Abstract

Research Article

Translating an Evidence-Based Physical Activity Service From Context To Context: A Single Organizational Case Study

Marie-Eve Lamontagne, Kelly P Arbour-Nicitopoulos, Jennifer R Tomasone, Isabelle Cummings, Amy E Latimer-Cheung and François Routhier*

Published: 28 March, 2017 | Volume 2 - Issue 2 | Pages: 039-050

Background: SCI Action Canada partnered with researchers to adapt an evidence-based leisure-time physical activity (LPTA) counselling service (Get-in-Motion (GIM). A satellite GIM service called Passez à l’action was established within a French-speaking context for persons with physical disabilities. An understanding of the determinants that infl uenced the implementation and functioning of the GIM service within the Adaptavie context are required to maximize the potential of other community-based LTPA services being successfully introduced in similar organizations.

Purpose: The case study objectives are to: 1) describe the characteristics and implementation contexts of two leisure-time physical activity counselling services for Canadians with a physical disability and the adoption process that took place when the protocol was translated to a new context, and 2) elucidate, from the point of view of the service providers, the organizational determinants that could have facilitated and/or hindered the implementation and functioning of these services.

Methods: Guided by the Consolidated Framework for Implementation Research, focus groups were held with the directors and staff of each service. Mixed-content and thematic analyses were then used to determine overarching themes.

Results: Findings suggest that the presence of service innovators fosters ownership of the service and facilitates ongoing staff training and support. A thoughtful implementation plan should be included as a component of translation between contexts.

Conclusions: Lessons learned and recommendations for future translation of similar evidence-based services to additional contexts are discussed.

Read Full Article HTML DOI: 10.29328/journal.jsmt.1001007 Cite this Article Read Full Article PDF

Keywords:

Implementation; Leisure-time physical activity; Evidence-based program; Spinal cord injuries; Disabilities; Consolidated framework for implementation research; Behavioural counselling

