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ISSN (Print): 2576-1919 ISSN (Online): 2574-4437 Website: https://www.sciepub.com/journal/jpar Editor-in-chief: Peter Hart
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Journal of Physical Activity Research. 2025, 10(1), 63-74
DOI: 10.12691/jpar-10-1-8
Open AccessProtocol

Ireland Lights Up: Protocol for an Effectiveness-Implementation Evaluation of a Walking Initiative in Gaelic Games Sports Clubs

Nicola Briggs1, , Aisling McGrath1, Barry Lambe1, Niamh Murphy1 and Noel Richardson2

1Centre for Health Behaviour Research, Department of Sport and Exercise Science, South East Technological University, Waterford, Ireland

2National Centre for Men’s Health, Department of Health and Sports Sciences, South East Technological University, Carlow, Ireland

Pub. Date: November 28, 2025
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Cite this paper:
Nicola Briggs, Aisling McGrath, Barry Lambe, Niamh Murphy and Noel Richardson. Ireland Lights Up: Protocol for an Effectiveness-Implementation Evaluation of a Walking Initiative in Gaelic Games Sports Clubs. Journal of Physical Activity Research. 2025; 10(1):63-74. doi: 10.12691/jpar-10-1-8

Abstract

Many physical activity (PA) for health interventions are small-scale and not designed to be reproducible or scalable. ‘Ireland Lights Up’ (ILU) is a large-scale, multi-level walking initiative delivered through approximately 1,000 Gaelic Athletic Association (GAA) clubs across Ireland, with an estimated 40,000 weekly participants. ILU encompasses individual, community, and environmental levels, offering strong potential for scale-up, adaptation, and sustainability. This protocol outlines a detailed methodology for evaluating both the effectiveness and implementation of ILU using implementation science frameworks. A hybrid type-two effectiveness-implementation design will be employed, guided by the RE-AIM (Reach, Effectiveness, Adoption, Implementation, Maintenance) and PRISM (Practical, Robust Implementation and Sustainability Model) frameworks, alongside the Implementation Science Assessment Tool (ISAT). The study will assess outcomes across multiple levels (participant, club, organisational, and systems). Primary outcomes include PA participation levels, subjective wellbeing (e.g., life satisfaction), social capital, reach, adoption, cost-effectiveness, and maintenance. Data collection methods include cross-sectional surveys with participants and club leaders, semi-structured interviews with key stakeholders, and a one-year longitudinal study with participants. This protocol provides a replicable approach to evaluating real-world, community-based PA interventions at scale. Grounded in implementation science, the study aims to identify key determinants of effective, sustainable health promotion within sports clubs, with particular attention to ‘not yet reached’ groups. Findings may inform future integration of scalable, context-sensitive initiatives into sports clubs for health and other community-based settings. Trial registration: ISRCTN14693503

Keywords:
physical activity sports clubs for health implementation science health promotion settings approach

Creative CommonsThis work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

References:

[1]  Gilchrist P, Osborn G. Risk and benefits in lifestyle sports: parkour, law and social value. Int J Sport Policy Polit [Internet]. 2017 Jan 2 [cited 2025 May 6].
 
[2]  Rebar AL, Taylor A. Physical activity and mental health; it is more than just a prescription. Ment Health Phys Act. 2017 Oct 1; 13: 77–82.
 
[3]  Strain T, Flaxman S, Guthold R, Semenova E, Cowan M, Riley LM, et al. National, regional, and global trends in insufficient physical activity among adults from 2000 to 2022: a pooled analysis of 507 population-based surveys with 5·7 million participants. Lancet Glob Health. 2024 Aug 1; 12(8): e1232–43.
 
[4]  Ding D, Varela AR, Bauman AE, Ekelund U, Lee IM, Heath G, et al. Towards better evidence-informed global action: lessons learnt from the Lancet series and recent developments in physical activity and public health. Br J Sports Med. 2020 Apr 1; 54(8): 462–8.
 
[5]  Milton K, Cavill N, Chalkley A, Foster C, Gomersall S, Hagstromer M, et al. Eight Investments That Work for Physical Activity. J Phys Act Health. 2021 May 14; 18(6): 625–30.
 
[6]  World Health Organization. Global Action Plan on Physical Activity 2018-2030: More Active People for a Healthier World. 2018.
 
