1
|
Tcymbal A, Messing S, Mait R, Perez RG, Akter T, Rakovac I, Gelius P, Abu-Omar K. Validity, reliability, and readability of single-item and short physical activity questionnaires for use in surveillance: A systematic review. PLoS One 2024; 19:e0300003. [PMID: 38470871 PMCID: PMC10931432 DOI: 10.1371/journal.pone.0300003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/25/2023] [Accepted: 02/19/2024] [Indexed: 03/14/2024] Open
Abstract
BACKGROUND Accurate and fast measurement of physical activity is important for surveillance. Even though many physical activity questionnaires (PAQ) are currently used in research, it is unclear which of them is the most reliable, valid, and easy to use. This systematic review aimed to identify existing brief PAQs, describe and compare their measurement properties, and assess their level of readability. METHODS We performed a systematic review based on the PRISMA statement. Literature searches were conducted in six scientific databases. Articles were included if they evaluated validity and/or reliability of brief (i.e., with a maximum of three questions) physical activity or exercise questionnaires intended for healthy adults. Due to the heterogeneity of studies, data were summarized narratively. The level of readability was calculated according to the Flesch-Kincaid formula. RESULTS In total, 35 articles published in English or Spanish were included, evaluating 32 distinct brief PAQs. The studies indicated moderate to good levels of reliability for the PAQs. However, the majority of results showed weak validity when validated against device-based measurements and demonstrated weak to moderate validity when validated against other PAQs. Most of the assessed PAQs met the criterion of being "short," allowing respondents to complete them in less than one minute either by themselves or with an interviewer. However, only 17 questionnaires had a readability level that indicates that the PAQ is easy to understand for the majority of the population. CONCLUSIONS This review identified a variety of brief PAQs, but most of them were evaluated in only a single study. Validity and reliability of short and long questionnaires are found to be at a comparable level, short PAQs can be recommended for use in surveillance systems. However, the methods used to assess measurement properties varied widely across studies, limiting the comparability between different PAQs and making it challenging to identify a single tool as the most suitable. None of the evaluated brief PAQs allowed for the measurement of whether a person fulfills current WHO physical activity guidelines. Future development or adaptation of PAQs should prioritize readability as an important factor to enhance their usability.
Collapse
Affiliation(s)
- Antonina Tcymbal
- Department of Sport Science and Sport, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany
| | - Sven Messing
- Department of Sport Science and Sport, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany
| | - Rachel Mait
- Department of Sport Science and Sport, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany
| | - Roberto Galindo Perez
- Department of Sport Science and Sport, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany
| | - Taiyeba Akter
- Department of Sport Science and Sport, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany
| | - Ivo Rakovac
- World Health Organization Regional Office for Europe, Copenhagen, Denmark
| | - Peter Gelius
- Institute of Sport Sciences, Université de Lausanne, Lausanne, Switzerland
| | - Karim Abu-Omar
- Department of Sport Science and Sport, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany
| |
Collapse
|
2
|
Mino E, Hanson CL, Naber I, Weissenfels A, McHale S, Saftig J, Klamroth S, Gelius P, Abu-Omar K, Whiting S, Wickramasinghe K, Galea G, Pfeifer K, Geidl W. A systematic review and narrative synthesis of physical activity referral schemes' components. Int J Behav Nutr Phys Act 2023; 20:140. [PMID: 38012688 PMCID: PMC10683187 DOI: 10.1186/s12966-023-01518-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/2023] [Accepted: 09/20/2023] [Indexed: 11/29/2023] Open
Abstract
BACKGROUND Physical activity referral schemes (PARS) are complex multicomponent interventions that represent a promising healthcare-based concept for physical activity (PA) promotion. This systematic review and narrative synthesis aimed to identify the constitutive components of PARS and provide an overview of their effectiveness. METHODS Following a published protocol, we conducted a systematic search of PubMed, Scopus, Web of Science, CINAHL, ScienceDirect, SpringerLink, HTA, Wiley Online Library, SAGE Journals, Taylor & Francis, Google Scholar, OpenGrey, and CORE from 1990 to January 2023. We included experimental, quasi-experimental, and observational studies that targeted adults participating in PARS and reported PA outcomes, scheme uptake, or adherence rates. We performed an intervention components analysis using the PARS taxonomy to identify scheme components and extracted data related to uptake, adherence, and PA behavior change. We combined these to provide a narrative summary of PARS effectiveness. RESULTS We included 57 studies reporting on 36 PARS models from twelve countries. We identified 19 PARS components: a patient-centered approach, individualized content, behavior change theory and techniques, screening, brief advice, written materials, a written prescription, referral, baseline and exit consultation, counselling support session(s), PA sessions, education session(s), action for non-attendance, structured follow-up, a PA network, feedback for the referrer, and exit strategies/routes. The PARS models contained a mean of 7 ± 2.9 components (range = 2-13). Forty-five studies reported PA outcome data, 28 reported uptake, and 34 reported adherence rates. Of these, approximately two-thirds of studies reported a positive effect on participant PA levels, with a wide range of uptake (5.7-100.0%) and adherence rates (8.5-95.0%). CONCLUSIONS Physical activity referral scheme components are an important source of complexity. Despite the heterogeneous nature of scheme designs, our synthesis was able to identify 19 components. Further research is required to determine the influence of these components on PARS uptake, adherence, and PA behavior change. To facilitate this, researchers and scheme providers must report PARS designs in more detail. Process evaluations are also needed to examine implementation and increase our understanding of what components lead to which outcomes. This will facilitate future comparisons between PARS and enable the development of models to maximize impact.
