Behaviours that prompt primary school teachers to adopt and implement physically active learning: a meta synthesis of qualitative evidence.

Publisher: BioMed Central Country of Publication: England NLM ID: 101217089 Publication Model: Electronic Cited Medium: Internet ISSN: 1479-5868 (Electronic) Linking ISSN: 14795868 NLM ISO Abbreviation: Int J Behav Nutr Phys Act Subsets: MEDLINE

Original Publication: [London] : BioMed Central, c2004-

Problem-Based Learning* ; Teacher Training*; Exercise ; Humans ; School Teachers ; Schools

Background: Physically active learning (PAL) - integration of movement within delivery of academic content - is a core component of many whole-of-school physical activity approaches. Yet, PAL intervention methods and strategies vary and frequently are not sustained beyond formal programmes. To improve PAL training, a more comprehensive understanding of the behavioural and psychological processes that influence teachers' adoption and implementation of PAL is required. To address this, we conducted a meta-synthesis to synthesise key stakeholders' knowledge of facilitators and barriers to teachers' implementing PAL in schools to improve teacher-focussed PAL interventions in primary (elementary) schools.
Methodology: We conducted a meta-synthesis using a five-stage thematic synthesis approach to; develop a research purpose and aim, identify relevant articles, appraise studies for quality, develop descriptive themes and interpret and synthesise the literature. In the final stage, 14 domains from the Theoretical Domain Framework (TDF) were then aligned to the final analytical themes and subthemes.
Results: We identified seven themes and 31 sub-themes from 25 eligible papers. Four themes summarised teacher-level factors: PAL benefits, teachers' beliefs about own capabilities, PAL teacher training, PAL delivery. One theme encompassed teacher and school-level factors: resources. Two themes reflected school and external factors that influence teachers' PAL behaviour: whole-school approach, external factors. Ten (of 14) TDF domains aligned with main themes and sub-themes: Knowledge, Skills, Social/Professional Role and Identity, Beliefs about Capabilities, Beliefs about Consequences, Reinforcement, Goals, Environmental Context and Resources, Social influences and Emotion.
Conclusions: Our synthesis illustrates the inherent complexity required to change and sustain teachers' PAL behaviours. Initially, teachers must receive the training, resources and support to develop the capability to implement and adapt PAL. The PAL training programme should progress as teachers' build their experience and capability; content should be 'refreshed' and become more challenging over time. Subsequently, it is imperative to engage all levels of the school community for PAL to be fully integrated into a broader school system. Adequate resources, strong leadership and governance, an engaged activated community and political will are necessary to achieve this, and may not currently exist in most schools.
(© 2021. The Author(s).)

BMC Res Notes. 2015 Nov 25;8:719. (PMID: 26606892)
Prev Med. 2011 Jun;52 Suppl 1:S51-4. (PMID: 21281672)
Eval Program Plann. 2017 Apr;61:134-143. (PMID: 28068554)
BMC Public Health. 2019 Dec 12;19(1):1674. (PMID: 31830952)
J Clin Psychol. 2018 Nov;74(11):1964-1979. (PMID: 30335193)
Br J Sports Med. 2021 Jan 13;:. (PMID: 33441332)
J Sport Health Sci. 2019 Mar;8(2):137-148. (PMID: 30997260)
Eval Program Plann. 2018 Apr;67:61-69. (PMID: 29227866)
Res Q Exerc Sport. 2019 Jun;90(2):151-162. (PMID: 30794089)
Child Obes. 2014 Apr;10(2):100-6. (PMID: 24655311)
Int J Behav Nutr Phys Act. 2011 Oct 27;8:119. (PMID: 22032266)
Health Educ Behav. 2020 Jun;47(3):439-448. (PMID: 32188283)
BMC Public Health. 2018 Mar 6;18(1):322. (PMID: 29510699)
BMJ Open. 2019 May 6;9(5):e025080. (PMID: 31064805)
PLoS Med. 2011 Jun;8(6):e1001049. (PMID: 21738450)
Qual Health Res. 2018 Nov;28(13):2115-2131. (PMID: 30047306)
Soc Sci Med. 2010 May;70(10):1467-74. (PMID: 20207059)
Int J Behav Nutr Phys Act. 2008 Jul 07;5:36. (PMID: 18606013)
J Intellect Disabil Res. 2021 May;65(5):464-488. (PMID: 33719112)
Int J Environ Res Public Health. 2017 Sep 30;14(10):. (PMID: 28973967)
Front Public Health. 2014 May 28;2:58. (PMID: 24904919)
Eval Program Plann. 2020 Dec;83:101874. (PMID: 33007658)
Prev Med. 2015 Mar;72:95-115. (PMID: 25575800)
BMJ Open Sport Exerc Med. 2018 Mar 27;4(1):e000341. (PMID: 29629186)
BMC Med Res Methodol. 2008 Jul 10;8:45. (PMID: 18616818)
Qual Health Res. 2020 Jan;30(1):73-87. (PMID: 31154911)
Children (Basel). 2020 Sep 18;7(9):. (PMID: 32961961)
Int J Behav Nutr Phys Act. 2017 Aug 25;14(1):114. (PMID: 28841890)
Syst Rev. 2015 Jan 01;4:1. (PMID: 25554246)
Implement Sci. 2017 Jun 21;12(1):77. (PMID: 28637486)
Int J Behav Nutr Phys Act. 2020 Feb 7;17(1):13. (PMID: 32028968)
Sports Med Open. 2020 Jan 6;6(1):1. (PMID: 31907711)
Br J Sports Med. 2020 Dec;54(24):1451-1462. (PMID: 33239350)
Qual Saf Health Care. 2005 Feb;14(1):26-33. (PMID: 15692000)
Obes Rev. 2019 Jun;20(6):859-870. (PMID: 30628172)
Health Educ Behav. 2018 Dec;45(6):945-956. (PMID: 29562763)
Br J Sports Med. 2020 Jul;54(14):826-838. (PMID: 31619381)
Transl J Am Coll Sports Med. 2018 Jan;3(1):1-9. (PMID: 29774241)
J Sport Health Sci. 2020 Jan;9(1):3-17. (PMID: 31921476)
J Sport Health Sci. 2020 Jan;9(1):41-49. (PMID: 31921479)
Implement Sci. 2012 Apr 24;7:37. (PMID: 22530986)
Health Psychol Rev. 2017 Jun;11(2):179-196. (PMID: 28278003)
Children (Basel). 2020 Nov 02;7(11):. (PMID: 33147706)
PLoS One. 2019 May 31;14(5):e0212242. (PMID: 31150409)
Res Q Exerc Sport. 2017 Jun;88(2):149-168. (PMID: 28328311)
Nurs Res. 2015 Sep-Oct;64(5):342-50. (PMID: 26325276)

Keywords: Behaviour; Implementation; Physical activity; Physically active learning; School; Systematic review; Teachers; Thematic synthesis; Theoretical domains framework; meta synthesis

Date Created: 20211121 Date Completed: 20211206 Latest Revision: 20231108

20231215

PMC8605507

10.1186/s12966-021-01221-9

34801039