Facilitators and Barriers to Implementation and Sustainability of Nutrition and Physical Activity Interventions in Early Childcare Settings: a Systematic Review

Asada, Yuka; Lin, Shuhao; Siegel, Leilah; Kong, Angela

doi:10.1007/s11121-022-01436-7

Cited by 10 publications

(7 citation statements)

References 68 publications

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“…Phase 1: Item development, face and content validity Item development: Measure domains and items were informed by constructs from the Integrated Sustainability Framework [9] and systematic review evidence of determinants of sustainability in the ECEC setting [15,45]. The Integrated Sustainability Framework was selected as it: (i) highlights key multi-level determinants that the emerging evidence suggests are important for facilitating intervention sustainability across a range of types of settings, including ECEC services [9]; (ii) can help identify and organise determinants that may be important in facilitating sustainability of an EBI; and (iii) provides clear de nitions for how determinants can be categorised into framework domains [15].…”

Section: Methodsmentioning

confidence: 99%

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Integrated Measure of PRogram Element SuStainability in Childcare Settings (IMPRESS-C): Development and psychometric evaluation of a measure of sustainability determinants in the early childhood education and care setting

Shoesmith,

Nathan,

Lum

et al. 2023

Preprint

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Background There is a need for valid and reliable measures of determinants of sustainability of public health interventions in early childhood education and care (ECEC) settings. This study aimed to develop and evaluate the psychometric and pragmatic properties of such a measure – the Integrated Measure of PRogram Element SuStainability in Childcare Settings (IMPRESS-C). Methods We undertook a two-phase process guided by the COnsensus-based Standards for the selection of health status Measurement INstruments checklist (COSMIN) and Psychometric and Pragmatic Evidence Rating Scale (PAPERS). Phase 1 involved measure development; i.e., determining items and scales through an iterative process and assessment of face and content validity. Phase 2 involved the evaluation of psychometric and pragmatic properties. The 29-item measure completed by service executives (directors and nominated supervisors) was embedded in a larger survey from a national sample of Australian ECEC services assessing their implementation of nutrition and physical activity programs. Structural validity, concurrent validity, known groups validity, internal consistency, floor and ceiling effects, norms, and pragmatic qualities of the measure were assessed according to the PAPERS criteria. Results The final measure contained 26 items, with respondents reporting how strongly they agreed or disagreed on a five-point Likert scale. Phase 1 assessments confirmed the relevance, and face and content validity of the scale. In Phase 2, we obtained 482 completed surveys, of which 84% (n = 405) completed the entire measure across 405 ECEC settings (one per service). Three of the four fit indices for the confirmatory factor analysis met the pre-specified criteria (SRMR = 0.056, CFI = 0.993, RMSEA = 0.067) indicating good structural validity. The IMPRESS-C illustrated: good internal consistency, with Cronbach’s alpha values from 0.53 to 0.92; emerging concurrent validity; good known groups validity, with one hypothesis supported; good norms; and good overall pragmatic qualities (cost, readability, length, and assessor burden). Conclusions The IMPRESS-C possesses strong psychometric and pragmatic qualities for assessing service executive-level perceptions of determinants influencing sustainment of public health interventions within ECEC settings. To achieve a full range of perspectives in this setting, future work should be directed to also develop and test measures of sustainability determinants at the implementer level (e.g., among individual educators and staff).

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Section: Methodsmentioning

confidence: 99%

“…As the organisational structure and processes differ considerably across settings [44], so too are the factors likely contributing to EBI sustainability [15,45]. To advance evidence within the eld, the development and consistent use of large-scale, setting-speci c, psychometrically robust, and pragmatic measures in community settings is required.…”

mentioning

confidence: 99%

Integrated Measure of PRogram Element SuStainability in Childcare Settings (IMPRESS-C): Development and psychometric evaluation of a measure of sustainability determinants in the early childhood education and care setting

Shoesmith,

Nathan,

Lum

et al. 2023

Preprint

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“…In recent years, there has been a growing interest in implementation research within child and family care settings, particularly in determinants in uencing the implementation of guidelines and interventions (1)(2)(3)(4)(5). The analyses in these studies have predominantly focused on the in uence of individual determinants on implementation, such as resource availability, self-e cacy, and guideline complexity.…”

Section: Introductionmentioning

confidence: 99%

One size fits all? A latent Profile Analysis to Identify Care Professional Subgroups Based on Implementation Determinants

