Rosemary J Hollick, Warren R G James, Avril Nicoll, Louise Locock, Corri Black, Neeraj Dhaun, Allyson C Egan, Nicholas Fluck, Lynn Laidlaw, Peter C Lanyon, Mark A Little, Raashid Ahmed Luqmani, Laura Moir, Maureen McBain, Neil Basu
Identifying key health system components associated with improved outcomes to inform the re-configuration of services for adults with rare autoimmune rheumatic diseases: a mixed-methods study
The Lancet. Rheumatology
evidencebased physical education ebpe programs increased physical activity pa much 18 yet widespread adoption occurred understanding school facilitators barriers pe prove useful ebpe dissemination efforts pairs principals pe teachers 154 schools 75 adopters 79 nonadopters 34 states completed questionnaires differences adopter nonadopter schools tested using tests wilcoxon signed rank tests chisquare analyses principals teachers reported distinct pe curriculum adoption decision making roles viewed involved program evaluation teachers adopter schools satisfied pe program outcomes greater involvement teacher evaluation program decision making compared teachers principals generally satisfied schools pe program outcomes share perceptions pe barriers however principals also demonstrated general lack pe program familiarity facilitate ebpe adoption dissemination efforts target principals pe teachers increasing principals knowledge may instrumental addressing teacher perceptions barriers pe strategic advocacy efforts including targeting policies require pe program evaluation needed