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Table 4 Key barriers & facilitators per sector per implementation phase

From: A stitch in time saves nine? A repeated cross-sectional case study on the implementation of the intersectoral community approach Youth At a Healthy Weight

 

Educational

Health care

Private

Welfare & sports

Int

Mid

Cont

Inta

Mid

Con

Int

Mid

Cont

Int

Mid

Cont

Key facilitators

 Campaign compatible with existing work procedures

  

   

  

 Possibility to adapt campaign to local needs

    

    

 ↑ ownership for campaign use

 

 

  

 ↑ self-efficacy for campaign use

  

       

 

 Uptake of campaign use in daily working routine

  

         

Availability of internal campaign coordinator

    

       

 ↑ support from campaign manager

    

    

  

 Regular evaluation of campaign implementation

    

       

 Campaign use cause advantages

          

 

Compatibility of campaign goals and goals of organization

           

Key barriers

 ↓ procedural clarity

     

    

 Campaign use causes disadvantages

           

 ↓ priority assigned to campaign use

 

 

       

 ↓ durability of campaign materials

 

          

Lack of campaign reinforcement strategies

  

     

  

 Campaign is considered incomplete

    

 

    

Chaotic organization of campaign

     

   

  

Incompatibility of campaign goals and goals of organization

      

     

 ↓ participation of target population in campaign

       

   

 High turn-over of staff

       

    

Lack of experiencing a shared commitment for campaign use with community partners

        

   
  1. Int Initial implementation, Mid mid-way implementation; Con continued implementation; atoo little data available to draw conclusions; Determinants outside of the scope of the Fleuren framework are italicized