Dubbeldeman,

Kleij,

Jong

et al. 2024

Preprint

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Introduction: Recent research emphasizes the need for a more holistic approach to implementation science, ackonowledging complex interactions among implementation determinants and heterogeneity in context and care professionals (CPs). To verify this need, we aimed to identify distictive subgroups of CPs based on their unique profiles of implementation determinants concerning the Childcheck, a guideline facilitating early identification of child abuse based on parental characteristics. We also explored the influence of organization type on subgroups of CPs with specific implementation characteristics (subgroup membership) and assessed their relationship to CPs implementation level. Methods: A total of 562 Dutch CPs in Mental Health Care (aMHC) and Forensic Care settings (Forensic MHC, Probation Service, and The Salvation Army) completed a self-reported questionnaire on Childcheck implementation determinants. We conducted Latent Profile Analysis to identify subgroups of CPs. The influence of organization type on subgroup membership was examined using Chi-Squared test and we explored the impact of subgroup membership on implementation levels using a one-way ANOVA. Results: We identified five distinct subgroups. Subgroup A (Reporting Center for Child Abuse and Neglect (RCCAN) collaboration issues, 11.7%) faced issues related to the external organization, such as feedback and collaboration issues. Subgroup B (RCCAN collaboration and organizational issues, 5.0%) encountered challenges with both the external and internal organization, including issues with financial resources and formal agreements, resulting in the lowest implementation level. Subgroup C (Limited implementation issues, 9.4%) demonstrated relatively high ratings across determinants, achieving the highest implementation level. CPs in subgroup D (CP-client interaction issues, 37.7%) encountered challenges specifically in CP-client interaction. CPs in subgroup E (Indifferent attitudes towards implementation, 36.1%) expressed low to average retings and was predominantly represented by CPs in aMHC settings. This subgroup also reported a low to average implementation level. Conclusions: This study highlights the importance of tailored implementation plans to address each subgroup's specific needs and challenges, instead of employing a one-size-fits-all approach. Latent Profile Analysis successfully revealed the variations in implementation determinants among CPs in aMHC and Forensic Care settings. Tailoring implementation strategies for these subgroups is key to successful guideline implementation and enhancing the well-being of vulnerable children and families.

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“…The ECEC setting is a key target setting for implementing and sustaining effective chronic disease prevention interventions as they provide access to a large proportion of children for prolonged periods at critical stages in their development [ 43 ]. While there have been numerous EBIs in the ECEC setting found to be effective in improving child physical activity and healthy eating [ 4 , 5 ], little is known about the determinants that impact their sustainability, with only two previous studies actively investigating sustainability determinants in the ECEC setting [ 15 , 45 ].…”

Section: Introductionmentioning

confidence: 99%

“…As the organisational structure, curriculum, staffing, type of interventions and delivery processes differ considerably across settings [ 44 ], including ECEC, so too are the factors likely contributing to EBI sustainability [ 15 , 45 ]. This presents a growing need to investigate these factors to help support intervention sustainability in the ECEC setting.…”

Section: Introductionmentioning

confidence: 99%

Integrated Measure of PRogram Element SuStainability in Childcare Settings (IMPRESS-C): development and psychometric evaluation of a measure of sustainability determinants in the early childhood education and care setting

Shoesmith,

Nathan,

Lum

et al. 2024

Implementation Sci

View full text Add to dashboard Cite

Background There is a need for valid and reliable measures of determinants of sustainability of public health interventions in early childhood education and care (ECEC) settings. This study aimed to develop and evaluate the psychometric and pragmatic properties of such a measure – the Integrated Measure of PRogram Element SuStainability in Childcare Settings (IMPRESS-C). Methods We undertook a two-phase process guided by the COnsensus-based Standards for the selection of health status Measurement INstruments checklist (COSMIN) and Psychometric and Pragmatic Evidence Rating Scale (PAPERS). Phase 1 involved measure development; i.e., determining items and scales through an iterative process and assessment of face and content validity. Phase 2 involved the evaluation of psychometric and pragmatic properties. The 29-item measure completed by service executives (directors and nominated supervisors) was embedded in a larger survey from a national sample of Australian ECEC services assessing their implementation of nutrition and physical activity programs. Structural validity, concurrent validity, known groups validity, internal consistency, floor and ceiling effects, norms, and pragmatic qualities of the measure were assessed according to the PAPERS criteria. Results The final measure contained 26 items, with respondents reporting how strongly they agreed or disagreed on a five-point Likert scale. Phase 1 assessments confirmed the relevance, and face and content validity of the scale. In Phase 2, we obtained 482 completed surveys, of which 84% (n = 405) completed the entire measure across 405 ECEC settings (one executive per service). Three of the four fit indices for the confirmatory factor analysis met the pre-specified criteria (SRMR = 0.056, CFI = 0.993, RMSEA = 0.067) indicating ‘good’ structural validity. The IMPRESS-C illustrated: ‘good’ internal consistency, with Cronbach’s alpha values from 0.53 to 0.92; ‘emerging’ concurrent validity; ‘poor’ known groups validity; ‘good’ norms; and ‘good’ overall pragmatic qualities (cost, readability, length, and assessor burden). Conclusions The IMPRESS-C possesses strong psychometric and pragmatic qualities for assessing service executive-level perceptions of determinants influencing sustainment of public health interventions within ECEC settings. To achieve a full range of perspectives in this setting, future work should be directed to also develop and test measures of sustainability determinants at the implementer level (e.g., among individual educators and staff).

show abstract

Facilitators and Barriers to Implementation and Sustainability of Nutrition and Physical Activity Interventions in Early Childcare Settings: a Systematic Review

Cited by 10 publications

References 68 publications

Integrated Measure of PRogram Element SuStainability in Childcare Settings (IMPRESS-C): Development and psychometric evaluation of a measure of sustainability determinants in the early childhood education and care setting

Integrated Measure of PRogram Element SuStainability in Childcare Settings (IMPRESS-C): Development and psychometric evaluation of a measure of sustainability determinants in the early childhood education and care setting

One size fits all? A latent Profile Analysis to Identify Care Professional Subgroups Based on Implementation Determinants

Integrated Measure of PRogram Element SuStainability in Childcare Settings (IMPRESS-C): development and psychometric evaluation of a measure of sustainability determinants in the early childhood education and care setting

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