Table 3.
Factors (barriers and facilitators) identified to influence the sustainment of interventions in schools and childcare services
| Integrated Sustainability Framework domain and factors | Barriers to sustainment of health behaviour interventions in schools and childcare (n=23 articles identified barriers) | Facilitators to sustainment of health behaviour interventions in schools and childcare (n=27 articles identified facilitators) | ||
|---|---|---|---|---|
| Schools (n=21 articles identified barriers) | Childcare (n=2 articles identified barriers) | Schools (n=25 articles identified facilitators) | Childcare (n=2 articles identified facilitators) | |
| Outer contextual factors | (n=13 articles) | (n=0 articles) | (n=16 articles) | (n=0 articles) |
| Socio-political context | 6 [36, 40, 54, 58, 60, 63] | 8 [36, 37, 45, 47, 55–57, 62] | ||
| Funding environment and availability | 6 [36, 37, 39, 45, 46, 63] | 6 [36, 38, 45, 47, 60, 63] | ||
| External partnerships and leadership/environmental support | 4 [36, 45, 55, 61] | 9 [41–43, 45–47, 55, 62, 65] | ||
| Values, needs and priorities | 4 [36, 45, 48, 55] | 4 [36, 45, 62, 65] | ||
| Inner contextual factors | (n=20 articles) | (n=2 articles) | (n=25 articles) | (n=0 articles) |
| Programme champions | 2 [44, 61] | 5 [41, 44, 49, 63, 65] | ||
| Organisational leadership/support | 8 [39, 44–46, 55, 56, 61, 63] | 1 [20] | 22 [36–39, 41–43, 46–52, 54, 55, 57, 59, 60, 62, 63, 65] | |
| Organisational readiness/resources | 17 [36, 37, 40–43, 46, 48, 53–58, 60, 61, 63] | 1 [64] | 8 [36, 37, 45, 46, 50, 56, 60, 62] | |
| Organisational stability | 4 [43, 44, 55, 63] | 1 [20] | 1 [42] | |
| Processes | (n=10 articles) | (n=0 articles) | (n=16 articles) | (n=0 articles) |
| Partnership/engagement | 3 [36, 48, 61] | 6 [41, 45, 52, 60, 62, 65] | ||
| Training/supervision/support | 7 [53–57, 61, 65] | 8 [39, 49, 51, 53, 55, 56, 59, 62] | ||
| Programme evaluation/data | 1 [36] | 1 [65] | ||
| Adaptation | 1 [49] | |||
| Communications and strategic planning | 2 [36, 37] | 6 [36, 37, 39, 49, 52, 62] | ||
| Characteristics of the interventionists and population | (n=11 articles) | (n=1 article) | (n=18 articles) | (n=1 article) |
| Implementer characteristics | 8 [36, 48, 53–55, 61, 63, 65] | 1 [64] | 7 [45, 47, 51, 55, 59, 63, 65] | 1 [20] |
| Implementer benefits and stressors | 2 [55, 57] | 1 [64] | 1 [44] | |
| Implementer skills/expertise | 1 [57] | 4 [50, 53, 55, 63] | ||
| Population characteristics | 7 [36, 37, 43, 53, 55, 61, 63] | 11 [36, 37, 41, 47, 49, 54, 55, 57, 60, 62, 63] | 1 [20] | |
| Characteristics of the intervention | (n=12 articles) | (n=1 article) | (n=15 articles) | (n=1 article) |
| Adaptability of EBI/fidelity | ||||
| Fit with context/population/organisation | 2 [48, 61] | 4 [36, 39, 45, 49] | ||
| Perceived benefits | 11 [36, 37, 41, 42, 45, 54–56, 58, 61, 63] | 1 [64] | 9 [38, 43, 44, 53, 55, 56, 60, 62, 63] | 1 [64] |
| Perceived need | 3 [37, 47, 55] | |||
Blank cells indicate no articles reported this as a barrier or facilitator