Process Evaluation of the Svendborgproject
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Process Evaluation of the Svendborgproject Exploring Factors for Successful Implementation of a School Based Physical Activity Programme PhD thesis Jonas Vestergaard Nielsen Department of Sports Science and Biomechanics Faculty of Health Science University of Southern Denmark Odense, 2018 Process Evaluation of the Svendborgproject - Exploring Factors for Successful Implementation of a School Based Physical Activity Programme Jonas Vestergaard Nielsen Department© of Sports Science and Biomechanics Faculty of Health Science University of Southern Denmark Odense, 2018 Submitted J 201 anuary 9 Assessment committee: Senior Researcher Amika Singh (PhD), Department of Public and Occupational Health, Amsterdan University Medical Center, VU University Medical Center Senior Researcher Peter Bentsen (PhD), Health Promotion, Steno Diabetes Center Copenhagen, the Capital Region Associate Professor Mette Rasmussen (PhD), National Institute of Public Health, University of Southern Denmark (Chairman) Associate professor Janne Schurmann Tolstrup (PhD), National Institute of Public Health, University of Southern Denmark (Chairman) Primary supervisor: Associate Professor Thomas Viskum Gjelstrup Bredahl, Institute of Sports Science and Clinical Biomechanics, University of Southern Denmark Co-supervisors: Associate Professor Thomas Skovgaard, Institute of Sports Science and Clinical Biomechanics, University of Southern Denmark Assistant Professor Heidi Klakk, Institute of Sports Science and Clinical Biomechanics, University of Southern Denmark Funding: This work was supported by the TRYG Foundation [grant number 104982] and Center for Human Movement and Learning, University College Lillebaelt and University of Southern Denmark. Index Preface and acknowledgements ..................................................................................................................... 4 List of papers .................................................................................................................................................... 7 English abstract ................................................................................................................................................ 8 Danish abstract .............................................................................................................................................. 10 1. Introduction................................................................................................................................................ 13 1.1 Physical activity in a school context ................................................................................................... 13 1.2 Implementation science ...................................................................................................................... 14 1.3 Knowledge translation ........................................................................................................................ 16 1.4 Process evaluations ............................................................................................................................. 18 1.5 The Svendborgproject ......................................................................................................................... 20 1.5.1 Programme requirements ............................................................................................................ 22 1.5.2 The connection of research .......................................................................................................... 23 1.5.3 Programme effectiveness ............................................................................................................. 24 1.6 Aim and research objectives ............................................................................................................... 25 1.7 Operationalisation ............................................................................................................................... 28 2. Scientific theoretical approach ................................................................................................................. 30 2.1 Pragmatism .......................................................................................................................................... 30 2.2 Pragmatism and implementation science .......................................................................................... 31 2.3 Pragmatism and evaluations ............................................................................................................... 31 2.4 Pragmatism and scientific inquiry ...................................................................................................... 32 2.4.1 Abduction ...................................................................................................................................... 33 2.4.2 Strict abduction ............................................................................................................................. 35 2.4.3 The use of frameworks ................................................................................................................. 37 3. Methodology ............................................................................................................................................... 44 3.1 Mixed methods and pragmatism ........................................................................................................ 45 3.1.1 The purpose of the mixed methods design ................................................................................. 46 3.1.2 The dimensions of the mixed methods design ........................................................................... 46 3.1.3 The embedded mixed methods design ....................................................................................... 48 4. Methods ...................................................................................................................................................... 50 4.1 Interviews ............................................................................................................................................. 51 4.1.1 Programme managers .................................................................................................................. 52 4.1.2 School heads .................................................................................................................................. 53 4.1.3 PE teachers .................................................................................................................................... 54 Side 2 af 101 4.2 Documents ............................................................................................................................................ 54 4.3 Questionnaires ..................................................................................................................................... 55 4.4 Analysis strategies ............................................................................................................................... 57 4.4.1 Analysis in the studies .................................................................................................................. 58 4.4.2 Meta-analysis across the studies ................................................................................................. 59 4.5 Ethical considerations ......................................................................................................................... 59 5. Findings across studies.............................................................................................................................. 61 5.1 Alignment with existing values and priorities................................................................................... 61 5.2 Combining a top-down and bottom-up approach ............................................................................. 63 5.3 Having a professional development course ....................................................................................... 65 5.4 Enabling adaptations ........................................................................................................................... 67 6. Discussion ................................................................................................................................................... 72 6.1 Main findings in relation to previous research in the field .............................................................. 72 6.1.1 Alignment with existing values and priorities ........................................................................... 72 6.1.2 Combining a top-down and bottom-up approach ...................................................................... 73 6.1.4 Having a professional development course ................................................................................ 76 6.1.3 Enabling adaptation ...................................................................................................................... 77 6.2 Methodological reflections .................................................................................................................. 79 6.2.1 Qualitative methods...................................................................................................................... 81 6.2.2 Confirmability and dependability ................................................................................................ 83 6.2.3 Quantitative methods ..................................................................................................................