Collapse
Affiliation(s)
- Eriselda Mino
- Department of Sport Science and Sport, Friedrich-Alexander-Universität Erlangen-Nürnberg (FAU), Gebbertstraße 123B, 91058, Erlangen, Germany.
| | - Coral L Hanson
- School of Health and Social Care, Edinburgh Napier University, Sighthill Campus, Edinburgh, EH11 4DN, UK
| | - Inga Naber
- Department of Sport Science and Sport, Friedrich-Alexander-Universität Erlangen-Nürnberg (FAU), Gebbertstraße 123B, 91058, Erlangen, Germany
| | - Anja Weissenfels
- Department of Sport Science and Sport, Friedrich-Alexander-Universität Erlangen-Nürnberg (FAU), Gebbertstraße 123B, 91058, Erlangen, Germany
| | - Sheona McHale
- School of Health and Social Care, Edinburgh Napier University, Sighthill Campus, Edinburgh, EH11 4DN, UK
| | - Jane Saftig
- Department of Sport Science and Sport, Friedrich-Alexander-Universität Erlangen-Nürnberg (FAU), Gebbertstraße 123B, 91058, Erlangen, Germany
| | - Sarah Klamroth
- Department of Sport Science and Sport, Friedrich-Alexander-Universität Erlangen-Nürnberg (FAU), Gebbertstraße 123B, 91058, Erlangen, Germany
| | - Peter Gelius
- Department of Sport Science and Sport, Friedrich-Alexander-Universität Erlangen-Nürnberg (FAU), Gebbertstraße 123B, 91058, Erlangen, Germany
| | - Karim Abu-Omar
- Department of Sport Science and Sport, Friedrich-Alexander-Universität Erlangen-Nürnberg (FAU), Gebbertstraße 123B, 91058, Erlangen, Germany
| | - Stephen Whiting
- WHO European Office for Prevention and Control of Noncommunicable Diseases (NCD Office), Copenhagen, Denmark
| | - Kremlin Wickramasinghe
- WHO European Office for Prevention and Control of Noncommunicable Diseases (NCD Office), Copenhagen, Denmark
| | - Gauden Galea
- WHO European Office for Prevention and Control of Noncommunicable Diseases (NCD Office), Copenhagen, Denmark
| | - Klaus Pfeifer
- Department of Sport Science and Sport, Friedrich-Alexander-Universität Erlangen-Nürnberg (FAU), Gebbertstraße 123B, 91058, Erlangen, Germany
| | - Wolfgang Geidl
- Department of Sport Science and Sport, Friedrich-Alexander-Universität Erlangen-Nürnberg (FAU), Gebbertstraße 123B, 91058, Erlangen, Germany
| |
Collapse
|
3
|
Messing S, Tcymbal A, Abu-Omar K, Gelius P. Research- vs. government-driven physical activity policy monitoring: a systematic review across different levels of government. Health Res Policy Syst 2023; 21:124. [PMID: 38012659 PMCID: PMC10680174 DOI: 10.1186/s12961-023-01068-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/22/2022] [Accepted: 11/01/2023] [Indexed: 11/29/2023] Open
Abstract
BACKGROUND Even though the importance of physical activity policy monitoring has increased in the last decade, there is a lack of understanding what different approaches exist and which methodology they employ. In order to address this research gap, this review attempts to map existing approaches of physical activity policy monitoring and to analyse methodological aspects, especially with regards to the roles of governments and researchers. METHODS A systematic search was conducted in five scientific databases (PubMed, Scopus, SportDiscus, Psycinfo, Web of Knowledge) in July 2021, and the identified records were screened independently by two reviewers. Records were included if they (a) focused on the monitoring of public policies to promote PA, (b) allowed to compare policies across time, across nations/regions or across policy sectors, and (c) were written in English, German or Russian. During full text analysis, information on methodological aspects was extracted and studies were categorized based on the level of government involvement. RESULTS The search yielded in a total of 112 studies. 86 of these studies (76.8%) followed a research-driven approach (little or no government involvement) while only two studies (1.8%) were based on a government-driven approach (led by governments). The remaining 24 studies (21.4%) were based on a co-production approach (strong collaboration between researchers and governments). All in all, 18 different tools for physical activity policy monitoring were identified; key examples are the Report Cards on Physical Activity for Children and Youth (research-driven approach), the HEPA Monitoring Framework (government-driven approach) and the HEPA Policy Audit Tool (co-production approach). CONCLUSIONS The level of government involvement in policy monitoring differs significantly, and research-driven, government-driven and co-production approaches can be distinguished. These approaches have different strengths and weaknesses, and can be linked to distinct theories of change and models on research-policy relations. Increasing awareness on the implications of these approaches is key to improve the understanding and further development of physical activity policy monitoring.
