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Table 3 Factors (barriers and facilitators) identified to influence the sustainment of interventions in schools and childcare services

From: Barriers and facilitators influencing the sustainment of health behaviour interventions in schools and childcare services: a systematic review

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, 55,56,57, 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 [41,42,43, 45,46,47, 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, 44,45,46, 55, 56, 61, 63]

1 [20]

22 [36,37,38,39, 41,42,43, 46,47,48,49,50,51,52, 54, 55, 57, 59, 60, 62, 63, 65]

 

 Organisational readiness/resources

17 [36, 37, 40,41,42,43, 46, 48, 53,54,55,56,57,58, 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 [53,54,55,56,57, 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, 53,54,55, 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, 54,55,56, 58, 61, 63]

1 [64]

9 [38, 43, 44, 53, 55, 56, 60, 62, 63]

1 [64]

 Perceived need

  

3 [37, 47, 55]

 
  1. Blank cells indicate no articles reported this as a barrier or facilitator