Implementation determinants of physical activity interventions in primary health care settings using the TICD framework: a systematic review
Abstract Background Translation into practice of effective physical activity interventions in primary care is difficult, due to a complex interaction of implementation determinants. We aimed to identify implementation barriers and facilitators of four primary care interventions: physical activity as...
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| Format: | Article |
| Language: | English |
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BMC
2023-10-01
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| Series: | BMC Health Services Research |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12913-023-09881-y |
| _version_ | 1797577158786285568 |
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| author | Catarina Santos Silva Cristina Godinho Jorge Encantado Bruno Rodrigues Eliana V. Carraça Pedro J. Teixeira Marlene Nunes Silva |
| author_facet | Catarina Santos Silva Cristina Godinho Jorge Encantado Bruno Rodrigues Eliana V. Carraça Pedro J. Teixeira Marlene Nunes Silva |
| author_sort | Catarina Santos Silva |
| collection | DOAJ |
| description | Abstract Background Translation into practice of effective physical activity interventions in primary care is difficult, due to a complex interaction of implementation determinants. We aimed to identify implementation barriers and facilitators of four primary care interventions: physical activity assessment, counselling, prescription, and referral. Methods A systematic review of qualitative, quantitative and mixed-methods studies published since 2016 was conducted. The “Tailored Implementation for Chronic Diseases” (TICD) framework was adapted to extract and synthesize barriers and facilitators. Results Sixty-two studies met the inclusion criteria. Barriers (n = 56) and facilitators (n = 55) were identified across seven domains, related to characteristics of the intervention, individual factors of the implementers and receivers, organizational factors, and political and social determinants. The five most frequently reported determinants were: professionals’ knowledge and skills; intervention feasibility/compatibility with primary health care routine; interventions’ cost and financial incentives; tools and materials; and professionals’ cognitions and attitudes. “Social, political and legal factors” domain was the least reported. Physical activity counselling, prescription, and referral were influenced by determinants belonging to all the seven domains. Conclusion The implementation of physical activity interventions in primary care is influenced by a broader range of determinants. Barriers and facilitators related with health professionals, intervention characteristics, and available resources were the most frequently reported. A deep understanding of the local context, with particularly emphasis on these determinants, should be considered when preparing an intervention implementation, in order to contribute for designing tailored implementation strategies and optimize the interventions’ effectiveness. |
| first_indexed | 2024-03-10T22:05:07Z |
| format | Article |
| id | doaj.art-24641b85d2c9442da48e300e514db555 |
| institution | Directory Open Access Journal |
| issn | 1472-6963 |
| language | English |
| last_indexed | 2024-03-10T22:05:07Z |
| publishDate | 2023-10-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Health Services Research |
| spelling | doaj.art-24641b85d2c9442da48e300e514db5552023-11-19T12:49:20ZengBMCBMC Health Services Research1472-69632023-10-0123113110.1186/s12913-023-09881-yImplementation determinants of physical activity interventions in primary health care settings using the TICD framework: a systematic reviewCatarina Santos Silva0Cristina Godinho1Jorge Encantado2Bruno Rodrigues3Eliana V. Carraça4Pedro J. Teixeira5Marlene Nunes Silva6CIPER, Faculdade de Motricidade Humana, Universidade de LisboaPrograma Nacional Para a Promoção da Atividade Física, Direção-Geral da SaúdeCIPER, Faculdade de Motricidade Humana, Universidade de LisboaCIAFEL, Faculdade de Desporto da Universidade Do PortoCIDEFES, Centro de Investigação em Desporto, Educação Física, Exercício e Saúde, Universidade LusófonaCIPER, Faculdade de Motricidade Humana, Universidade de LisboaPrograma Nacional Para a Promoção da Atividade Física, Direção-Geral da SaúdeAbstract Background Translation into practice of effective physical activity interventions in primary care is difficult, due to a complex interaction of implementation determinants. We aimed to identify implementation barriers and facilitators of four primary care interventions: physical activity assessment, counselling, prescription, and referral. Methods A systematic review of qualitative, quantitative and mixed-methods studies published since 2016 was conducted. The “Tailored Implementation for Chronic Diseases” (TICD) framework was adapted to extract and synthesize barriers and facilitators. Results Sixty-two studies met the inclusion criteria. Barriers (n = 56) and facilitators (n = 55) were identified across seven domains, related to characteristics of the intervention, individual factors of the implementers and receivers, organizational factors, and political and social determinants. The five most frequently reported determinants were: professionals’ knowledge and skills; intervention feasibility/compatibility with primary health care routine; interventions’ cost and financial incentives; tools and materials; and professionals’ cognitions and attitudes. “Social, political and legal factors” domain was the least reported. Physical activity counselling, prescription, and referral were influenced by determinants belonging to all the seven domains. Conclusion The implementation of physical activity interventions in primary care is influenced by a broader range of determinants. Barriers and facilitators related with health professionals, intervention characteristics, and available resources were the most frequently reported. A deep understanding of the local context, with particularly emphasis on these determinants, should be considered when preparing an intervention implementation, in order to contribute for designing tailored implementation strategies and optimize the interventions’ effectiveness.https://doi.org/10.1186/s12913-023-09881-yDeterminants of implementationBarriersFacilitatorsPhysical activity interventionsPrimary care |
| spellingShingle | Catarina Santos Silva Cristina Godinho Jorge Encantado Bruno Rodrigues Eliana V. Carraça Pedro J. Teixeira Marlene Nunes Silva Implementation determinants of physical activity interventions in primary health care settings using the TICD framework: a systematic review BMC Health Services Research Determinants of implementation Barriers Facilitators Physical activity interventions Primary care |
| title | Implementation determinants of physical activity interventions in primary health care settings using the TICD framework: a systematic review |
| title_full | Implementation determinants of physical activity interventions in primary health care settings using the TICD framework: a systematic review |
| title_fullStr | Implementation determinants of physical activity interventions in primary health care settings using the TICD framework: a systematic review |
| title_full_unstemmed | Implementation determinants of physical activity interventions in primary health care settings using the TICD framework: a systematic review |
| title_short | Implementation determinants of physical activity interventions in primary health care settings using the TICD framework: a systematic review |
| title_sort | implementation determinants of physical activity interventions in primary health care settings using the ticd framework a systematic review |
| topic | Determinants of implementation Barriers Facilitators Physical activity interventions Primary care |
| url | https://doi.org/10.1186/s12913-023-09881-y |
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