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Table 1 Choose to Move (CTM) Implementation Strategies

From: Factors that influence implementation at scale of a community-based health promotion intervention for older adults

CTM Implementation Strategies [38]Descriptions
Conduct needs assessment (at provincial partner level)Prior to CTM implementation, the CTM project team (project team)* conducted formative evaluation using semi-structured focus interviews to assess
i) Older adults’ acceptability of CTM
ii) Delivery partners’ perceived adaptability of CTM to context and population
iii) Activity coaches’ perceived feasibility of implementing CTM implementation of the intervention by Activity Coaches (to assess feasibility) and to identify and pilot evaluation tools and methods to assess effectiveness of CTM at scale. We collaborated with both delivery partners to adapt the program to their organizational context
Develop community partnership and obtain formal commitmentsThe project team partnered with the two community organizations to deliver CTM at their affiliated facilities. Both organizations have signed contract agreement committing on program delivery.
Develop program materials and toolsThe project team developed and provided the following materials for the delivery organization. These include materials for:
i) Program managers
• Recruitment materials
• Descriptions of program coordinators and activity coaches hiring process and job descriptions
ii) Program coordinators
• Outline of implementation and evaluation tasks
iii) Activity coaches
• Presentation materials on health topics for motivational group meeting sessions
• Tools to record participants attendance and responses during one-on-one Action Planning and telephone check-ins.
Centralized technical assistanceThe project team functioned as the prevention support system to provide centralized technical assistance to the program coordinators, managers and activity coaches.
Conduct dynamic trainingThe project team provided a 1-day training for activity coaches. Training content included overview of CTM, motivational interviewing techniques, active listening skills. They were provided with skills demonstration, opportunities to practice the learned skills and ask questions.
Provide on-going consultationThe project team provided on-going telephone consultations to each delivery sites throughout the intervention period. The purpose of these phone calls was to identify and troubleshoot implementation issues. These included:
• Regular phone call (weekly to start, then monthly as Phase II progressed) with provincial coordinators
• On-going email communications to provide additional support
Use advisory boards and workgroupsDuring CTM implementation, the project team formed two advisory committees that provide ongoing feedback we use to adapt the program as needed throughout the intervention period. Both advisory committees meet annually.
• The Community Advisory Committee comprises older adult participants, recreation coordinators, and activity coaches from partner organizations and members of the Active Aging Research (AART) team. This committee shares lessons learned during the implementation of CTM.
• The Leadership Advisory Committee comprises leaders of delivery partner organizations and members of AART. This committee was the organizational lens we used to monitor the implementation of CTM in collaboration with partner organizations and to assess the need for further adaptation of CTM to meet the specific needs and capacity of delivery organizations before scale-up. Both advisory committees meet annually.
Stage implementation scale upCTM was first piloted in DP2 (8 communities) in Phase I before a larger scale roll out in DP1 and DP2 in Phase II (48 communities). This pilot provided opportunity for delivery partners to provide feedback on the feasibility of CTM implementation and identify barriers and facilitators of implementation. This feedback was then used to refine the intervention and implementation plan in Phase II.
  1. * The Choose to Move project team (project team) was convened by the Active Aging Research Team to support delivery of CTM. Specifically, the project team comprised of two principal investigators (HM, JSG), international research collaborators, a program manager and several research assistants to support day-to-day operation and program evaluation
  2. Reproduced with permission from “Implementation of a co-designed physical activity program for older adults: positive impact when delivered at scale,” by McKay H, Nettlefold L, Bauman A, Hoy C, Gray SM, Lau E, and Sims-Gould J, 2018, BMC public health, 18 (1):1289. CC BY 4.0