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Table 4 Intervention implementation considerations

From: Cost-effectiveness of reducing children’s sedentary time and increasing physical activity at school: the Transform-Us! intervention

Implementation consideration

Overall rating

Equity

The intervention is delivered in primary schools, and therefore is more likely to be equitable assuming funding is available to resource the program.

Positive

 

Medium certainty of BMI effect, objectively measured in one high quality RCT.

Medium

Strength of evidence

Medium certainty of SB effect, device measured in one high quality RCT.

Medium

Acceptability

Government: Federal and State Governments are generally supportive of programs designed to improve the health of school students. The intervention may help to fulfill the criteria for several Australian Curriculum guidelines focused on health and physical education.

High

Industry: The intervention could provide valuable resources for teachers and schools to meet the relevant guidelines. Anecdotally, teachers and schools were generally receptive to the intervention, but listed time constraints and competing demands on their time as potential barriers to program delivery.

High

Public: The general public is likely to be supportive of programs that improve the health of school children. Anecdotally, the intervention was positively received by parents and children.

High

Feasibility

Interventions delivered in the school environment are feasible.

High

Sustainability

Interventions delivered in the school environment are sustainable with ongoing support and appropriate funding.

Medium

Other considerations

The intervention may have a positive effect on the families of children who participate, however no evidence of this effect is currently available.

  1. Note: BMI: body mass index. RCT: randomized controlled trial. SB: sedentary behavior.
  2. Table notes: Adapted from Ananthapavan et al [51]