Abstract
Strategies for dissemination (purposive distribution of a guideline to specific audiences) and implementation (actions to support the general public in meeting guideline recommendations/behavioural benchmarks) of national movement guidelines (physical activity (PA), sedentary behaviour, and sleep) have yet to be synthesized. The purpose of this systematic scoping review was to identify strategies for dissemination and implementation of national PA, sedentary behaviour, and/or sleep guidelines among community-dwelling adults (aged >18 years) and/or stakeholders in Canada and analogous countries. Five search approaches (e.g., published literature, grey literature, targeted web-based, custom Google, and content expert consultation) identified records (e.g., empirical studies, organizational reports, website pages, or guideline messages) that discussed and/or evaluated dissemination or implementation strategies for a prespecified list of guidelines. A modified strategy classification system was developed to chart the data. Forty-seven reports met inclusion criteria. Dissemination strategies (n = 42) were more frequently reported than implementation strategies (n = 24). Implementation strategies were more frequently evaluated (n = 13 vs. 7 dissemination strategies) and associated with positive outcomes. The 13 studies that evaluated strategies were at high or serious risk of bias. We identified limited information about the dissemination and implementation of national movement guidelines and identified strategies were rarely evaluated. Greater efforts are required to increase the impact of guidelines among the general public and stakeholders and to build the evidence base in this field. (Open Science Framework registration: https://osf.io/4tyw3.) Novelty An adapted movement guideline dissemination and implementation strategy classification framework is provided. Knowledge translation efforts should be documented and evaluated to advance science and practice in the movement guideline field.
Highlights
Rationale Canada is a leader in the development of national integrated behaviour recommendations, having released 24-Hour Movement Guidelines for Children and Youth in 2016 (Tremblay et al 2016) and for the Early Years in 2017 (Tremblay et al 2017b), and the world’s first 24-Hour Movement Guidelines for Adults aged 18–64 years and Adults aged 65 years or older (Ross et al 2020)
Targeted dissemination and implementation strategies are essential for guidelines to be reflected in lifestyle and/or practice changes
Dissemination strategies 14 records reported dissemination process strategies, they were used to inform the dissemination of only 2 guidelines (CSEP 2011a; US Department of Health and Human Services 2018), and the strategies themselves were not evaluated
Summary
Rationale Canada is a leader in the development of national integrated behaviour recommendations, having released 24-Hour Movement Guidelines for Children and Youth in 2016 (Tremblay et al 2016) and for the Early Years in 2017 (Tremblay et al 2017b), and the world’s first 24-Hour Movement Guidelines for Adults aged 18–64 years and Adults aged 65 years or older (Ross et al 2020) Such guidelines are not self-implementing, and the creation and release of national behavioural guidelines does not guarantee their uptake (Brawley and Latimer 2007). To ensure the development of an appropriate knowledge translation (KT) plan for the 24-Hour Movement Guidelines for Adults aged 18–64 years and Adults aged 65 years or older, a comprehensive synthesis of previous guideline dissemination and implementation efforts was required
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