ArticleFrontiers in health services2022
Evaluation of a Large-Scale School Wellness Intervention Through the Consolidated Framework for Implementation Research (CFIR): Implications for Dissemination and Sustainability.
Article in Frontiers in health services, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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15 citing papers in PubMed, 19 citations in OpenAlex.
- Implementation of Change Club action plans to promote built environment change in rural communities.The international journal of behavioral nutrition and physical activity · 2026Trial
- Hospital twinning partnership for health system strengthening in rural China: a mixed-methods implementation study using WHO building blocks and CFIR framework.Health policy and planning · 2026Article
- Implementation Evaluation of Three Community-Clinical Infection-Related Cancer Prevention and Control Programs in New York City: Lessons Learned From Leveraging Community Health Worker Strategies to Enhance Reach and Fit for Asian American Communities.Community health equity research & policy · 2026Article
- Understanding context in the implementation of school health promotion: a scoping review and conceptual framework.Systematic reviews · 2026Article
- Factors influencing nutrition education in elementary schools: A qualitative study.Health education journal · 2026Article
- Barriers and Facilitators to Implementing a School-Based Social and Emotional Learning Program for Rural Children in China: A Qualitative Study Using the Consolidated Framework for Implementation Research.Administration and policy in mental health · 2025Article
- Availability and Implementation Characteristics of Nutrition Health Promotion Interventions in Quebec Elementary Schools.The Journal of school health · 2025Article
- Understanding implementation determinants of universal school meals through an equity-driven mixed methods approach.Implementation science communications · 2025Article
- Educators' perceived barriers and facilitators to implementing a school-based nutrition, physical activity, and civic engagement intervention: a qualitative analysis.Frontiers in public health · 2025Article
- How Can We Equitably Scale-Up Physical Activity Interventions to Ensure Everyone Has Opportunities to Thrive?Journal of physical activity & health · 2024Article
- Initial insights into the impact and implementation of Creating Active Schools in Bradford, UK.The international journal of behavioral nutrition and physical activity · 2023Article
- Individual and Contextual Factors Associated with Classroom Teachers' Intentions to Implement Classroom Physical Activity.International journal of environmental research and public health · 2023Article
- Assessing the Impacts of Creating Active Schools on Organisational Culture for Physical Activity.International journal of environmental research and public health · 2022Article
- A Health Equity Implementation Approach to Child Health Literacy Interventions.Children (Basel, Switzerland) · 2022Article
- Factors contributing to the sustained implementation of an early childhood obesity prevention intervention: TheFrontiers in health services · 2022Article
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Authors and funding
6 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Numerous studies have tested school-based interventions promoting healthy behaviors in youth, but few have integrated dissemination and implementation (D&I) frameworks. Using D&I frameworks can inform if and how an evidence-based intervention is implemented and maintained and provide strategies to address contextual barriers. Such application is necessary to understand how and why interventions are sustained over time. We evaluated a school wellness initiative called SWITCH® (School Wellness Integration Targeting Child Health) to (1) assess implementation outcomes of adoption, fidelity, and penetration, (2) discern implementation determinants through the Consolidated Framework for Implementation Research (CFIR), and (3) examine differences among inexperienced and experienced schools and influential factors to sustainment. Methods: A total of 52 schools from Iowa, United States enrolled in the 2019-2020 iteration of SWITCH (22 inexperienced; 30 experienced). The CFIR guided the adaptation of mixed methods data collection and analysis protocols for school settings. Specific attention was focused on (1) fidelity to core elements; (2) adoption of best practices; and (3) penetration of behavior change practices. Determinants were investigated through in-depth qualitative interviews and readiness surveys with implementation leaders. A systematic process was used to score CFIR domains (between -2 and +2) indicating positive or negative influence. Independent Results: Experienced schools had higher scores on fidelity/compliance ( Conclusions: Findings provide specific insights related to SWITCH implementation and sustainability but more generalized insights about the type of support needed to help schools implement and sustain school wellness programming. Tailoring implementation support to both inexperienced and experienced settings will ultimately enhance dissemination and sustainability of evidence-based interventions.
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