ArticleThe Journal of school health2023
Aligning Organizational Priorities and System Policies to Support Implementation Scale-Up of a Tailored Classroom-Based Physical Activity Intervention in Low-Resource Schools.
Article in The Journal of school health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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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.
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.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Underlying strategies of scaling up and sustaining physical activity interventions.Frontiers in health services · 2026Pooled it
- Maintaining conceptual fidelity through teacher-led adaptation: an implementation-focused mixed methods study of a school-based physical activity program.BMC public health · 2026Trial
- Feasibility and acceptability of an implementation strategy to enhance use of classroom-based physical activity approaches in elementary schools: a mixed methods study.BMC public health · 2025Trial
- Understanding context in the implementation of school health promotion: a scoping review and conceptual framework.Systematic reviews · 2026Article
- Improving Usability of the Interrupting Prolonged Sitting With Activity Virtual Teacher Training Modules: Case Study.JMIR human factors · 2026Article
- Factors affecting school health policies and ways to improve them: a qualitative study.BMC public health · 2025Article
- Evaluating InPACT Intervention-Context Fit in Resource-Limited School Districts in Central Michigan.The Journal of school health · 2025Article
- Applying the FRAME for Systematic Adaptation of a State Health Curriculum to Enhance Physical Activity and Family Engagement.The Journal of school health · 2025Article
- Using implementation mapping to design an implementation strategy for classroom-based physical activity approaches in elementary schools.Translational behavioral medicine · 2025Article
- A Novel Policy Alignment and Enhancement Process to Improve Sustainment of School-Based Physical Activity Programming.International journal of environmental research and public health · 2023Article
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
backgroundA mismatch between organizational priorities and system-level policies can negatively impact implementation and sustainment of classroom-based physical activity (PA) interventions. The purpose of this study was twofold: (1) present methods to systematically identify organization- and system-level implementation barriers, and (2) align organizational priorities and system policies by designing multi-level implementation strategies. This alignment will support implementation scale-up of a tailored PA intervention in one low-resource intermediate school district (ISD; 16 districts, 32 schools) in central Michigan.
methodsMulti-level assessments of organizational readiness were conducted using the Hexagon Discussion and Analysis Tool to assess intervention-context fit, the Wellness School Assessment Tool 3.0 to evaluate district PA policy strength and comprehensiveness, and semi-structured interviews were conducted to assess administrative support and priorities related to PA programming.
resultsOur assessments revealed three implementation barriers: limited structural capacity to sustain teacher training, limited resources across districts and school buildings to support teachers, and misalignment of ISD and district PA policies and priorities.
conclusionsGreater attention to organizational capacity and existing infrastructure should be considered a priori to support effective implementation and sustainment of PA interventions in low-resource schools.
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Registered trials
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.