Evaluation of physical activity interventions in children via the reach, efficacy/effectiveness, adoption, implementation, and maintenance (RE-AIM) framework: A systematic review of randomized and non-randomized trials

McGoey, Tara; Root, Zach; Bruner, Mark W.; Law, Barbi

doi:10.1016/j.ypmed.2015.11.004

Cited by 64 publications

(66 citation statements)

References 169 publications

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“…It was concerning that almost no studies reported on these dimensions important to potential adopters of PA interventions in clinical settings. As in this review, the other literature assessing the feasibility to translate interventions into clinical practice found that authors severely underreport important measures from RE-AIM and PRECIS-2, such as intervention costs, BReach^in RE-AIM that corresponds to the PRECIS-2 domains of eligibility and recruitment, as well as the organizational burden of the staff, training, resources, and infrastructure required to deliver an intervention [33,[84][85][86][87]. Without transparent reporting on the cost, adaptations made, and sustainability of PA interventions, it will be impossible for health systems to determine the value of these interventions for their clinical populations with T2D.…”

Section: Discussionmentioning

confidence: 95%

How can clinical practices pragmatically increase physical activity for patients with type 2 diabetes? A systematic review

Luoma

Leavitt

Marrs

et al. 2017

Behav. Med. Pract. Policy Res.

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Although regular physical activity (PA) is a cornerstone of treatment for type 2 diabetes (T2D), most adults with T2D are sedentary. Randomized controlled trials (RCTs) have proven the effectiveness of PA behavioral interventions for adults with T2D but have rarely been conducted in healthcare settings. We sought to identify PA interventions that are effective and practical to implement in clinical practice settings. Our first aim was to use the valid Pragmatic-Explanatory Continuum Indicator Summary 2 (PRECIS-2) tool to assess the potential for future implementation of PA interventions in clinical practice settings. Our second aim was to identify interventions that effectively increased PA and glycemic control among the interventions in the top tertile of PRECIS-2 scores. We searched PubMed MED-LINE from January 1980 through May 2015 for RCTs of behavioral PA interventions coordinated by clinical practices for patients with T2D. Dual investigators assessed pragmatism by PRECIS-2 scores, and study effectiveness was extracted from original RCT publications. The PRECIS-2 scores of the 46 behavioral interventions (n = 13,575 participants) ranged from 3.0 to 4.8, where 5 is the most pragmatic score. In the most pragmatic tertile of interventions (n = 16) by PRECIS-2 scores, 30.8 and 31.3% of interventions improved PA outcomes and hemoglobin A1c, respectively. A minority of published evidence-based PA interventions for adults with T2D were both effective and pragmatic for clinical implementation. These should be tested for dissemination using implementation trial designs.

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Section: Discussionmentioning

confidence: 95%

How can clinical practices pragmatically increase physical activity for patients with type 2 diabetes? A systematic review

Luoma

Leavitt

Marrs

et al. 2017

Behav. Med. Pract. Policy Res.

View full text Add to dashboard Cite

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“…Five systematic reviews included both randomized controlled trials (RCTs) and studies that were not randomized or did not include a control and two reviews included RCTs only. Four systematic reviews synthesized results using meta‐analysis, and four undertook a systematic search but described the findings using narrative review . No values were reported in the papers using narrative review; therefore, these are considered in terms of reported significance of effect.…”

Section: Characteristics Of Selected Reviewsmentioning

confidence: 99%

“…McGoey et al (2016) found that 68.8% of studies reported statistically significant increases for studies of interventions that focused solely on improving physical activity compared with controls (no values reported). Further, three reviews of studies focusing on interventions that included increasing physical activity as part of multistrategy interventions (including a focus on diet and other lifestyle behaviours) found positive effects for increasing children's participation in physical activity …”

Section: What Are the Most Effective Intervention Components?mentioning

confidence: 99%

“…McGoey et al (2016) found that interventions to increase physical activity lasting longer than 5 weeks yielded 100% statistically significant results (no values reported). This reduced to 65% statistically significant results for intervention durations of greater than one school year.…”

Section: What Are the Most Effective Intervention Components?mentioning

confidence: 99%

“…Two studies found that out of school time activities (playtimes and before and after school) significantly affected BMI scores for interventions that focused on single strategies of improving diet and increasing physical activity (no values reported). Dudley et al (2015) was the only review to look at the moderating effect of experiential learning (school and community gardening and cooking skills) on dietary outcomes (energy intake, fruit and vegetable consumption or preference, sugar consumption of preference, and nutritional knowledge) and found a moderate effect size for 75% of included studies (d = 0.60).…”

