Background
Methods
Literature review search strategy
Databases used | Medline, Embase, Informit |
---|---|
Search terms included | 1. Area of focus: (Health promotion OR Public health OR Primary Prevention OR Secondary prevention) AND 2. Activity: (Scalability OR Scale up OR Scaling up OR Adoption OR Translational research OR Dissemination OR Interventional /Intervention research OR Diffusion) AND 3. Condition type: (Cardiovascular OR Diabetes Mellitus OR Physical Activity OR Obesity OR Nutrition OR Diet OR Smoking OR Smoker OR Smoke OR Exercise OR Physical Inactivity OR Overweight OR Chronic Disease OR Non-communicable disease) |
Search key areas excluded | Cancer, HIV, Maternal and Child health, Developing countries |
Evidence of scaling up
Documenting program pathways
-
Institutionalised: evidence that a program had been successfully diffused into a community and integrated into the long-term functions of the host agency or organisation.
-
Commercialised: evidence of program developers entering into partnership with private entities and/or program materials are available for purchase or can be implemented with financial reimbursement.
-
Adapted: evidence that the intervention has been adapted or customised for a different population or sub-group.
-
Unknown: no further information available on the outcomes of the intervention.
Development of the conceptual framework
Results
Program description
Program Name | Program focus | Target population | Country | Scaling up pathwaya
| Outcome |
---|---|---|---|---|---|
5 A day Power Plus [24] | Nutrition | Schools/<18 years | USA | III | Unknown |
Action Schools! BC [15] | Multiple: Physical activity/nutrition | Schools/<18 years | Canada | I | Institutionalised |
Active Living Every Day [25] | Physical activity | Whole population | USA | I | Commercialised |
Ageing Well and Healthily [26] | Multiple: Health promotion/physical activity | Older adults | Netherlands | I | Adapted |
Ask-Advise-Refer [27] | Smoking cessation | Whole population | USA | I | Institutionalised |
Body & Soul [28] | Nutrition | Other: Faith-based minority groups | USA | I | Unknown |
Child and Adolescent Trial for Cardiovascular Health (CATCH) [29] | Health promotion | Schools/<18 years | USA | I | Institutionalised & Commercialised |
Community Health Activities Model Program for Seniors (CHAMPS) [30] | Physical activity | Older adults | USA | I | Institutionalised & Adapted |
Coronary Health Improvement Project (CHIP) [31] | Health promotion | Other: People at-risk of cardiovascular disease | Multiple: USA, Canada | I | Commercialised |
Choice, Control & Change [32] | Multiple: Nutrition/obesity prevention | Schools/<18 years | USA | III | Commercialised |
COACH APPROACH [33] | Physical activity | Whole population | USA | I | Commercialised |
Color Me Healthy [34] | Multiple: Physical activity/nutrition | Schools/<18 years | USA | IV | Commercialised |
Diabetes Prevention Program (DPP) [35] | Health promotion | Other: People at-risk of diabetes | Multiple: USA, Australia, UK | I | Institutionalised & Adapted |
Dutch Obesity Intervention in Teenagers (DOiT) [36] | Multiple: Health promotion/obesity prevention | Schools/<18 years | Netherlands | III | Unknown |
Exercise Your Options [37] | Multiple: Physical activity/nutrition | Schools/<18 years | USA | IV | Institutionalised |
Fit WIC [38] | Obesity prevention | Schools/<18 years | USA | III | Institutionalised |
Fun 5 [39] | Multiple: Physical activity/nutrition | Schools/<18 years | USA | III | Institutionalised |
Get Healthy Information and Coaching Service [40] | Health promotion | Whole population | Australia | I | Institutionalised |
Good Ageing in Lahti Region (GOAL) Lifestyle Implementation Trial [41] | Health promotion | Other: People at-risk of diabetes | Multiple: Finland, Australia | I | Unknown |
Guided Supermarket Tours [42] | Nutrition | Whole population | Netherlands | II | Unknown |
Healthy Together [43] | Health promotion | Whole population | Australia | IV | Institutionalised |
Hip-Hop to Health [44] | Physical activity | Other: Minority children | USA | I | Commercialised |
JUMP-in [45] | Multiple: Physical activity/obesity prevention | Schools/<18 years | Netherlands | III | Unknown |
Lighten Up to Healthy Lifestyle [17] | Obesity prevention | Whole population | Australia | III | Institutionalised |
Melbourne Diabetes Prevention Study [46] | Health promotion | Other: People 50+ years at risk of diabetes | Australia | I | Institutionalised |
Mighty Moves [47] | Multiple: Physical activity/nutrition | Schools/<18 years | USA | III | Commercialised |
Mind, Exercise, Nutrition…Do it! (MEND) [48] | Health promotion | Schools/<18 years | Multiple: USA, Australia, UK | I | Institutionalised & Adapted |
MOVE! Weight management program for Veterans [49] | Obesity prevention | Other: Veterans | USA | III | Institutionalised |
Not on Tobacco (N-O-T) [50] | Smoking cessation | Schools/<18 years | USA | I | Institutionalised |
Nutrition for Life [51] | Nutrition | Schools/<18 years | USA | IV | Unknown |
Planet Health [52] | Obesity prevention | Schools/<18 years | USA | I | Institutionalised |
Project Energize [16] | Multiple: Physical activity/obesity prevention | Schools/<18 years | New Zealand | II | Institutionalised & Adapted |
Shaping Up My Choices [53] | Nutrition | Schools/<18 years | USA | I | Institutionalised |
Sports, Play, and Active Recreation for Kids (SPARK) [54] | Physical activity | Schools Schools/<18 years | USA | I | Institutionalised |
Staying Free [55] | Smoking cessation | Other: Smokers in acute care settings | Multiple: USA, Canada | I | Adapted |
Strong for Life [56] | Physical activity | Older adults | USA | I | Commercialised |
StrongWomen Program [18] | Physical activity | Other: Women (40+ years) | USA | IV | Institutionalised |
Take 10! [57] | Physical activity | Schools/<18 years | USA | III | Institutionalised |
Txt2Stop [58] | Smoking cessation | Whole population | UK | I | Unknown |
Walk Kansas [59] | Physical activity | Whole population | USA | IV | Institutionalised |
Scaling up pathways
Type I – Comprehensive
Type II – Efficacy omitter
Type III – Trial omitter
Type IV – At scale dissemination
Outcomes
Outcome | Type I Comprehensive % (N) | Type II Efficacy omitter % (N) | Type III Trial omitter % (N) | Type IV At scale dissemination % (N) | Total (all programs) % (N) |
---|---|---|---|---|---|
Institutionalised | 36.4 (8) | 0.0 (0) | 50.0 (5) | 66.7 (4) | 42.5 (17) |
Institutionalised & Adapted | 13.6 (3) | 50.0 (1) | 0.0 (0) | 0.0 (0) | 10.0 (4) |
Institutionalised & Commercialised | 4.5 (1) | 0.0 (0) | 0.0 (0) | 0.0 (0) | 2.5 (1) |
Commercialised | 22.7 (5) | 0.0 (0) | 20.0 (2) | 16.7 (1) | 20.0 (8) |
Adapted | 9.1 (2) | 0.0 (0) | 0.0 (0) | 0.0 (0) | 5.0 (2) |
Unknown | 13.6 (3) | 50.0 (1) | 30.0 (3) | 16.7 (1) | 20.0 (8) |
Total | 100.0 (22) | 100.0 (2) | 100.0 (10) | 100.0 (6) | 100.0 (40) |