Evidence map›Paper›PMID 34446091›Full record

ArticleImplementation science communications2021

Implementation contextual factors related to community-based active travel to school interventions: a mixed methods interview study.

MacKenzie Koester, Carolina M Bejarano, Ann M Davis, Ross C Brownson, Jon Kerner, James F Sallis, Chelsea Steel, Jordan A Carlson

Abstract read
In one paragraph

Article in Implementation science communications, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

MacKenzie Koester *Center for Children's Healthy Lifestyles and Nutrition, Children's Mercy Kansas City and University of Kansas Medical Center, Kansas City, Missouri, USA.
Carolina M Bejarano *Center for Children's Healthy Lifestyles and Nutrition, Children's Mercy Kansas City and University of Kansas Medical Center, Kansas City, Missouri, USA.
Ann M DavisCenter for Children's Healthy Lifestyles and Nutrition, Children's Mercy Kansas City and University of Kansas Medical Center, Kansas City, Missouri, USA.
Ross C BrownsonPrevention Research Center in St. Louis, Brown School, Washington University in St. Louis, St. Louis, Missouri, USA.
Jon KernerCanadian Partnership Against Cancer, Toronto, Ontario, Canada.
James F SallisHerbert Wertheim School of Public Health and Human Longevity Science, University of California, San Diego, La Jolla, California, USA.
Chelsea SteelCenter for Children's Healthy Lifestyles and Nutrition, Children's Mercy Kansas City and University of Kansas Medical Center, Kansas City, Missouri, USA.
Jordan A CarlsonCenter for Children's Healthy Lifestyles and Nutrition, Children's Mercy Kansas City and University of Kansas Medical Center, Kansas City, Missouri, USA. jacarlson@cmh.edu.ORCID http://orcid.org/0000-0002-6008-7983

Funding

Washington University Center for Diabetes Translation Research P30DK092950 · NIDDK · WASHINGTON UNIVERSITY · PI Ross C Brownson, Debra Haire-Joshu · 2011 to 2026
$11.7M
Mentored Training for Dissemination and Implemention Research in CancerR25CA171994 · NCI · WASHINGTON UNIVERSITY · PI BROWNSON, ROSS C · 2013 to 2017
$1.5M
Implementation Strategies and Effectiveness for Walking School Bus ProgramsR03HD088776 · NICHD · CHILDREN'S MERCY HOSP (KANSAS CITY, MO) · PI CARLSON, JORDAN A. · 2017 to 2018
$163k
ACL HHS U48DP006395CDC HHS U48DP006395Eunice Kennedy Shriver National Institute of Child Health and Human Development R03HD088776NCCDPHP CDC HHS U48 DP006395NCI NIH HHS R25 CA171994NCI NIH HHS R25CA171994NICHD NIH HHS R03 HD088776NIDDK NIH HHS P30 DK092950NIDDK NIH HHS P30DK092950U.S. Department of Veterans Affairs NA
6 · The paper itself

Abstract

backgroundActive travel to school contributes to multiple physical and psychosocial benefits for youth, yet population rates of active travel to school are alarmingly low in the USA and many other countries. Though walking school bus interventions are effective for increasing rates of active travel to school and children's overall physical activity, uptake of such interventions has been low. The objective of this study was to conduct a mixed methods implementation evaluation to identify contextual factors that serve as barriers and facilitators among existing walking school bus programs.

methodsSemi-structured interviews guided by the Consolidated Framework for Implementation Research (CFIR) were conducted with leaders of low-sustainability (n = 9) and high-sustainability (n = 11) programs across the USA. A combination of quantitative (CFIR-based) coding and inductive thematic analysis was used. The CFIR-based ratings were compared between the low- and high-sustainability programs and themes, subthemes, and exemplary quotes were provided to summarize the thematic analysis.

resultsIn both the low- and high-sustainability programs, three of the 15 constructs assessed were commonly rated as positive (i.e., favorable for supporting implementation): student/family needs and resources, implementation climate, and planning. Three constructs were more often rated as positive in the high-sustainability programs: organizational incentives and rewards, engaging students and parents, and reflecting and evaluating. Three constructs were more often rated as positive in the low-sustainability programs: student/family needs and resources - built environment, available resources, and access to knowledge and information. Four themes emerged from the thematic analysis: planning considerations, ongoing coordination considerations, resources and supports, and benefits.

conclusionsEngagement of students, parents, and community members were among the factors that emerged across the quantitative and qualitative analyses as most critical for supporting walking school bus program implementation. The information provided by program leaders can help in the selection of implementation strategies that overcome known barriers for increasing the long-term success of community-based physical activity interventions such as the walking school bus.

Indexed as

BarriersChildrenConsolidated framework for implementation researchFacilitatorsPhysical activity

Identifiers

PMID34446091
PMCPMC8390274

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LicenceCC BY
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.