Section: What Are the Most Effective Intervention Components?mentioning

confidence: 99%

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Are primary/elementary school‐based interventions effective in preventing/ameliorating excess weight gain? A systematic review of systematic reviews

et al. 2020

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This systematic review of systematic reviews addresses a current gap in evidence by synthesizing findings relating to weight management interventions set entirely in primary/elementary schools targeting, diet, and/or physical activity as key strategies.Eight databases were searched for systematic reviews of trials of school-based interventions targeting children aged 4 to 12 years that looked at biometric and behavioral outcomes. From the 10 selected systematic reviews, we found that interventions designed to promote physical activity or reduce sedentary behavior were most effective for weight loss. Interventions designed to improve diet and nutrition had a small effect on behavioral and cognitive outcomes, and these outcomes could be enhanced through the use of experiential learning. The most effective interventions involved a range of stakeholders in the development process and included parents and families in implementation. This systematic review of systematic reviews offers evidence-based guidance for the development and implementation of multistrategy weight-management interventions in primary/elementary schools. K E Y W O R D S Childhood obesity, primary/elementary schools, systematic review 1 | INTRODUCTION Being overweight in childhood is associated with poorer quality of life 1 and excess morbidity and mortality in adulthood. 2 Research in the UK shows that BMI has been increasing among children entering reception class (aged 4/5) and accelerating through to the last year of primary school (year 6, aged 10/11 years). 3 This suggests that intervention with school-aged children should take place as early as possible, and the primary school setting offers a key opportunity to intervene early, at a crucial time in children's development. Early intervention has the potential to have short and long-term effects on a number of health, educational, and social outcomes 4 and to reduce health inequalities globally. 5 The aim of the present research was to review systematically what is known about the effectiveness and contents of primary/elementary school-based interventions to prevent or treat excess weight gain.Weight-management interventions are increasingly being evaluated in school settings, and subsequently the amount of research published on this topic, including reviews of reviews, has increased. 6,7 It is difficult to draw firm conclusions from these previous reviews of reviews on three grounds. First, they have generalized across children from early childhood to adolescence, at all stages of their schooling, 8 which is problematic because BMI naturally increases with age. 1 Second, previous reviews of reviews have focused on specific obesityprevention single strategies such as increasing physical activity in

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Assessing interventions promoting the uptake of cancer‐related genomic services within the Latino community: A scoping review using the RE‐AIM framework

Ramirez Leon,

Martinez,

Rivera Rivera

et al. 2024

Cancer Medicine

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Cancer genomic services (CGS) can support genetic risk‐stratified cancer prevention and treatment. Racial/ethnic minority groups are less likely to access and utilize CGS compared with non‐Hispanic Whites. Little research has described characteristics of interventions targeted at CGS among Latinos. This scoping review aimed to (1) describe interventions promoting uptake of CGS among Latinos in the United States and Latin America, (2) describe intervention adaptations for Latino participants, and (3) summarize intervention implementation factors suggested by reach, effectiveness, adoption, implementation, and maintenance (RE‐AIM) framework. We conducted a search in English and Spanish of literature published between 2005 and 2022 across PubMed and Latin American and Caribbean Health Sciences Literature databases. Sixteen of 2344 papers met the inclusion criteria of the analysis. Efforts to promote CGS among Latino communities were limited in the US and lower in Latin America. This review highlights the need for in‐depth exploration of acculturation‐informed interventions and better reporting on implementation factors to enhance their scalability across diverse settings.

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Evaluation of physical activity interventions in children via the reach, efficacy/effectiveness, adoption, implementation, and maintenance (RE-AIM) framework: A systematic review of randomized and non-randomized trials

Cited by 64 publications

References 169 publications

How can clinical practices pragmatically increase physical activity for patients with type 2 diabetes? A systematic review

How can clinical practices pragmatically increase physical activity for patients with type 2 diabetes? A systematic review

Are primary/elementary school‐based interventions effective in preventing/ameliorating excess weight gain? A systematic review of systematic reviews

Assessing interventions promoting the uptake of cancer‐related genomic services within the Latino community: A scoping review using the RE‐AIM framework

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