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Table 4 Barriers and facilitators to teacher intervention delivery, sustained implementation and integration into school policy

From: Is level of implementation linked with intervention outcomes? Process evaluation of the TransformUs intervention to increase children’s physical activity and reduce sedentary behaviour

Level of impact

Facilitators

N = 60 teachers (T3), N = 92 teachers (T4)

Barriers

N = 60 teachers (T3), N = 92 teachers (T4)

Intervention delivery

Organisational

Integration into and expansion of existing practices

Lack of awareness participating/program promotion

Supporting school ethos and infrastructure

Crowded curriculum

 

Practicalities/setting characteristics (i.e. classroom size)

 

aNo homework policy

 

aParental lack of support for active/standing homework

Individual

Children’s enjoyment

Lack of time

Teacher awareness and understanding of values/benefits

Associated with disruptions or distractions

Freedom to incorporate when required

Forgetting to implement

 

Perceived appropriateness (i.e. behavioural difficulties)

 

Perceived lack of benefits or value

 

aLack of awareness/planning

Sustained intervention implementation

Organisational

Integrates into existing teaching practices

Time

Integrates into other school areas

Insufficient integration of key messages across curriculum

Regular professional development, implementation support

Lack of consistent reinforcement/awareness of program

School leadership and support

 

Raising profile of physical activity as a priority in the school

 

Individual

Awareness of program benefits to teaching

Perceptions of program impact

Awareness of program benefits among children

Demands of complete program delivery

Children’s enjoyment

Perception of work and integration into existing practices

Increased ideas and program materials

 

Intervention integration into school policy

Organisational

Integration and prioritisation in school/curriculum planning

Mandating the program as a policy unsupported by school

Facilitate integration into existing curriculum

Practicalities (i.e. classroom infrastructure)

Incorporate as part of teacher training/PD sessions

Gaining whole-of-school and committee support

Whole of school and leadership support

Time and crowded curriculum

Prioritising program within a supportive planning strategy

 

Individual

Increase awareness and promotion of values/benefits

Perceived value of program components

Reinforce teacher commitment and support for delivery

 
  1. Themes are ranked in order of frequency of emergence. Total N represents number of responding intervention group teachers. T3: 18-months (Nov-Dec 2011). T4: 30-months (Nov-Dec 2012)
  2. aTheme relates only to intervention component active/standing homework. Data from open-ended qualitative survey responses