000165399 001__ 165399
000165399 005__ 20260108141541.0
000165399 0247_ $$2doi$$a10.1093/heapro/daaf224
000165399 0248_ $$2sideral$$a147026
000165399 037__ $$aART-2025-147026
000165399 041__ $$aeng
000165399 100__ $$0(orcid)0000-0002-0853-8994$$aBachouri-Muniesa, Hisham$$uUniversidad de Zaragoza
000165399 245__ $$aEnabling sustainability through co-adaptation: a process evaluation of a school-based physical activity program
000165399 260__ $$c2025
000165399 5060_ $$aAccess copy available to the general public$$fUnrestricted
000165399 5203_ $$aSchools represent strategic settings for adolescent health promotion across multiple domains, including physical activity (PA). Despite the development of numerous effective programs, sustaining their impact within the school context remains a key challenge. This process evaluation explores how mechanisms, participant experiences, and contextual factors shaped the design, implementation and potential sustainability of the replicated Sigue la Huella (SLH) program (originally designed to increase PA and reduce sedentary time) in a new secondary school in Spain. Grounded in the Replicating Effective Programs framework and co-creation principles, the intervention was co-adapted and implemented over a three-year period through an iterative, collaborative process. The approach emphasized contextual relevance, gradual transfer of responsibility, and long-term sustainability. Participants (ntotal = 43) included teachers (i.e. school implementers), the school principal, students, parents, and policymakers. Data were collected through field notes, focus groups, and interviews. Using the Framework Analysis, findings were organized into thematic matrices capturing stakeholder perspectives across co-adaptation and three implementation phases. While the core structure of SLH was retained, delivery strategies were adapted to reflect school priorities and constraints. Key enablers of sustainability included strategic planning, flexible implementation, stakeholder empowerment, and institutionalization. However, challenges such as training needs, coordination gaps, and competing initiatives persisted. In essence, the processes of co-adaptation, accompanied by a staged withdrawal of research implementation support, have been found to foster school ownership, high-fidelity delivery, and institutionalization creating optimal conditions for autonomous sustainability while recognizing context-dependent challenges.
000165399 540__ $$9info:eu-repo/semantics/embargoedAccess$$aAll rights reserved$$uhttp://www.europeana.eu/rights/rr-f/
000165399 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/acceptedVersion
000165399 700__ $$aVerloigne, Maïté
000165399 700__ $$0(orcid)0000-0002-9761-1953$$aZaragoza, Javier$$uUniversidad de Zaragoza
000165399 700__ $$aLhuisset, Léna
000165399 700__ $$0(orcid)0000-0002-7076-6621$$aJulián-Clemente, José A$$uUniversidad de Zaragoza
000165399 700__ $$aBois, Julien
000165399 700__ $$0(orcid)0000-0002-3761-2903$$aAsún-Dieste, Sonia$$uUniversidad de Zaragoza
000165399 7102_ $$13001$$2187$$aUniversidad de Zaragoza$$bDpto. Expres.Music.Plást.Corp.$$cÁrea Didáctica Expres.Corporal
000165399 773__ $$g40, 6 (2025), [13 pp.]$$pHealth promot. int.$$tHealth promotion international$$x0957-4824
000165399 8564_ $$s444260$$uhttps://zaguan.unizar.es/record/165399/files/texto_completo.pdf$$yPostprint$$zinfo:eu-repo/date/embargoEnd/2026-12-18
000165399 8564_ $$s776168$$uhttps://zaguan.unizar.es/record/165399/files/texto_completo.jpg?subformat=icon$$xicon$$yPostprint$$zinfo:eu-repo/date/embargoEnd/2026-12-18
000165399 909CO $$ooai:zaguan.unizar.es:165399$$particulos$$pdriver
000165399 951__ $$a2026-01-08-14:13:55
000165399 980__ $$aARTICLE