[7]  Salvo D, Garcia L, Reis RS, Stankov I, Goel R, Schipperijn J, et al. Physical Activity Promotion and the United Nations Sustainable Development Goals: Building Synergies to Maximize Impact. 2021 Jul 13 [cited 2025 May 14]; Available from: https:// journals.humankinetics.com/view/journals/jpah/18/10/article-p1163.xml
 
[8]  Whiting S, Mendes R, Morais ST, Gelius P, Abu-Omar K, Nash L, et al. Promoting health-enhancing physical activity in Europe: Surveillance, policy development and implementation 2015–2018. Health Policy. 2021 Aug 1; 125(8): 1023–30.
 
[9]  Ball K, Abbott G, Wilson M, Chisholm M, Sahlqvist S. How to get a nation walking: reach, retention, participant characteristics and program implications of Heart Foundation Walking, a nationwide Australian community-based walking program. Int J Behav Nutr Phys Act. 2017 Nov 21; 14(1): 161.
 
[10]  Kahn EB, Ramsey LT, Brownson RC, Heath GW, Howze EH, Powell KE, et al. The effectiveness of interventions to increase physical activity. A systematic review. Am J Prev Med. 2002 May; 22(4 Suppl): 73–107.
 
[11]  Dooris M. Holistic and sustainable health improvement: the contribution of the settings-based approach to health promotion. Perspect Public Health. 2009 Jan; 129(1): 29–36.
 
[12]  World Health Organization. Ottawa Charter for Health Promotion. In World Health Organization; 1986.
 
[13]  Geidne S, Kokko S, Lane A, Ooms L, Vuillemin A, Seghers J, et al. Health Promotion Interventions in Sports Clubs: Can We Talk About a Setting-Based Approach? A Systematic Mapping Review. Health Educ Behav. 2019 Aug 1; 46(4): 592–601.
 
[14]  Kokko S. Sports clubs as settings for health promotion: Fundamentals and an overview to research. Scand J Public Health. 2014 Nov 1; 42(15_suppl):60–5.
 
[15]  Lane A, Murphy N, Regan C, Callaghan D. Health Promoting Sports Club in Practice: A Controlled Evaluation of the GAA Healthy Club Project. Int J Environ Res Public Health. 2021 Jan; 18(9): 4786.
 
[16]  Robertson, Eime R, Westerbeek H. Community sports clubs: are they only about playing sport, or do they have broader health promotion and social responsibilities? Ann Leis Res. 2019 Mar 15; 22(2): 215–32.
 
[17]  Eime RM, Payne WR, Harvey JT. Making sporting clubs healthy and welcoming environments: A strategy to increase participation. J Sci Med Sport. 2008 Apr 1; 11(2): 146–54.
 
[18]  Johnson S, Van Hoye A, Donaldson A, Lemonnier F, Rostan F, Vuillemin A. Building health-promoting sports clubs: a participative concept mapping approach. Public Health. 2020 Nov 1; 188: 8–17.
 
[19]  Sport Ireland. Sport Ireland Statement of Strategy 2023-2027 [Internet]. 2023 [cited 2024 Dec 10]. Available from: https://www.sportireland.ie/about-us/sport-ireland-strategy
 
[20]  Van der Veken K, Lauwerier E, Willems SJ. How community sport programs may improve the health of vulnerable population groups: a program theory. Int J Equity Health. 2020 May 24; 19(1): 74.
 
[21]  Kokko S, Donaldson A, Geidne S, Seghers J, Scheerder J, Meganck J, et al. Piecing the puzzle together: case studies of international research in health-promoting sports clubs. Glob Health Promot. 2016 Mar 1; 23(1_suppl):75–84.
 
[22]  Morris JN, Hardman AE. Walking to Health. Sports Med. 1997 May 1; 23(5): 306–32.
 
[23]  Kelly P, Murphy M, Mutrie N. The Health Benefits of Walking. In: Walking [Internet]. Emerald Publishing Limited; 2017 [cited 2025 Feb 11]. p. 61–79.
 
[24]  Murphy MH, Nevill AM, Murtagh EM, Holder RL. The effect of walking on fitness, fatness and resting blood pressure: A meta-analysis of randomised, controlled trials. Prev Med. 2007 May 1; 44(5): 377–85.
 
[25]  Robertson R, Robertson A, Jepson R, Maxwell M. Walking for depression or depressive symptoms: A systematic review and meta-analysis. Ment Health Phys Act. 2012 Jun 1; 5(1): 66–75.
 
[26]  Hanson S, Jones A. Is there evidence that walking groups have health benefits? A systematic review and meta-analysis. 2015 Jun 1 [cited 2025 May 14]; Available from: https:// bjsm.bmj.com/ content/49/11/710?trk=public_post_comment-text.
 
