Secondary implementation outcomes: changes in educator- and director-reported uptake of physical activity policy practices
Educator-reported physical activity practice uptake was assessed in the baseline and post-intervention educator surveys through 21 items corresponding to the 15 educator-specific physical activity-related practices outlined in the policy template (Additional File Director-reported physical activity practice uptake was assessed in intervention services immediately prior to policy implementation and at post-intervention through 25 items corresponding to the 25 policy practices in the policy template. All items were reported on a seven-point scale (range ‘never to be considered’- ‘longstanding practice’). Practice uptake was operationalised as the practice being ‘fully in place’ or ‘longstanding practice’, with in place practices summed to provide a total count. This process was repeated for the subset of seven high impact and low effort practices and the practices selected by services as priorities for implementation.