaction of implementation determinants. We aimed to identify implementation barriers and facilitators of four primary care interventions: physical activity assessment, counselling, prescription, and referral. METHODS: A systematic review of qualitative, quantitative and mixed-methods studies published since 2016 was conducted. The “Tailored Implementation for Chronic Diseases” (TICD) framework was adapted to extract and synthesize barriers and facilitators. RESULTS: Sixty-two studies met the inclusion criteria. Barriers (n = 56) and facilitators (n = 55) were identified across seven domains, related to characteristics of the intervention, individual factors of the implementers and receivers, organizational factors, and political and social determinants. The five most frequently reported determinants were: professionals’ knowledge and skills; intervention feasibility/compatibility with primary health care routine; interventions’ cost and financial incentives; tools and materials; and professionals’ cognitions and attitudes. “Social, political and legal factors” domain was the least reported. Physical activity counselling, prescription, and referral were influenced by determinants belonging to all the seven domains. CONCLUSION: The implementation of physical activity interventions in primary care is influenced by a broader range of determinants. Barriers and facilitators related with health professionals, intervention characteristics, and available resources were the most frequently reported. A deep understanding of the local context, with particularly emphasis on these determinants, should be considered when preparing an intervention implementation, in order to contribute for designing tailored implementation strategies and optimize the interventions’ effectiveness. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12913-023-09881-y. BioMed Central 2023-10-11 /pmc/articles/PMC10568782/ /pubmed/37821932 http://dx.doi.org/10.1186/s12913-023-09881-y Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Silva, Catarina Santos
Godinho, Cristina
Encantado, Jorge
Rodrigues, Bruno
Carraça, Eliana V.
Teixeira, Pedro J.
Silva, Marlene Nunes
Implementation determinants of physical activity interventions in primary health care settings using the TICD framework: a systematic review
title Implementation determinants of physical activity interventions in primary health care settings using the TICD framework: a systematic review
title_full Implementation determinants of physical activity interventions in primary health care settings using the TICD framework: a systematic review
title_fullStr Implementation determinants of physical activity interventions in primary health care settings using the TICD framework: a systematic review
title_full_unstemmed Implementation determinants of physical activity interventions in primary health care settings using the TICD framework: a systematic review
title_short Implementation determinants of physical activity interventions in primary health care settings using the TICD framework: a systematic review
title_sort implementation determinants of physical activity interventions in primary health care settings using the ticd framework: a systematic review
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10568782/
https://www.ncbi.nlm.nih.gov/pubmed/37821932
http://dx.doi.org/10.1186/s12913-023-09881-y
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