[27]  Kassavou A, Turner A, French D. Do interventions to promote walking in groups increase physical activity? A meta-analysis. Int J Behav Nutr Phys Act. 2013; 10: 18–18.
 
[28]  Ogilvie D, Foster CE, Rothnie H, Cavill N, Hamilton V, Fitzsimons CF, et al. Interventions to promote walking: systematic review. 2007 Jun 7 [cited 2025 May 14]; Available from: https://www.bmj.com/content/334/7605/1204?dm_i=145213264
 
[29]  Brown, Mummery K, Eakin E, Schofield G. 10,000 Steps Rockhampton: Evaluation of a Whole Community Approach to Improving Population Levels of Physical Activity. 2006 Jan 1. Available from: http:// journals.humankinetics.com/ view/ journals/jpah/3/1/article-p1.xml.
 
[30]  De Cocker KA, De Bourdeaudhuij IM, Brown WJ, Cardon GM. Effects of “10,000 Steps Ghent”: A Whole-Community Intervention. Am J Prev Med. 2007 Dec 1; 33(6): 455–63.
 
[31]  Hoye A van, Johnson S, Geidne S, Vuillemin A. Relationship between coaches’ health promotion activities, sports experience and health among adults. Health Educ J. 2020; 79: 763–74.
 
[32]  Crampsie A. Playing identity politics: the Gaelic Athletic Association in modern Ireland. In: Koch N, editor. Critical Geographies of Sport. Routledge; 2016.
 
[33]  Central Statistics Office. Urban and Rural Life in Ireland, 2019 - Central Statistics Office [Internet]. CSO; 2019 [cited 2024 Apr 4]. Availablefrom: http://www.cso.ie/en/releasesandpublications/ep/p-urli/urbanandrurallifeinireland2019/.
 
[34]  Hartnett A, Gorman C. Active Leisure and Ageing in Rural Ireland: Exploring Perceptions and Motivations to Facilitate and Promote Meaningful Physical Activity. Articles [Internet]. 2022 Apr 1; Available from: https://arrow.tudublin.ie/tfschhmtart/105.
 
[35]  Faubel R, Garriga A, Sempere-Rubio N, Molina-Prados M. Impact of seasonality on physical activity: a systematic review. Eur J Public Health. 2022 Oct 1; 32(Supplement_3): ckac131.159.
 
[36]  Gaa.ie. ‘Ireland Lights Up’ returns in 2025 [Internet]. 2024 [cited 2024 Dec 16]. Available from: https://www.gaa.ie/article/ireland-lights-up-returns-in-2025.
 
[37]  Lambe B, McGrath A, Murphy N, Briggs N. O.2.2-1 Shining a light on success: the impact of the ‘Ireland Lights Up’ walking initiative on health and wellbeing. Eur J Public Health. 2023 Sep 1; 33(Supplement_1):ckad133.116.
 
[38]  Lee K, Ding D, Grunseit A, Wolfenden L, Milat A, Bauman A. Many Papers but Limited Policy Impact? A Bibliometric Review of Physical Activity Research. Transl J Am Coll Sports Med. 2021 Fall; 6(4): e000167.
 
[39]  Reis RS, Salvo D, Ogilvie D, Lambert EV, Goenka S, Brownson RC. Scaling up physical activity interventions worldwide: stepping up to larger and smarter approaches to get people moving. The Lancet. 2016 Sep 24; 388(10051): 1337–48.
 
[40]  Fried EI, Robinaugh DJ. Systems all the way down: embracing complexity in mental health research. BMC Med. 2020 Jul 14; 18(1): 205.
 
[41]  Johnson S, Vuillemin A, Geidne S, Kokko S, Epstein J, Van Hoye A. Measuring Health Promotion in Sports Club Settings: A Modified Delphi Study. Health Educ Behav. 2020 Feb 1; 47(1): 78–90.
 
[42]  McGrath A, Richardson N, Murphy N. Strategies for effective implementation and scale-up of a multi-level co-designed men’s health initiative ‘Sheds for Life’ in Irish Men’s Sheds. Front Health Serv. 2022; 2: 940031.
 
[43]  Stone AB, Yuan CT, Rosen MA, Grant MC, Benishek LE, Hanahan E, et al. Barriers to and Facilitators of Implementing Enhanced Recovery Pathways Using an Implementation Framework: A Systematic Review. JAMA Surg. 2018 Mar 1; 153(3): 270–9.
 
