Graham Cate, Jack Barnes, Steven Cherney, Jeffrey Stambough, David Bumpass, C Lowry Barnes, Karen J Dickinson
Current status of virtual reality simulation education for orthopedic residents: the need for a change in focus
Global surgical education : journal of the Association for Surgical Education
british columbia canada daily physical activity dpa policy mandated requires elementary school teachers provide students opportunities achieve 30 min physical activity school day however implementation schoolbased physical activity policies influenced many factors theoretical examination factors impede enhance teachers implementation physical activity policies necessary order develop strategies improve policy practice achieve desired outcomes study used theoretical domains framework tdf understand teachers barriers facilitators implementation dpa policy one school district additionally barriers facilitators examined compared according teacher implemented dpa policy instructional school day interviews conducted thirteen teachers transcribed verbatim one researcher performed barrier facilitator extraction double extraction occurring across third interview transcripts second researcher deductive inductive analytical approach twostage process employed whereby barriers facilitators deductively coded using tdf domains content analysis analyzed subthemes within domain two researchers performed coding total 832 items extracted interview transcripts items coded multiple tdf domains resulting total 1422 observations commonly coded tdf domains accounting 75 total environmental context resources ecr n 250 beliefs consequences n 225 social influences n 193 knowledge n 100 intentions n 88 teachers implemented dpa instructional time differed relied noninstructional time relation goals behavioural regulation socialprofessional role identity beliefs consequences fortyone qualitative subthemes identified across fourteen domains exemplary quotes highlighted teachers identified barriers facilitators relating tdf domains ecr beliefs consequences social influences knowledge intentions often discussed influencers dpa policy implementation use tdf understand implementation factors assist systematic development future interventions improve implementation