Adapting the InPACT Intervention to Enhance Implementation Fidelity and Flexibility

Hasson, Rebecca E.; Beemer, Lexie R.; Ajibewa, Tiwaloluwa A.; Eisman, Andria B.

doi:10.1007/s11121-020-01199-z

Cited by 8 publications

(11 citation statements)

References 23 publications

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“…Evidence-based programs and strategies to increase PA in communities have been developed from research-generated knowledge and have been incorporated into community preventive services across the country (Fulton et al, 2018;National Cancer Institute, 2022;Truman et al, 2000). Culturally tailored interventions have also been shown to have success in diverse racial populations including Latino (Agui˜naga& Marquez, 2019;Beemer et al, 2022;Hasson et al, 2021;Marcus et al, 2015;Marquez et al, 2016) and Black (Clark et al, 2018;Keith et al, 2016;Parra-Medina et al, 2011;Pekmezi et al, 2020;Wilcox et al, 2007) communities.…”

Section: Intervention Research Establishing Efficacy Of Strategies Fo...mentioning

confidence: 99%

Future Directions for Transforming Kinesiology Implementation Science Into Society

et al. 2023

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Physical activity policy can play a crucial role in ensuring that individuals, communities, and societies can obtain the wide range of health benefits associated with regular physical activity participation. Policies such as Title IX, the Americans With Disabilities Act, and state physical education laws have all increased opportunities for millions of Americans to participate in physical activity. With that said, how policies are developed and implemented vary considerably. The purpose of this manuscript is to contrast an academic conceptual framework with a pragmatic approach for policy implementation. In an ideal world, polices would be developed from foundational knowledge, scaled up to community-level interventions, and implemented in a sequential fashion. However, policy implementation is a disorderly process that requires a practical methodology. The National Physical Activity Plan encompasses strategies and tactics across 10 key societal sectors—and highlights the disorderly process of policy implementation across the various sectors.

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Section: Intervention Research Establishing Efficacy Of Strategies Fo...mentioning

confidence: 99%

Future Directions for Transforming Kinesiology Implementation Science Into Society

et al. 2023

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“…InPACT (Interrupting Prolonged sitting with ACTivity) is a school-based intervention for children and youth focused on increasing physical activity levels with short bursts of structured activity breaks throughout the day ( 30 ). InPACT was originally developed based on principles of designing for dissemination to support implementing core functions (e.g., PA: physically active time) and permit flexibility to meet the unique needs and resources of the setting; InPACT includes a compendium of implementation strategies to support flexibility and uptake ( 31 , 32 ).…”

Section: Economic Implications Of Dandi Science For Rapid Adaptationmentioning

confidence: 99%

Advancing rapid adaptation for urgent public health crises: Using implementation science to facilitate effective and efficient responses

Eisman

Kim

Salloum

et al. 2022

Front. Public Health

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Responding rapidly to emerging public health crises is vital to reducing their escalation, spread, and impact on population health. These responses, however, are challenging and disparate processes for researchers and practitioners. Researchers often develop new interventions that take significant time and resources, with little exportability. In contrast, community-serving systems are often poorly equipped to properly adopt new interventions or adapt existing ones in a data-driven way during crises' onset and escalation. This results in significant delays in deploying evidence-based interventions (EBIs) with notable public health consequences. This prolonged timeline for EBI development and implementation results in significant morbidity and mortality that is costly and preventable. As public health emergencies have demonstrated (e.g., COVID-19 pandemic), the negative consequences often exacerbate existing health disparities. Implementation science has the potential to bridge the extant gap between research and practice, and enhance equity in rapid public health responses, but is underutilized. For the field to have a greater “real-world” impact, it needs to be more rapid, iterative, participatory, and work within the timeframes of community-serving systems. This paper focuses on rapid adaptation as a developing implementation science area to facilitate system responses during public health crises. We highlight frameworks to guide rapid adaptation for optimizing existing EBIs when responding to urgent public health issues. We also explore the economic implications of rapid adaptation. Resource limitations are frequently a central reason for implementation failure; thus, we consider the economic impacts of rapid adaptation. Finally, we provide examples and propose directions for future research and application.

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“…Replicating Effective Programs, a multifaceted implementation strategy was also deployed to tailor program packaging, teacher training, and technical assistance processes in lowresource schools. 36 The core functions of InPACT were retained to enable students to accumulate up to 20 minutes of PA per day in the classroom but adapted to meet the unique needs of the setting. This tailored approach of deploying fidelity-consistent adaptations was disseminated as a program guide 37 and demonstrated success in enhancing interventioncontext fit, particularly among low-resource schools.…”

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confidence: 99%

“…A complete description of the program guide has been previously published. 23,36 The conceptual model that informs InPACT is the widely used socio-ecological model. This model suggests that increases in PA related to the InPACT intervention, will be the result of a complex interaction between multiple intervention components (ie, intervention delivery and student engagement) across multiple levels (ie, classroom, school, district, and region).…”

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confidence: 99%

“…While individual-level factors (eg, children's enjoyment of InPACT activity breaks) may be part of the explanation for the change in PA, activity levels are likely changing primarily because of an increase in access to structured PA opportunities and organization changes. So, while teacher motivation to implement InPACT has been enhanced by reducing many classroom-and school-level implementation barriers, 36 it is also important to consider indicators of organizational readiness at the district and regional level that influence the implementation process. 38 All too often evidence-based programs are adopted with teacher training initiated immediately without any consideration of the organizational capacity and system-level policies in place to support implementation.…”

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Aligning Organizational Priorities and System Policies to Support Implementation Scale‐Up of a Tailored Classroom‐Based Physical Activity Intervention in Low‐Resource Schools*

Hasson

Eisman

Wassmann

et al. 2023

Journal of School Health

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Background A 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. Methods Multi‐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. Results Our 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. Conclusions Greater 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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Adapting the InPACT Intervention to Enhance Implementation Fidelity and Flexibility

Cited by 8 publications

References 23 publications

Future Directions for Transforming Kinesiology Implementation Science Into Society

Future Directions for Transforming Kinesiology Implementation Science Into Society

Advancing rapid adaptation for urgent public health crises: Using implementation science to facilitate effective and efficient responses

Aligning Organizational Priorities and System Policies to Support Implementation Scale‐Up of a Tailored Classroom‐Based Physical Activity Intervention in Low‐Resource Schools*

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