Andrea L Nevedal, Marilla A Opra Widerquist, Caitlin M Reardon, Maria Arasim, George L Jackson, Brandolyn White, Madison Burns, Gemmae M Fix, Kathryn DeLaughter, Sarah L Cutrona, Allen L Gifford, Guneet K Jasuja, Timothy P Hogan, Heather A King, Blake Henderson, Laura J Damschroder
Understanding pathways from implementation to sustainment: a longitudinal, mixed methods analysis of promising practices implemented in the Veterans Health Administration
Implementation science : IS
study aimed determine feasibility groupbased pilot programme lowtomoderate physical activity training education social activities investigating acceptability practicality implementation efficacy testing offer suggestions programme adaptions future study people range chronic respiratory diseases invited participate pilot 12 week group activity programme activities included outdoor walking taichi education range social activities acceptability determined participant experiences determined interviews practicality determined programme outcome measure completion cost adverse events implementation determined according whether programme ran planned efficacy determined statistical analyses outcomes including hand grip strength timed go test copd helplessness index copd assessment test measures physical activity via accelerometry thematic analysis indicated breathehappy programme acceptable seven nine participants completed eight 10 sessions majority completed outcome measures breathehappy therefore considered practical programme implemented planned 10 sessions running rather 12 intended significant increase daily step counts md 1284 95 ci 2402329 p 0024 effect size 0988 stepping time md 16 min 95 ci 527 min p 0011 effect size 136 daily minutes completing light physical activity md 23 95 ci 638 p 0006 effect size 16 however time spent sitting 30 min 60 min significantly increased md 26 95 ci 0252 min p 0049 effect size 0931 showing signs efficacy changing physical activity behaviour patterns 10week programme lowmoderate physical activity training education social activities shows signs feasibility future research suggested adaptions future study include using physical activity measures daily step count light physical activity primary outcome mental health social health related outcome measures relatable participants beneficial experiences programme recruitment future studies try reach less socially active possibly completed pulmonary rehabilitation pr venues close efficient transport links whilst different frequencies durations programme delivery trialled adequate funding provided staff running programme blinded research staff outcome measurement