[44]  Proctor E, Silmere H, Raghavan R, Hovmand P, Aarons G, Bunger A, et al. Outcomes for Implementation Research: Conceptual Distinctions, Measurement Challenges, and Research Agenda. Adm Policy Ment Health Ment Health Serv Res. 2011 Mar 1; 38(2): 65–76.
 
[45]  Powell BJ, Fernandez ME, Williams NJ, Aarons GA, Beidas RS, Lewis CC, et al. Enhancing the Impact of Implementation Strategies in Healthcare: A Research Agenda. Front Public Health [Internet]. 2019 [cited 2024 Jan 10]; 7. Available from: https://www.frontiersin.org/articles/10.3389/fpubh.2019.00003
 
[46]  Bauer MS, Kirchner J. Implementation science: What is it and why should I care? Psychiatry Res. 2020 Jan 1; 283: 112376.
 
[47]  Hawe P. Lessons from Complex Interventions to Improve Health. Annu Rev Public Health. 2015; 36(1): 307–23.
 
[48]  Koorts H, Eakin E, Estabrooks P, Timperio A, Salmon J, Bauman A. Implementation and scale up of population physical activity interventions for clinical and community settings: the PRACTIS guide. Int J Behav Nutr Phys Act. 2018 Jun 8; 15(1): 51.
 
[49]  Milat, Lee K, Conte K, Grunseit A, Wolfenden L, van Nassau F, et al. Intervention Scalability Assessment Tool: A decision support tool for health policy makers and implementers. Health Res Policy Syst. 2020 Jan 3; 18(1): 1.
 
[50]  Curran GM, Landes SJ, McBain SA, Pyne JM, Smith JD, Fernandez ME, et al. Reflections on 10 years of effectiveness-implementation hybrid studies. Front Health Serv [Internet]. 2022 Dec 8 [cited 2024 May 23]; 2. Available from: https://www.frontiersin.org/articles/10.3389/frhs.2022.1053496
 
[51]  Glasgow RE, Vogt TM, Boles SM. Evaluating the public health impact of health promotion interventions: the RE-AIM framework. Am J Public Health. 1999 Sep; 89(9): 1322–7.
 
[52]  Milat, Newson R, King L, Rissel C, Wolfenden L, Bauman A, et al. A guide to scaling up population health interventions. Public Health Res Pract. 2016 Jan 28; 26(1): e2611604.
 
[53]  Damschroder LJ, Aron DC, Keith RE, Kirsh SR, Alexander JA, Lowery JC. Fostering implementation of health services research findings into practice: a consolidated framework for advancing implementation science. Implement Sci. 2009 Aug 7; 4(1): 50.
 
[54]  Moullin JC, Dickson KS, Stadnick NA, Albers B, Nilsen P, Broder-Fingert S, et al. Ten recommendations for using implementation frameworks in research and practice. Implement Sci Commun. 2020 Apr 30; 1(1): 42.
 
[55]  Rapport F, Clay-Williams R, Churruca K, Shih P, Hogden A, Braithwaite J. The struggle of translating science into action: Foundational concepts of implementation science. J Eval Clin Pract. 2018; 24(1): 117–26.
 
[56]  Curran GM, Bauer M, Mittman B, Pyne JM, Stetler C. Effectiveness-implementation Hybrid Designs. Med Care. 2012 Mar; 50(3): 217–26.
 
[57]  Landes SJ, McBain SA, Curran GM. An Introduction to Effectiveness-Implementation Hybrid Designs. Psychiatry Res. 2019 Oct; 280: 112513.
 
[58]  Matlock DD, Fukunaga MI, Tan A, Knoepke C, McNeal DM, Mazor KM, et al. Enhancing Success of Medicare’s Shared Decision Making Mandates Using Implementation Science: Examples Applying the Pragmatic Robust Implementation and Sustainability Model (PRISM). MDM Policy Pract. 2020 Jul 1; 5(2): 2381468320963070.
 
[59]  Glasgow RE, Harden SM, Gaglio B, Rabin B, Smith ML, Porter GC, et al. RE-AIM Planning and Evaluation Framework: Adapting to New Science and Practice With a 20-Year Review. Front Public Health. 2019; 7: 64.
 
[60]  Lewis CC, Fischer S, Weiner BJ, Stanick C, Kim M, Martinez RG. Outcomes for implementation science: an enhanced systematic review of instruments using evidence-based rating criteria. Implement Sci. 2015 Nov 4; 10(1): 155.
 
