Leonardo Martinez, James A Seddon, C Robert Horsburgh, Christoph Lange, Anna M Mandalakas
Effectiveness of preventive treatment among different age groups and Mycobacterium tuberculosis infection status: a systematic review and individual-participant data meta-analysis of contact tracing studies
The Lancet. Respiratory medicine
fewer 17 children worldwide meeting international recommendations daily physical activity since children school bulk day classroom identified ideal space incorporate physical activity opportunities ontario canada daily physical activity dpa policy aims ensure elementary school children receive minimum 20 min moderate vigorous physical activity school day instructional time however 2015 evaluation found half ontario teachers meeting expectation work advocated additional research monitor implementation predictors identify fidelity recommendations thus current study investigated contemporary factors influencing dpa fidelity ontario elementary schools provides teacheridentified recommendations support dpa implementation first part study quantitative approach surveying 186 elementary school teachers across ontario descriptive statistics including frequencies means used characterize barriers facilitators recommendations dpa implementation spearmans correlations used assess relation likelihood dpa implementation intrapersonal factors gender teaching experience prior dpa training personal physical activity participation second part study consisted qualitative approach using teacher interviews explore indepth teachers recommendations support dpa implementation thematic analysis used analyze transcripts identify recommendations dpa survey results showed 23 teachers met mandated 20 min dpa per day barriers implementation included space time constraints inadequate training student behavioural issues low selfefficacy gender teaching experience prior dpa training related likelihood dpa implementation teachers rated physically fit likely implement dpa teacher interviews elucidated key areas improving dpa implementation including greater dpa training opportunities resources community partnerships accountability strategies support schoolwide implementation current study demonstrated fidelity dpa policy ontario elementary schools decline work highlights unique factors implicated dpa fidelity brings forefront teacher recommendations improve dpa implementation