Why does it work in one sector but not in another? Factors influencing the implementation of co-created physical activity interventions

Grüne E, Popp J, Carl J, Semrau J, Pfeifer K (2022)

Publication Type: Conference contribution, Abstract of lecture

Publication year: 2022

Event location: Nizza

Abstract

Background: Co-creation approaches are promising for developing and implementing physical activity-promoting interventions, as the involvement of relevant actors from science, practice, and policy enables the development of suitable, effective, and sustainable interventions. Since such approaches are characterised by a high degree of flexibility and complexity, numerous factors can influence their success or failure. The aim of this study was to examine factors influencing the success or failure of a co-creation approach and, in particular, the intervention implementation.

Methods: Using a multiple case study design, co-creation processes were initiated to develop and implement physical activity-promoting interventions in three different settings in the nursing care and automotive mechatronic sectors. The evaluation followed a mixed-methods design. To identify influencing factors, semi-structured interviews were conducted with involved stakeholders (n = 6) and analysed by qualitative content analysis. The implementation status of the developed interventions was assessed by questionnaires (n = 31); the questionnaire data were analysed descriptively.

Results: The co-creation processes resulted in the development of one multi-component intervention per setting. In two nursing care settings, 33.3% and 18.2% of the developed intervention components were implemented, whereas no intervention component was implemented in the automotive mechatronic setting. In this context, we identified the following 11 factors influencing intervention implementation: champion, commitment, embedment, empowerment, engagement, health-promoting leadership, ownership, relevance, resources, responsibility, and strategic planning. Comparable influencing factors often proved to be beneficial in the nursing care sector, but hindering in the automotive mechatronic sector (e.g., availability of a health-promoting leadership in nursing care and its non-availability in automotive mechatronics).

Conclusions: The success of a co-creation approach for promoting physical activity differed greatly across the three cases. Overall, this approach seemed more promising in nursing care, an integral part of the healthcare industry, than in automotive mechatronics as part of the profit-driven manufacturing industry. Thus, the question arises to what extent different settings are open for physical activity promotion and, moreover, ready to initiate a co-creation approach. In this context, it might be useful to assess setting-specific factors (e.g., organizational readiness) a priori to utilize existing facilitating factors or to address deficient factors from the outset.

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How to cite

APA:

Grüne, E., Popp, J., Carl, J., Semrau, J., & Pfeifer, K. (2022, September). Why does it work in one sector but not in another? Factors influencing the implementation of co-created physical activity interventions. Paper presentation at HEPA Europe Conference 2022, Nizza, FR.

MLA:

Grüne, Eva, et al. "Why does it work in one sector but not in another? Factors influencing the implementation of co-created physical activity interventions." Presented at HEPA Europe Conference 2022, Nizza 2022.

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