Table 1 Overview of the implementation intervention delivered over 24 months (8 school terms), and the fidelity (provided), reach (uptake) and cost ($AUD) of each strategy
Implementation support strategies (n = 7) and sub-strategies (n = 23) (implemented over 8 school terms) of the implementation intervention | Fidelity (provided) (n/N schools) | Reach (uptake) (n/N schools) | Mean cost per school over 24 months | ||||
|---|---|---|---|---|---|---|---|
0–12 months | 12–24 months | 0–24 months | 0–12 months | 12–24 months | 0–24 months | ($AUD) | |
1. Executive and leadership support | 108.50 | ||||||
 1.1: PA4E1 Partnership agreement signed by school executive. | N/A | N/A | N/A | 24/24 | 24/24 | 24/24 | |
 1.2: New or existing school committee formed to oversee program. | N/A | N/A | N/A | 15/24 | 18/24 | 11/24 | |
 1.3: The School committee is inclusive of in-School Champion and school executive to oversee the program. | N/A | N/A | N/A | 10/24 | 11/24 | 7/24 | |
 1.4: Committee met at least once per term. | N/A | N/A | N/A | 10/24 | 13/24 | 8/24 | |
2. Embedded school staff: in-School Champion | 14,000.00 | ||||||
 2.1: An existing school PE teacher is allocated the role of in-School Champion by schools to support implementation. | N/A | N/A | N/A | 24/24 | 23/24 | 23/24 | |
 2.2: The position was funded by the NSW Department of Health, half day per week (equivalent to $350AUD a fortnight). | 24/24 | 24/24 | 24/24 | 24/24 | 24/24 | 24/24 | |
3. External implementation supportb | 723.50 | ||||||
 3.1: Health Promotion Support Officer (ideally a trained PE teacher) appointed to support schools with the program. | 24/24 | 24/24 | 24/24 | 24/24 | 24/24 | 24/24 | |
 3.2: Health Promotion Support Officer was co-located within the relevant local health district. | 17/24 | 24/24 | 17/24 | 17/24 | 24/24 | 17/24 | |
 3.3bc: Weekly contact was made with in-School Champion via phone, email and/or face-to-face site visits for the first 12 months. In the second 12 months, phone, email and/or face-to-face contact was made according to the following high dose/low dose protocol matched to school practice uptake in the preceding term (e.g. term 5 informs term 6)   ○ Schools implementing four or less practices received 2 face-to-face contact points, as well as 6 emails or phone calls in the term.   ○ Schools implementing five or more practices received 1 face-to-face contact point and seven emails or phone calls in the term. | N/A | N/A | N/A | N/A | N/A | N/A | |
 3.4b: Support Officer and in-School Champion have a face-to-face contact at least once a term for the first 12 months. In the second 12 months, the Support Officer and in-School Champion have face-to-face site visits according to the following high dose/low dose protocol matched to school practice uptake in the preceding term (e.g. term 5 informs term 6)   ○ Schools implementing four or less practices received 2 face-to-face contact points per term   ○ Schools implementing five or more practices 1 face-to-face contact point per term | 24/24 | 24/24 | 24/24 | 18/24 | 8/24 | 5/24 | |
4. Teacher professional learning | 588.29 | ||||||
 4.1: In-School Champion training −1-day of face to face training was hosted per year by PA4E1 implementation. Accommodation, meals and transport costs were covered by the NSW Department of Health. | 24/24 | 24/24 | 24/24 | 24/24 | 22/24 | 22/24 | |
 4.2: Quality PE training for all PE teachers – 6 × 10-min online training videos followed by knowledge check short quizzes focused on the SAAFE principles were delivered via a password protected program website. | 24/24 | 21/24 | 21/24 | 12/24 | 11/24 | 7/24 | |
 4.3a: Enhanced school sport training – in-School Champions and other teachers involved in delivering the program could attend an existing 1 day face-to-face Resistance Training for Teens workshop offered by the NSW Department of Education (School Sport Unit), or equivalent training run by PA4E1 implementation team (not accredited). Course costs to be paid by project for in-School Champion, but not for other teachers. | 24/24 | 24/24 | 24/24 | 23/24 | 23/24 | 23/24 | |
 4.4a: School physical activity policy training – in-School Champion offered existing online training run by the NSW Department of Education School Sport Unit (Government schools only, n = 19) [33]. | 19/19 | 19/19 | 19/19 | 4/19 | 4/19 | 4/19 | |
5. Resources | 775.21 | ||||||
 5.1a: Printed posters outlining Quality PE principles (SAAFE Principles [2]) to be displayed in PE department delivered to in-School Champions. | 24/24 | 24/24 | 24/24 | 24/24 | 24/24 | 24/24 | |
 5.2a: A $100AUD physical activity equipment voucher was provided to support the delivery of recess and lunchtime physical activity. | 24/24 | 24/24 | 24/24 | 24/24 | 24/24 | 24/24 | |
 5.3a: Equipment provided to support the delivery of recess and lunchtime physical activity enhanced schools sport program (5 Gymsticks/school). | 24/24 | 24/24 | 24/24 | 22/24 | 22/24 | 22/24 | |
 5.4: Electronic resources housed on the program website (PA4E1 online) included: - overview of program presentation (Microsoft PowerPoint presentation) - project milestones to be achieved each term (over 4 terms) - online quality PE training (SAAFE Principle videos (6 videos – one overview and one per Principle) and worksheet, peer observation materials) - student personal physical activity plan templates - recess and lunch resources - policy templates - examples of community physical activity providers - tips and frequently asked questions | 24/24 | 24/24 | 24/24 | 24/24 | 24/24 | 24/24 | |
6. Provision of prompts and reminders | 0.00 | ||||||
 6.1: Weekly contact was made with in-School Champion via phone, email and/or face-to-face site visits for the first 12 months. In the second 12 months, contact was made by the Support Officer to in-School Champions via phone, email and/or face-to-face site visits according to the following high dose/low dose protocol matched to school practice uptake in the preceding term (e.g. term 5 informs term 6)   ○ Schools implementing four or less practices received 2 face-to-face contact points, as well as 6 emails or phone calls in the term.   ○ Schools implementing five or more practices 1 face-to-face contact point and seven emails or phone calls in the term. | 16/24 | 22/24 | 16/24 | 16/24 | 22/24 | 16/24 | |
 6.2: Automated messages were sent each term via the program website to in-School Champions to prompt completion of teacher professional learning and online termly performance monitoring and feedback surveys. | 24/24 | 24/24 | 24/24 | 24/24 | 24/24 | 24/24 | |
7. Implementation performance monitoring and feedback | 16.25 | ||||||
 7.1: In-School Champion completes all termly surveys via the program website (PA4E1 Online). | 24/24 | 21/24 | 21/24 | 24/24 | 21/24 | 21/24 | |
 7.2: A feedback report is automatically generated and sent to in-School Champions via email | 24/24 | 24/24 | 24/24 | 24/24 | 24/24 | 24/24 | |
 7.3: A feedback report is automatically generated and sent to school Principals via email. | 24/24 | 24/24 | 24/24 | 6/24 | 7/24 | 6/24 | |
Additional Centralized Resources | 1075.00 | ||||||
 Cost to develop and maintain the PA4E1 online portal used by all schools in the program group to automate the delivery of the implementation strategies and house resources electronically. | |||||||
Total | 95.6% | 98.1% | 94.4% | 81.5% | 82.5% | 75.5% | $17,296.33 |