Evidence map›Paper›PMID 40662382›Full record

ArticleTranslational behavioral medicine2025

Using implementation mapping to design an implementation strategy for classroom-based physical activity approaches in elementary schools.

Timothy J Walker, Derek W Craig, Christopher D Pfledderer, Kempson Onadeko, Emma E Saving, Hildi M Nicksic, Krista Patlovich, Keisey Fumero, John B Bartholomew, Maria E Fernández

Abstract read
In one paragraph

Article in Translational behavioral medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Trial
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

10 authors.

Timothy J WalkerDepartment of Health Promotion and Behavioral Sciences, The University of Texas Health Science Center at Houston School of Public Health, Houston, TX, USA.ORCID 0000-0003-3171-5431
Derek W CraigDepartment of Health Promotion and Behavioral Sciences, The University of Texas Health Science Center at Houston School of Public Health, Houston, TX, USA.
Christopher D PfleddererDepartment of Health Promotion and Behavioral Sciences, The University of Texas Health Science Center at Houston School of Public Health, Austin Location, Austin TX, USA.ORCID 0000-0001-7503-8554
Kempson OnadekoCenter for Health Promotion and Prevention Research, The University of Texas Health Science Center at Houston School of Public Health, Houston, TX, USA.
Emma E SavingCenter for Health Promotion and Prevention Research, The University of Texas Health Science Center at Houston School of Public Health, Houston, TX, USA.
Hildi M NicksicDepartment of Kinesiology and Health Promotion College of Education University of Kentucky, Lexington, KY, USA.
Krista PatlovichDivision of Cancer Medicine The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Keisey FumeroChildren's Learning Institute University of Texas Health Science Center at Houston, TX, USA., Houston, TX, USA.
John B BartholomewDepartment of Kinesiology, Penn State University, University Park, PA, USA.
Maria E FernándezDepartment of Health Promotion and Behavioral Sciences, The University of Texas Health Science Center at Houston School of Public Health, Houston, TX, USA.ORCID 0000-0002-7979-7379

Funding

Developing And Testing An Implementation Strategy For Active Learning To Promote Physical Activity In ChildrenK01HL151817 · NHLBI · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI WALKER, TIMOTHY JAMES · 2021 to 2024
$567k
NHLBI NIH HHS K01 HL151817
6 · The paper itself

Abstract

backgroundPhysically active breaks and lessons are evidence-based approaches to improving student's physical activity. Yet, schools and teachers face implementation challenges, requiring the need for effective implementation strategies. PURPOSE: Use Implementation Mapping to develop an implementation strategy for physically active breaks and lessons in elementary schools.

methodsWith our partner school district, we assembled a planning group with expertise in education, public health, and implementation science. The group completed five Implementation Mapping tasks: (i) conduct needs and assets assessment and identify adopters and implementers, (ii) identify implementation outcomes, performance objectives, and determinants, and create matrices of change objectives, (iii) choose theoretical change methods and select and create implementation strategies, (iv) produce implementation protocols and materials, and (v) evaluate implementation outcomes. We also developed an Implementation Mapping (IMap) Logic Model illustrating proposed mechanisms of action.

resultsThe implementation strategy focused on the principal/assistant principal, instructional coaches, and teachers. The implementation outcome was teacher implementation fidelity (implementation ≥2 physically active breaks/lessons per day). The developed strategy consisted of leadership training, teacher training, a newsletter, resources for teachers, and a parent flyer. The strategy operationalized change methods (theoretical techniques influencing implementation determinants) and practical applications (operationalization of change methods) to address implementation determinants and outcomes.

conclusionsImplementation Mapping provided a systematic process for developing an implementation strategy for physically active breaks and lessons in elementary schools. The IMap Logic Model identifies the proposed mechanisms of action for further testing. The strategy has the potential to benefit schools, teachers/staff, and students by enhancing physical activity.

Indexed as

ExerciseHealth PromotionImplementation ScienceSchool Health ServicesSchoolsChildHumansSchool TeachersStudentsimplementation mappingimplementation strategiesphysically active breaksphysically active lessons

Identifiers

PMID40662382
PMCPMC12481522

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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.