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Table 2 Recommendations for Implementation

From: Barriers and facilitators to implementing community-based physical activity interventions: a qualitative systematic review

 1- Intervention Characteristics
 R1.1 Policy can be a formidable tool for health promotion
 R1.2 Potential barriers need to be anticipated and addressed before implementation
 R1.3 Programme components - standardised, simple, scalable and renewed
 R1.4 Maintain cost to participant (do not increase)
 R1.5 Plan for scale up
 R1.6 Innovative ways of motivating participants not ready to change and ensuring continuity of care for those with intention to change behaviour to minimize false expectations
 R1.7 Using ongoing research to assist organisations in maintaining fidelity to core principles
 R1.8 Assess fidelity of delivery
 2- Inner Setting
 R2.1 Improvement of efficiency and reliability of the information and communication tools and databases
 3- Outer Setting
 R3.1 Need for local support
 R3.2 Need for policy development
 R3.3 Needs long-term funding
 R3.4 Formalised coalition
 R3.5 Increase media support
 R3.6 Easier communication to participants
 R3.7 Improve coordination to avoid duplication
 R3.8 Need to work in partnership with organisations and agencies working in target groups, especially in hard to recruit groups
 R3.9 More research focus is needed on fidelity to implementation strategies
 4- Individual Characteristics
 R4.1 More attention for stakeholders’ skills and involvement across contexts is recommended to improve self-efficacy
 5- Processes of Implementation
 R5.1 Planning with clear steps for implementation
 R5.2 Collaboration between all aspects of community and setting from start of programme implementation and before programme is introduced. This introduces complexity to the process
 R5.3 Use of social marketing principles
 R5.4 Maintain program champion
 R5.5 Maintain ease of delivery
 R5.6 Understanding if and how implementation decisions are made and what trade-offs are made at the different levels of the intervention is important for understanding intervention implementation
 R5.7 Intensity of contact between research team and providers may have contributed to level of adherence