Abstract
The public health impact of health behaviour interventions is highly dependent on large-scale implementation. Intermediaries-intervention providers-determine to a large extent whether an intervention reaches the target population, and hence its impact on public health. A cross-sectional study was performed to identify the correlates of intermediaries' intention to implement a computer-tailored physical activity intervention. According to theory, potential correlates are intervention characteristics, organisational characteristics, socio-political characteristics and intermediary characteristics. This study investigated whether intermediary characteristics mediated the association between the intervention, organisational and socio-political characteristics and intention to implement the intervention. Results showed that intervention characteristics (i.e., observability (B = 0.53; p = 0.006); relative advantage (B = 0.79; p = 0.020); complexity (B = 0.80; p < 0.001); compatibility (B = 0.70; p < 0.001)), organisational characteristics (i.e., type of organization (B = 0.38; p = 0.002); perceived task responsibility (B = 0.66; p <= 0.001); capacity (B = 0.83; p < 0.001)), and the social support received by intermediary organisations (B = 0.81; p < 0.001) were associated with intention to implement the intervention. These factors should thus be targeted by an implementation strategy. Since self-efficacy and social norms perceived by the intermediary organisations partially mediated the effects of other variables on intention to implement the intervention (varying between 29% and 84%), these factors should be targeted to optimise the effectiveness of the implementation strategy.
Original language | English |
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Pages (from-to) | 1885-1903 |
Number of pages | 19 |
Journal | International Journal of Environmental Research and Public Health |
Volume | 11 |
Issue number | 2 |
DOIs | |
Publication status | Published - Feb 2014 |
Keywords
- intervention implementation
- hypothesized determinants of implementation intention
- tailored intervention
- intervention characteristics
- organisational characteristics
- socio-political characteristics
- intermediary characteristics
- AMERICAN-HEART-ASSOCIATION
- SPORTS-MEDICINE
- PUBLIC-HEALTH
- DETERMINANTS
- RECOMMENDATION
- INNOVATION
- COLLEGE
- ADULTS