Näytä suppeat kuvailutiedot

dc.contributor.authorKoorts, Harriet
dc.contributor.authorBauman, Adrian
dc.contributor.authorEdwards, Nancy
dc.contributor.authorBellew, William
dc.contributor.authorBrown, Wendy J.
dc.contributor.authorDuncan, Mitch J.
dc.contributor.authorLubans, David R.
dc.contributor.authorMilat, Andrew J.
dc.contributor.authorMorgan, Philip J.
dc.contributor.authorNathan, Nicole
dc.contributor.authorSearles, Andrew
dc.contributor.authorLee, Karen
dc.contributor.authorPlotnikoff, Ronald C.
dc.date.accessioned2022-12-15T07:39:29Z
dc.date.available2022-12-15T07:39:29Z
dc.date.issued2022
dc.identifier.citationKoorts, H., Bauman, A., Edwards, N., Bellew, W., Brown, W. J., Duncan, M. J., Lubans, D. R., Milat, A. J., Morgan, P. J., Nathan, N., Searles, A., Lee, K., & Plotnikoff, R. C. (2022). Tensions and Paradoxes of Scaling Up : A Critical Reflection on Physical Activity Promotion. <i>International Journal of Environmental Research and Public Health</i>, <i>19</i>(21), Article 14284. <a href="https://doi.org/10.3390/ijerph192114284" target="_blank">https://doi.org/10.3390/ijerph192114284</a>
dc.identifier.otherCONVID_164384034
dc.identifier.urihttps://jyx.jyu.fi/handle/123456789/84395
dc.description.abstractBackground: Achieving system-level, sustainable ‘scale-up’ of interventions is the epitome of successful translation of evidence-based approaches in population health. In physical activity promotion, few evidence-based interventions reach implementation at scale or become embedded within systems for sustainable health impact. This is despite the vast published literature describing efficacy studies of small-scale physical activity interventions. Research into physical activity scale-up (through case-study analysis; evaluations of scale-up processes in implementation trials; and mapping the processes, strategies, and principles for scale-up) has identified barriers and facilitators to intervention expansion. Many interventions are implemented at scale by governments but have not been evaluated or have unpublished evaluation information. Further, few public health interventions have evaluations that reveal the costs and benefits of scaled-up implementation. This lack of economic information introduces an additional element of risk for decision makers when deciding which physical activity interventions should be supported with scarce funding resources. Decision-makers face many other challenges when scaling interventions which do not relate to formal research trials of scale-up; Methods: To explore these issues, a multidisciplinary two-day workshop involving experts in physical activity scale-up was convened by the University of Newcastle, Australia, and the University of Ottawa, Canada (February 2019); Results: In this paper we discuss some of the scale-up tensions (challenges and conflicts) and paradoxes (things that are contrary to expectations) that emerged from this workshop in the context of the current literature and our own experiences in this field. We frame scale-up tensions according to epistemology, methodology, time, and partnerships; and paradoxes as ‘reach without scale’, ‘planned serendipity’ and ‘simple complexity’. We reflect on the implications of these scale-up tensions and paradoxes, providing considerations for future scale-up research and practice moving forward; Conclusions: In this paper, we delve deeper into stakeholders’ assumptions, processes and expectations of scaling up, and challenge in what ways as stakeholders, we all contribute to desired or undesired outcomes. Through a lens of ‘tensions’ and ‘paradoxes’, we make an original contribution to the scale-up literature that might influence current perspectives of scaling-up, provide future approaches for physical activity promotion, and contribute to understanding of dynamic of research-practice partnerships.en
dc.format.mimetypeapplication/pdf
dc.language.isoeng
dc.publisherMDPI AG
dc.relation.ispartofseriesInternational Journal of Environmental Research and Public Health
dc.rightsCC BY 4.0
dc.subject.otherphysical activity promotion
dc.subject.otherscale-up
dc.subject.otherimplementation science
dc.subject.otherinterventions
dc.subject.otherresearch scalability
dc.subject.otherscalable interventions
dc.subject.otherscale-up barriers
dc.subject.otherscale-up facilitators
dc.subject.otherhealth impact
dc.subject.otherpopulation health
dc.titleTensions and Paradoxes of Scaling Up : A Critical Reflection on Physical Activity Promotion
dc.typearticle
dc.identifier.urnURN:NBN:fi:jyu-202212155650
dc.contributor.laitosLiikuntatieteellinen tiedekuntafi
dc.contributor.laitosFaculty of Sport and Health Sciencesen
dc.type.urihttp://purl.org/eprint/type/JournalArticle
dc.type.coarhttp://purl.org/coar/resource_type/c_2df8fbb1
dc.description.reviewstatuspeerReviewed
dc.relation.issn1661-7827
dc.relation.numberinseries21
dc.relation.volume19
dc.type.versionpublishedVersion
dc.rights.copyright© 2022 by the authors. Licensee MDPI, Basel, Switzerland.
dc.rights.accesslevelopenAccessfi
dc.subject.ysointerventio
dc.subject.ysolaajentaminen
dc.subject.ysosidosryhmät
dc.subject.ysofyysinen aktiivisuus
dc.subject.ysotoimintaohjelmat
dc.subject.ysopoliittinen päätöksenteko
dc.subject.ysokansanterveys
dc.subject.ysoterveyden edistäminen
dc.format.contentfulltext
jyx.subject.urihttp://www.yso.fi/onto/yso/p41
jyx.subject.urihttp://www.yso.fi/onto/yso/p24224
jyx.subject.urihttp://www.yso.fi/onto/yso/p8776
jyx.subject.urihttp://www.yso.fi/onto/yso/p23102
jyx.subject.urihttp://www.yso.fi/onto/yso/p14406
jyx.subject.urihttp://www.yso.fi/onto/yso/p12259
jyx.subject.urihttp://www.yso.fi/onto/yso/p452
jyx.subject.urihttp://www.yso.fi/onto/yso/p12732
dc.rights.urlhttps://creativecommons.org/licenses/by/4.0/
dc.relation.doi10.3390/ijerph192114284
jyx.fundinginformationThe physical activity scale-up workshop was funded by the University of Newcastle’s Priority Research Centre for Physical Activity and Nutrition, and the Canadian Institutes for Health Research (FRN 122510). D.R.L. is supported by an NHMRC Senior Research Fellowship (APP1154507). N.N. is supported by an NHMRC MRFF Investigator Grant (APP1194785). M.J.D. is supported by an NHMRC Career Development Fellowship (APP1141606).
dc.type.okmA1


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