Adaptation protokol

Abstract

Introduction: In recent years, the concept of physical literacy (PL) has gained interest worldwide. Yet, only a few interventions targeting PL exist on a global scale. A promising theory-based and nationally tested intervention, Youth-Physical Activity Towards Health (Y-PATH), has proven to be effective in improving children and adolescents’ physical activity levels and motor skills in Ireland. Aim: Using this protocol we aim to context-adapt the Irish Y-PATH into an intervention that works through the schools in Denmark and targets PL among pupils in 4th and 5th grades. Methods and analysis: We apply a stepwise approach to intervention adaptation, inspired by the Medical Research Council’s guidance for developing complex interventions as well as the ‘consensus informed guidance for adapting interventions to achieve a good fit between the intervention and context’ (ADAPT) process model and its principles and actions outlined by Graham Moore and colleagues. First, we combine evidence synthesis with stakeholders and researchers’ engagement to identify relevant and tentative adaptations and to understand barriers and enablers to the promotion of physical literacy in school-based interventions. Next, we further adjust and improve our intervention adaptation ideas by collecting detailed data through interviews with purposively sampled stakeholders and pre-pilot tests of selected prototypes of materials in a ‘real-world’ setting. Finally, we clarify the intervention adaptations – its components, materials, and content – in a discussion with purposively sampled stakeholders, and finally, we test the study design. Expected results and outcomes: A Danish version of the Y-PATH intervention, ready for feasibility testing within a Danish context, and a TIDieR intervention description checklist suitable for testing and further refinement in a feasibility study. The process will further increase our knowledge and understanding of the Danish school context as well as the teacher and pupil’s needs for an intervention promoting PL.

Feasibility and acceptability of the Promoting Pupils’ Physical Literacy (3PL) intervention and its effectiveness research design: A study protocol

“…Due to staff change in the middle of the process, the final registration was completed during the recruitment process, April 2023. The initial thoughts and plans for the protocol for the adaptation process of the intervention was pre-registered at Open Science Framework [28]. The first step was to translate and adapt the Y-PATH intervention to a Danish context (described in the section 'adaptation').…”

“…The 3PL study was pre-registered at clinicaltrials.gov (ID NCT05822024), April 2023, version 1 (https://classic.clinicaltrials.gov/ct2/show/NCT05822024), and the protocol for the adaptation procedure of the Y-PATH intervention was pre-registered at Open Science Framework, December, 2022 [28]. The 3PL study protocol was assessed by the Regional Committee on Health Research Ethics, Capital Region, Denmark, March 2023 (ID: 2106200699).…”

“…Fig 4 presents an overview of our adaption process, elaborated in detail at Open Science Framework [28]. Firstly, a scientific advisory board (SAB) of national and international experts within the PL intervention research fields were gathered to provide feedback on and discuss the adaptation process and its protocol [28] (i.e., Phase 1 of the adaption process).…”

“…Fig 4 presents an overview of our adaption process, elaborated in detail at Open Science Framework [28]. Firstly, a scientific advisory board (SAB) of national and international experts within the PL intervention research fields were gathered to provide feedback on and discuss the adaptation process and its protocol [28] (i.e., Phase 1 of the adaption process). Secondly, the intervention content and materials were translated, and minor changes were suggested, both regarding content and materials, to adapt the intervention to a Danish context (i.e., Phase 2 of the adaptation process).…”