OBJECTIVE: The Healthy Eating and Active Living for @entity6 in Primary Care Networks (HEALD) intervention proved effective in increasing daily physical activity among @entity1 with type 2 @entity6 in 4 community-based primary care networks (PCNs) in Alberta. Here, we contextualize its effectiveness by describing implementation fidelity and PCN staff's perceptions of its success in improving @entity6 management. METHODS: We used the Reach, Effectiveness, Adoption, Implementation and Maintenance (RE-AIM) framework to evaluate the HEALD intervention. Qualitative methods used to collect data related to the RE-AIM dimensions of implementation and effectiveness included interviews with PCN staff (n=24), research team reflections (n=4) and systematic documentation. We used content analysis, and data were imported into and managed using Nvivo 10. RESULTS: HEALD was implemented as intended with adequate fidelity across all 4 PCNs. Identified implementation facilitators included appropriate @entity1 resources, the training provided, ongoing support, the provision of space and the simplicity of the intervention. However, PCN staff reported varying opinions regarding its potential for improving @entity6 management among @entity1 . Rationales for their views included intervention "dose" inadequacy; that the quality of usual care for @entity1 with @entity6 was already good; @entity1 were already managing their @entity6 well; and the potential for cointervention. Recommended improvements to HEALD included increasing the dose of the intervention, expanding it to other modes of exercise and incorporating a medical clearance process. CONCLUSIONS: Based on the high degree of fidelity, the demonstrated effectiveness of HEALD in improving physical activity among @entity1 was a result of sound implementation of an efficacious intervention. Increasing the dose of HEALD could result in additional improvements for @entity1 .

Contextualizing the Proven Effectiveness of a Lifestyle Intervention for Type 2 XXXX in Primary Care: A Qualitative Assessment Based on the RE-AIM Framework.

@entity1 :: ('9606', 'Species') :: ['human', 'patients', 'people'] @entity6 :: ('MESH:D003920', 'Disease') :: ['Diabetes', 'diabetes']
@entity6 :: (MESH:D003920,Disease) :: ['Diabetes']
