AUTHOR=Konrad Lisandra Maria , Ribeiro Cezar Grontowski , Maciel Elaine Cristina , Tomicki Camila , Brito Fabiana Almeida , Almeida Fabio Araujo , Benedetti Tânia Rosane Bertoldo 

TITLE=Evaluating the implementation of the active life improving health behavior change program “BCP-VAMOS” in primary health care: Protocol of a pragmatic randomized controlled trial using the RE-AIM and CFIR frameworks

JOURNAL=Frontiers in Public Health

VOLUME=Volume 10 - 2022

YEAR=2022

URL=https://www.frontiersin.org/journals/public-health/articles/10.3389/fpubh.2022.726021

DOI=10.3389/fpubh.2022.726021

ISSN=2296-2565

ABSTRACT=Introduction: The effective translation of evidence-based interventions has contributed to implementing actions that impact public policies and the population’s health. However, there is a gap in the literature regarding the factors associated with the successful implementation of these interventions. The Active Life Improving Health Behavior Change Program (BCP-VAMOS) uses behavioral strategies to promote an active and healthy lifestyle. Characterized as a health innovation, it also provides health professionals with online training to implement the program in Primary Health Care (PHC). Our study describes a pragmatic trial that aims to evaluate the implementation of BCP-VAMOS, version 3.0, in PHC in southern Brazil.
Methods and analysis: A randomized pragmatic trial (RPT) of two arms comparing a group of health professionals who will participate in a traditional didactic approach (control group) versus a group that will receive ongoing support (intervention group) for the implementation of BCP-VAMOS. The intervention will be available to adults (≥18 years old) registered at health centers. Program participants will be assessed at baseline and post-intervention to measure markers of physical activity and eating behavior (primary outcomes). The program`s implementation process will be monitored for 12 months and will be evaluated using the RE-AIM and Consolidated Framework for Implementation Research (CFIR) frameworks. 
Discussions: The survey findings can be used widely throughout Brazil, guiding the work of health professionals, service planners, and policy-makers. Also, the results can help to inform the national health promotion policy to plan interventions and improve the implementation of programs in PHC. This research results will provide practical guidance for researchers to develop similar protocols to implement and adapt public health interventions.
Ethics and dissemination: Ethics approval has been granted by the Human Research Ethics Committee of the Federal University of Santa Catarina (UFSC), Brazil, under no. 1394492. Results will be published in full as open access in the UFSC library and main trial results and associated papers in high-impact peer-reviewed journals. Trial registration number: RBR-2vw77.