Promoting physical activity in children: The stepwise development of the primary school-based JUMP-in intervention applying the RE-AIM evaluation framework.
BACKGROUND
There is a lack of effective intervention strategies that promote physical activity (PA) in school children. Furthermore, there is a gap between PA intervention research and the delivery of programmes in practice. Evaluation studies seldom lead to adaptations in interventions that are subsequently evaluated by implementation on a wider scale. The stepwise development and study of JUMP-in aims to add knowledge to better understand how, when and for whom intervention effects (or lack of effects) occur.


METHODS
This paper describes the stepwise development of JUMP-in, a Dutch school-based multi-level intervention programme, aimed at the promotion of PA behaviour in 6-12-year-old children. JUMP-in incorporates education, sports, care and policy components. JUMP-in consists of six programme components: 1. Pupil Follow-up Monitoring System; 2. School sports clubs; 3. In-class exercises with "The Class Moves!"; 4. Personal workbook "This is the way you move!"; 5. Parental Information Services; 6. Extra lessons in physical education, Motor Remedial Teaching and extra care. The process and effect outcomes of a pilot study were translated into an improved programme and intervention organisation, using the RE-AIM framework (Reach, Efficacy, Adoption, Implementation and Maintenance). This paper presents the process and results of the application of this framework, which resulted in a widescale implementation of JUMP-in.


RESULTS
The application of the RE-AIM framework resulted in challenges and remedies for an improved JUMP-in intervention. The remedies required changes at three different levels: (1) the content of the programme components; (2) the organisation and programme management; and (3) the evaluation design.


CONCLUSIONS
Considering factors that determine the impact of PA interventions in 'real life' is of great importance. The RE-AIM framework appeared to be a useful guide by which process and effect outcomes could be translated into an improved programme content and organisation.
De Meij
J S B
JS
Department of Epidemiology, Documentation and Health Promotion, Municipal Health Service of Amsterdam, Amsterdam, The Netherlands. jdmeij@ggd.amsterdam.nl
Chinapaw
M J M
MJ
Kremers
S P J
SP
Van der Wal
M F
MF
Jurg
M E
ME
Van Mechelen
W
W
D002648:Child; D015444:Exercise / Q000502:physiology*; D006266:Health Education; D006284:Health Plan Implementation; D006291:Health Policy; D006293:Health Promotion / Q000379:methods*; D006801:Humans; D009426:Netherlands; D017063:Outcome Assessment, Health Care; D010290:Parents; D010865:Pilot Projects; D015397:Program Evaluation; D012572:School Health Services; D012574:Schools; D013177:Sports / Q000502:physiology; D013663:Teaching / Q000592:standards