[61]  McCreight MS, Rabin BA, Glasgow RE, Ayele RA, Leonard CA, Gilmartin HM, et al. Using the Practical, Robust Implementation and Sustainability Model (PRISM) to qualitatively assess multilevel contextual factors to help plan, implement, evaluate, and disseminate health services programs. Transl Behav Med. 2019 Nov 25; 9(6): 1002–11.
 
[62]  Feldstein AC, Glasgow RE. A Practical, Robust Implementation and Sustainability Model (PRISM) for Integrating Research Findings into Practice. Jt Comm J Qual Patient Saf. 2008 Apr; 34(4): 228–43.
 
[63]  Glasgow RE, Trinkley KE, Ford B, Rabin BA. The Application and Evolution of the Practical, Robust Implementation and Sustainability Model (PRISM): History and Innovations. Glob Implement Res Appl. 2024 Aug 31; 4(4): 404.
 
[64]  Fort MP, Manson SM, Glasgow RE. Applying an equity lens to assess context and implementation in public health and health services research and practice using the PRISM framework. Front Health Serv. 2023; 3: 1139788.
 
[65]  Hall A, Shoesmith A, Doherty E, McEvoy B, Mettert K, Lewis CC, et al. Evaluation of measures of sustainability and sustainability determinants for use in community, public health, and clinical settings: a systematic review. Implement Sci. 2022 Dec 13; 17(1): 81.
 
[66]  Proctor E, Luke D, Calhoun A, McMillen C, Brownson R, McCrary S, et al. Sustainability of evidence-based healthcare: research agenda, methodological advances, and infrastructure support. Implement Sci. 2015 Jun 11; 10(1): 88.
 
[67]  Proctor E, Powell BJ, McMillen JC. Implementation strategies: recommendations for specifying and reporting. Implement Sci. 2013 Dec 1; 8(1): 139.
 
[68]  Guillon M, Rochaix L, Dupont JCK. COST-EFFECTIVENESS OF INTERVENTIONS BASED ON PHYSICAL ACTIVITY IN THE TREATMENT OF CHRONIC CONDITIONS: A SYSTEMATIC LITERATURE REVIEW. Int J Technol Assess Health Care. 2018 Jan; 34(5): 481–97.
 
[69]  Banke-Thomas AO, Madaj B, Charles A, van den Broek N. Social Return on Investment (SROI) methodology to account for value for money of public health interventions: a systematic review. BMC Public Health. 2015 Jun 24; 15(1): 582.
 
[70]  Frijters P, Krekel C, Sanchis R, Santini ZI. The WELLBY: a new measure of social value and progress. Humanit Soc Sci Commun. 2024 Jun 8; 11(1): 736.
 
[71]  HM Treasury. Green Book supplementary guidance: Wellbeing. [Internet]. Wellbeing Guidance for Appraisal; 2021. Available from: https://www.gov.uk/government/publications/green-book-supplementary-guidance-wellbeing.
 
[72]  HM Treasury. The Green Book and accompanying guidance [Internet]. HM Treasury; 2022. Available from: https://www.gov.uk/government/collections/the-green-book-and-accompanying-guidance-and-documents.
 
[73]  Frijters P, Krekel C. A handbook for wellbeing policy-making: History, theory, measurement, implementation, and examples [Internet]. Oxford University Press; 2021 [cited 2024 Sep 24]. Available from: https:// library.oapen.org/ handle/ 20.500.12657/60760.
 
[74]  McGrath A, Murphy N, Richardson N. Study protocol: evaluation of sheds for life (SFL): a community-based men’s health initiative designed “for shedders by shedders” in Irish Men’s sheds using a hybrid effectiveness-implementation design. BMC Public Health. 2021 Apr 26; 21(1): 801.
 
[75]  Milton K, Bull FC, Bauman A. Reliability and validity testing of a single-item physical activity measure. Br J Sports Med. 2011 Mar; 45(3): 203–8.
 
[76]  Sport England. Active Lives and Active People Survey [data series]. UK Data Set; 2023.
 
[77]  Zajacova A, Dowd JB. Reliability of self-rated health in US adults. Am J Epidemiol. 2011 Oct 15; 174(8): 977–83.
 
[78]  Lundberg O, Manderbacka K. Assessing reliability of a measure of self-rated health. Scand J Soc Med. 1996 Sep 1; 24(3): 218–24.
 
[79]  Russell DW. UCLA Loneliness Scale (Version 3): reliability, validity, and factor structure. J Pers Assess. 1996 Feb; 66(1): 20–40.
 
