title: Improving physical activity program adoption using integrated research-practice partnerships: an effectiveness-implementation trial.
abstract: Integrated research-practice partnerships (IRPPs) may improve adoption of evidence-based programs. The aim of this study is to compare adoption of an IRPP-developed physical activity (PA) program (Fit Extension, FitEx) to a typical efficacy-effectiveness-dissemination pipeline model program (Active Living Every Day, ALED). Guided by the Reach Effectiveness Adoption Implementation Maintenance (RE-AIM) framework, a randomized controlled trial assigned health educators (HEs) to FitEx (n = 18) or ALED (n = 18). Fourteen HEs adopted FitEx, while two HEs adopted ALED (χ2= 21.8; p < 0.05). FitEx HEs took less time to deliver (p < 0.05), stated greater intentions for continued program delivery (p < 0.05), and reached more participants (n = 1097 total; 83 % female; 70 % Caucasian; Mage= 44 ± 11.8) per HE than ALED (n = 27 total; 60 % female; 50 % Caucasian; Mage= 41 ± 11.3). No significant difference existed in FitEx or ALED participants' increased PA (Mincrease= 9.12 ±29.09  min/day; p > 0.05). IRPP-developed programs may improve PA program adoption, implementation, and maintenance and may also result in programs that have higher reach-without reducing effectiveness.
authors.affiliation: Department of Human Nutrition, Foods and Exercise, Virginia Tech, 1981 Kraft Dr, Blacksburg, VA, 24060, USA.|Department of Obstetrics and Gynecology, Virginia Tech Carilion School of Medicine, Roanoke, VA, USA.|Fralin Translational Obesity Research Center, Blacksburg, VA, USA.
authors.forename: Samantha M
authors.initials: SM
authors.lastname: Harden
authors.affiliation: Department of Human Nutrition, Foods and Exercise, Virginia Tech, 1981 Kraft Dr, Blacksburg, VA, 24060, USA.|Fralin Translational Obesity Research Center, Blacksburg, VA, USA.
authors.forename: Sallie Beth
authors.initials: SB
authors.lastname: Johnson
authors.affiliation: Department of Human Nutrition, Foods and Exercise, Virginia Tech, 1981 Kraft Dr, Blacksburg, VA, 24060, USA.|Fralin Translational Obesity Research Center, Blacksburg, VA, USA.|Department of Family and Community Medicine, Virginia Tech Carilion School of Medicine, Roanoke, VA, USA.
authors.forename: Fabio A
authors.initials: FA
authors.lastname: Almeida
authors.affiliation: Department of Human Nutrition, Foods and Exercise, Virginia Tech, 1981 Kraft Dr, Blacksburg, VA, 24060, USA. estabrkp@vt.edu.|Fralin Translational Obesity Research Center, Blacksburg, VA, USA. estabrkp@vt.edu.|Department of Family and Community Medicine, Virginia Tech Carilion School of Medicine, Roanoke, VA, USA. estabrkp@vt.edu.
authors.forename: Paul A
authors.initials: PA
authors.lastname: Estabrooks
mesh_terms: D000328:Adult; D015444:Exercise / Q000502:physiology*; D005260:Female; D006293:Health Promotion / Q000379:methods / Q000458:organization & administration*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010317:Partnership Practice / Q000706:statistics & numerical data*; D015397:Program Evaluation; D012106:Research
keywords: Physical activity; RE-AIM; Research-practice; Translation