부산대학교 도서관

Purpose: This study presents a novel methodology/process for assessing inclusion of theoretically-based implementation factors within available adoption-ready health promotion programs. Methods: Classroom-based physical activity (CBPA) programs were used as an example to describe the process. Our team selected an implementation science framework and reviewed relevant CBPA literature to guide the development of a list of CBPA-specific implementation factors and definitions, mapped to the Consolidated Framework for Implementation Science (CFIR). CBPA programs were identified from Internet searches and a coding guide was developed to facilitate the coding of program resources. Most implementation factors were coded by two independent coders (0= not addressed, 1=addressed minimally, 2=addressed more than minimally). Inter-rater agreement was calculated using percent agreement and intraclass correlation coefficients. Results: The coding guide included 51 CBPA-specific factors. Twenty-five of the 28 implementation factors coded by two coders had good-to-excellent and moderate inter-rater agreement, respectively. Dichotomizing these codes as 0 (not addressed) or 1 (addressed) resulted in all 28 having at least moderate agreement. This methodology/process could be applied to other types of health promotion programs and organizational settings. Implications: The repository that was created can guide the selection and supplementation of programs based on users' individual needs. Consideration of real-world implementation factors in the development and dissemination of health promotion programs is likely needed for such programs to have an increased impact on public health.