Evidence map›Paper›PMID 39187302›Full record

Trial reportHealth promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals2025

A cross-sectional study assessing modifications to the delivery of a multi-component implementation strategy (the Get Outside, Get Active program) to improve child physical activity in early childhood education and care services.

Luke Giles, Nicole Pearson, Hannah Lamont, Alice Grady, Sze Lin Yoong

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Trial
  2. Trial
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Luke GilesHunter New England Population Health, Wallsend, New South Wales, Australia.ORCID https://orcid.org/0000-0002-6849-9325
Nicole PearsonHunter New England Population Health, Wallsend, New South Wales, Australia.ORCID https://orcid.org/0000-0003-2677-2327
Hannah LamontHunter New England Population Health, Wallsend, New South Wales, Australia.ORCID https://orcid.org/0000-0002-3688-566X
Alice GradyHunter New England Population Health, Wallsend, New South Wales, Australia.ORCID https://orcid.org/0000-0003-3379-5340
Sze Lin YoongHunter New England Population Health, Wallsend, New South Wales, Australia.ORCID https://orcid.org/0000-0002-0836-017X

Funding

Centre for Population Health, NSW Minisry of HealthHunter New England Local Health DistrictNational Health and Medical Research CouncilNational Heart Foundation of Australia
6 · The paper itself

Abstract

issue addressedThe Get Outside, Get Active (GOGA) program is a randomised controlled trial which tested the impact of a multi-component implementation strategy to support early childhood education and care (ECEC) services to replace indoor-only free play with indoor-outdoor-free play. This cross-sectional study aims to describe the extent and nature of modifications made to implementation strategies and Behaviour Change Techniques (BCTs) using the Framework for Reporting Adaptations and Modifications to Evidence-based Implementation Strategies (FRAME-IS) and to describe the fidelity of BCT delivery throughout GOGA.

methodsAn audit of records was undertaken throughout the intervention delivery period in the intervention arm. GOGA included 14 standard BCTs within six implementation strategies. Modifications and BCT delivery were recorded by Health Promotion Officers via project records. Modifications were categorised according to the FRAME-IS. BCT delivery was recorded using a checklist.

resultsForty-four ECEC services received the GOGA program. Overall, 60 modifications were recorded. According to FRAME-IS categories, most modifications related to: content; format; pragmatic or practical considerations; tailoring/tweaking/refining in nature; fidelity was inconsistent; the goal was to increase the acceptability, appropriateness, or feasibility of the implementation effort; the rationale was at the practitioner level; and were unplanned/reactive. Overall, 96.4% of standard BCTs were delivered as intended.

conclusionsGOGA was delivered with high fidelity to protocol as indicated by the level of BCT delivery. This article details a thorough approach to documenting modifications and provides guidance for future studies. SO WHAT?: This article contributes to the emerging evidence regarding documentation of adaptations and modifications to public health implementation interventions.

Indexed as

ExerciseHealth PromotionChild, PreschoolCross-Sectional StudiesFemaleHumansMaleProgram Evaluationadaptationsearly childhood educationimplementationmodificationsphysical activity

Identifiers

PMID39187302
PMCPMC11806367

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.