[80]  Tennant R, Hiller L, Fishwick R, Platt S, Joseph S, Weich S, et al. The Warwick-Edinburgh Mental Well-being Scale (WEMWBS): development and UK validation. Health Qual Life Outcomes. 2007 Nov 27; 5(1): 63.
 
[81]  Office of National Statistics. Social capital in the UK - Office for National Statistics [Internet]. 2021 [cited 2024 Apr 4]. Available from: https:// www.ons.gov.uk/ peoplepopulati onandcom munity/ wellbeing/bulletins/socialcapitalintheuk/2020.
 
[82]  Bultitude, DeWitt J. Evaluation tool 6 – Snapshot interviews – Europlanet [Internet]. 2018 [cited 2025 Jun 24]. Available from: https://www.europlanet.org/outreach/europlanet-evaluation-toolkit/evaluation-tool-snapshot-interviews/.
 
[83]  Palinkas LA, Aarons GA, Horwitz S, Chamberlain P, Hurlburt M, Landsverk J. Mixed Method Designs in Implementation Research. Adm Policy Ment Health. 2010 Oct 22; 38(1): 44.
 
[84]  Saunders B, Sim J, Kingstone T, Baker S, Waterfield J, Bartlam B, et al. Saturation in qualitative research: exploring its conceptualization and operationalization. Qual Quant. 2018; 52(4): 1893–907.
 
[85]  NIH. Qualitative Methods in Implementation Science. USA: National Cancer Institute; 2015.
 
[86]  What Works Wellbeing.» Comparing benefits and costs of wellbeing activities at work: updated business calculator [Internet]. 2020 [cited 2025 Feb 11]. Available from: https://whatworkswellbeing.org/blog/comparing-benefits-and-costs-of-wellbeing-activities-at-work-updated-business-calculator/.
 
[87]  Casey MM, Eime RM, Harvey JT, Sawyer NA, Craike MJ, Symons CM, et al. The influence of a Healthy Welcoming Environment on participation in club sport by adolescent girls: a longitudinal study. BMC Sports Sci Med Rehabil. 2017 May 19; 9(1): 12.
 
[88]  Lane A, Murphy N, Donohoe A, Regan C. A healthy sports club initiative in action in Ireland. Health Educ J. 2020; 79: 645–57.
 
[89]  Stange KC. Commentary: RE-AIM Planning and Evaluation Framework: Adapting to New Science and Practice With a 20-Year Review. Front Public Health [Internet]. 2020 Jul 3 [cited 2024 Apr 4]; 8. Available from: https:// www.frontiersin.org /journals/public-health/articles/10.3389/fpubh.2020.00245/full.
 
[90]  Balis LE, Strayer TE, Ramalingam N, Harden SM. Beginning With the End in Mind: Contextual Considerations for Scaling-Out a Community-Based Intervention. Front Public Health [Internet]. 2018 Dec 10 [cited 2025 Feb 19]; 6. Available from: https://www.frontiersin.org/journals/public-health/ articles/ 10.3389/ fpubh.2018.00357/full.
 
[91]  Mendoza-Vasconez AS, Linke S, Muñoz M, Pekmezi D, Ainsworth C, Cano M, et al. Promoting Physical Activity among Underserved Populations. Transl J Am Coll Sports Med. 2016 Oct 15; 1(14): 125.
 
[92]  Foster C, Kelly P, Reid HAB, Roberts N, Murtagh EM, Humphreys DK, et al. What works to promote walking at the population level? A systematic review. Br J Sports Med. 2018 Jun 1; 52(12): 807–12.
 
[93]  Glasgow RE. What Does It Mean to Be Pragmatic? Pragmatic Methods, Measures, and Models to Facilitate Research Translation. Health Educ Behav. 2013 Jun 1; 40(3): 257–65.
 
[94]  Huebschmann AG, Leavitt IM, Glasgow RE. Making Health Research Matter: A Call to Increase Attention to External Validity. Annu Rev Public Health. 2019 Apr 1; 40(Volume 40, 2019):45–63.
 
[95]  Gorber SC, Tremblay MS. Self-Report and Direct Measures of Health: Bias and Implications. In: Shephard RJ, Tudor-Locke C, editors. The Objective Monitoring of Physical Activity: Contributions of Accelerometry to Epidemiology, Exercise Science and Rehabilitation [Internet]. Cham: Springer International Publishing; 2016 [cited 2025 Mar 26]. p. 369–76.
 
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