References

  1. World Health Organization. International Classification of Functioning, Disability, and Health. 2001. : https://goo.gl/mfp9Pj
  2. Godin G, Shepherd RJ. A simple method to assess exercise behavior in the community. Can J Appli Sports Sci. 1985; 10: 141-146. Ref.: https://goo.gl/0JWxyB
  3. Cooper RA, Quatrano LA, Axelson PW, Harlan W, Stineman M, et al. Research on physical activity and health among people with disabilities: A consensus statement. J Rehab Res Dev. 1999; 36: 142-159. Ref.: https://goo.gl/1eoL6T
  4. Durstine JL, Painter P, Franklin BA, Morgan D, Pitetti KH, et al. Physical activity for the chronically ill and disabled. Sports Med. 2000; 30: 207-219. Ref.: https://goo.gl/fKcpvV
  5. Giacobbi PR, Stancil M, Hardin B, Bryant L. Physical activity and quality of life experienced by highly active individuals with physical disabilities. Adapt Phys Activ Q. 2008; 25: 189-207. Ref.: https://goo.gl/QYAoCL
  6. Heath GW, Fentem PH. Physical activity among persons with disabilities: A public health perspective. Exercise Sport Sci Rev. 1997; 25: 195-233. : https://goo.gl/bb9ll5
  7. Tomasone JR, Wesch N, Martin Ginis KA, Noreau L. Spinal cord injury, physical activity, and quality of life: A systematic review. Kinesiol R. 2003; 2: 113-129. Ref.: https://goo.gl/YVmtgh
  8. Statistics Canada. Participation and Activity Limitation Survey 2001. Ottawa, Ontario
  9. Rimmer JH, Riley B, Wang E, Rauworth A, Jurkowski J. Physical activity participation among persons with disabilities: barriers and facilitators. Am J Prevent Med. 2004; 26: 419-425. Ref.: https://goo.gl/RmJQOg 
  10. Ginis KA, Latimer-Cheung A, Corkum S, Ginis S, Anathasopoulos P, et al. A case study of a community-university multidisciplinary partnership approach to increasing physical activity participation among people with spinal cord injury. Transl Behaviol Med. 2015; 2: 516-522. Ref.: https://goo.gl/7fN82k
  11. Arbour-Nicitopoulos KA, Martin Ginis KA, Latimer AE. Planning, leisure-time physical activity, and coping self-efficacy in persons with spinal cord injury: a randomized controlled trial. Arch Phys Med Rehab. 2009; 90: 2003-2011. Ref.: https://goo.gl/8td4l8
  12. Latimer AE, Martin Ginis KA, Arbour KA. The efficacy of an implementation intention intervention for promoting physical activity among individuals with spinal cord injury: a randomized controlled trial. Rehabil Psychol. 2006; 51: 273-280. Ref.: https://goo.gl/fVI2gy
  13. Arbour-Nicitopoulos KP, Martin Ginis KA, Latimer-Cheung AE, Bourne C, Campbell D, et al. Development of an evidence-informed leisure time physical activity resource for adults with spinal cord injury: the SCI Get Fit Toolkit. Spinal Cord. 2013; 51: 491-500. Ref.: https://goo.gl/tZJUfq
  14. Latimer-Cheung AE, Arbour-Nicitopoulos KP, Brawley LR, Gray C, Justine Wilson A, et al. Developing physical activity interventions for adults with spinal cord injury. Part 2: Motivational counseling and peer-mediated interventions for people intending to be active. Rehabil Psychol. 2013; 51: 273-280. Ref.: https://goo.gl/0A4vyX
  15. Martin Ginis KA, Hicks AL, Latimer AE, Warburton DER, Bourne C, et al. The development of evidence-informed physical activity guidelines for adults with spinal cord injury. Spinal Cord. 2011; 49: 1088-1096. Ref.: https://goo.gl/kUZRiq
  16. Michie S, Abraham C. Whittington C, McAteer J, Gupta S. Effective techniques in healthy eating and physical activity interventions: A meta-regression. Health Psychol. 2009; 28: 690-701. Ref.: https://goo.gl/OZLmP0
  17. Michie S, Johnston M. Theories and techniques of behaviour change: developing a cumulative science of behaviour change. Health Psychol R. 2012; 6: 1-6. Ref.: https://goo.gl/z0OzH0
  18. Martin Ginis KA, Latimer AE, Arbour-Nicitopoulos KP, Bassett RL, Wolfe DL, et al. Determinants of physical activity among people with spinal cord injury: A test of social cognitive theory. Ann Behav Med. 2011; 42: 127-133. Ref.: https://goo.gl/aKe045
  19. Martin Ginis KA, Tomasone JR, Arbour-Nicitopoulos KA, Bassett-Gunter RL, et al. Developing physical activity interventions for adults with spinal cord injury. Part 1: A comparison of social cognitions across actors, intenders, and non-intenders. Rehabil Psychol. 2013; 58: 299-306.  : https://goo.gl/Gqoi1C
  20. Cowan RE, Nash MS, Andersen KD. Exercise participation barrier prevalence and association with exercise participation status in individuals with spinal cord injury. Spinal Cord. 2013; 51: 27-32. Ref.: https://goo.gl/uc7dlA
  21. Eakin EG, Lawler SP, Vandelanotte C, Owen N. Telephone interventions for physical activity and dietary behavior change: a systematic review. Am J Prev Med. 2007; 32: 419-434. Ref.: https://goo.gl/agveaO
  22. Arbour-Nicitopoulos KA, Tomasone JR, Latimer-Cheung AE, Martin Ginis KA. Get In Motion: An evaluation of the reach and effectiveness of a physical activity telephone counseling service for Canadians living with spinal cord injury. PM R. 2014; 6: 1088-1096. Ref.: https://goo.gl/ofya60
  23. Statistics Canada. Census in brief: French and the francophonie in Canada. Catalogue no.98-314-X2011003. 2012. Ref.: https://goo.gl/GdUchC
  24. Yin RK. Case study research: Design and methods (4th ed. Vol. 5). Thousand Oaks, CA: SAGE. 2009.
  25. Damschroder L, Aron D, Keith R, Kirsh S, Alexander J, et al. Fostering implementation of health services research findings into practice: a consolidated framework for advancing implementation science. Implement Sci. 2009; 4: 50. Ref.: https://goo.gl/p9teG1
  26. Effective Practice and Organisation of Care (EPOC). EPOC Taxonomy. 2015. Ref.: https://goo.gl/O1AiwC
  27. CFIR Research Team. Consolidated Framework for Implementation Research: Interview Guide Tool. 2015.
  28. Braun V, Clarke V. Using thematic analysis in psychology. Qualitative Research in Psychology. 2006; 3: 77-101. Ref.: https://goo.gl/3ye2t6
  29. Michie S, Richardson M, Johnston M, Abraham C, Francis J, et al. The Behavior Change Technique Taxonomy (v1) of 93 hierarchically clustered techniques: Building an international consensus for the reporting of behavior change interventions. Ann Behav Med. 2013; 46: 81-95. Ref.: https://goo.gl/Btkgbv
  30. Tomasone JR, Arbour-Nicitopoulos KP, Latimer-Cheung AE, Estabrooks PA, Martin Ginis KA. (Unpublished). Get in Motion 2.0: Understanding the population impact of a telephone-based physical activity counseling service using a full RE-AIM evaluation.
  31. Tomasone JR, Martin Ginis KA, Estabrooks PA, Domenicucci L. Changing Minds, Changing Lives from the top down: An investigation of the dissemination and adoption of a nationwide educational intervention to enhance health care professionals’ intentions to prescribe physical activity. Int J Behavioral Med. 2015; 22: 336-343. Ref.: https://goo.gl/Hx6XGy
  32. Schwarzer R. Modeling health behavior change: how to predict and modify the adoption and maintenance of health behaviors. Applied Psycholo. 2008; 57: 1-29. Ref.: https://goo.gl/FpBqrf

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