Collapse
Affiliation(s)
- Sven Messing
- Department of Sport Science and Sport, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany.
| | - Antonina Tcymbal
- Department of Sport Science and Sport, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany
| | - Karim Abu-Omar
- Department of Sport Science and Sport, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany
| | - Peter Gelius
- Department of Sport Science and Sport, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany
- Institute of Sport Sciences, Université de Lausanne, Lausanne, Switzerland
| |
Collapse
|
4
|
Messing S, Gelius P, Abu-Omar K, Marzi I, Beck F, Geidl W, Grüne E, Tcymbal A, Reimers AK, Pfeifer K. Developing a policy brief on physical activity promotion for children and adolescents. Front Public Health 2023; 11:1215746. [PMID: 37841728 PMCID: PMC10571038 DOI: 10.3389/fpubh.2023.1215746] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/03/2023] [Accepted: 08/29/2023] [Indexed: 10/17/2023] Open
Abstract
Introduction While there are several approaches to collect basic information on physical activity (PA) promotion policies, some governments require more in-depth overviews on the situation in their country. In Germany, the Federal Ministry of Health expressed its interest in collecting detailed data on target group specific PA promotion, as relevant competences are distributed across a wide range of political levels and sectors. This study describes the development of a policy brief on physical activity promotion for children and adolescents in Germany. In particular, it addresses two major gaps in the current literature by systematically assessing good practice examples and "routine practices," i.e., PA promotion activities already taking place on large scale and regular basis. Materials and methods Based on relevant national and international guidelines, the TARGET:PA tool was co-produced by researchers and ministry officials. It includes (1) PA recommendations, (2) national prevalence rates, (3) recommendations for PA promotion, and data on national (4) routine practices, (5) good practice projects and (6) policies. Data were collected for children and adolescents in Germany using desk research, semi-structured interviews and secondary data analysis. Results A policy brief and scientific background document were developed. Results showed that 46% of the 4-5-year-olds fulfil WHO recommendations but only 15% of the 11-17-year-olds, and that girls are less active than boys. Currently, in Germany no valid data are available on the PA behaviour of children under the age of three. An overview of routine practices for PA promotion for children and adolescents was compiled, and experts were asked to critically assess their effectiveness, reach and durability. Overall, 339 target group specific projects for PA promotion were found, with 22 classified as examples of good practice. National PA policies for children and adolescents were identified across different sectors and settings. Conclusion The study provides a comprehensive overview of the current status of PA promotion for children and adolescents in Germany. The co-production of the policy brief was a strength of the study, as it allowed researchers to take the needs of ministry officials into account, and as it supported the immediate uptake of results in the policymaking process. Future studies should test the applicability of the TARGET:PA tool to different target groups and countries.
Collapse
Affiliation(s)
- Sven Messing
- Department of Sport Science and Sport, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany
| | - Peter Gelius
- Department of Sport Science and Sport, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany
- Institute of Sport Sciences, Université de Lausanne, Lausanne, Switzerland
| | - Karim Abu-Omar
- Department of Sport Science and Sport, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany
| | - Isabel Marzi
- Department of Sport Science and Sport, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany
| | - Franziska Beck
- Department of Sport Science and Sport, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany
| | - Wolfgang Geidl
- Department of Sport Science and Sport, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany
| | - Eva Grüne
- Department of Sport Science and Sport, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany
| | - Antonina Tcymbal
- Department of Sport Science and Sport, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany
| | - Anne Kerstin Reimers
- Department of Sport Science and Sport, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany
| | - Klaus Pfeifer
- Department of Sport Science and Sport, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany
| |
Collapse
|
5
|
Kardan M, Akter T, Iqbal M, Tcymbal A, Messing S, Gelius P, Abu-Omar K. Cycling in older adults: a scoping review. Front Sports Act Living 2023; 5:1157503. [PMID: 37457855 PMCID: PMC10338922 DOI: 10.3389/fspor.2023.1157503] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2023] [Accepted: 06/16/2023] [Indexed: 07/18/2023] Open
Abstract
Introduction Regular physical activity provides many health benefits to older adults. As a well-known form of physical activity, cycling can be an appropriate means for older people to meet WHO recommendations and to improve their health. In addition, cycling can help to protect the environment and reduce greenhouse gas emissions. The primary aim of this scoping review is to identify the currently available scientific evidence and gaps of research in this field. Methods A systematic search in seven databases resulted in 7,192 studies. After the exclusion of duplicates, studies were screened by two independent reviewers in a two-stage process. Based on previously defined inclusion criteria, 123 studies were included. Data extraction was based on a descriptive analytical method, and seven categories for the main topics of studies were developed. Data were extracted by three reviewers to analyze different characteristics of included articles such as age range, study design, data type, gender, type of bicycle, and country of origin. Results The included studies covered the following topics: (1) traffic safety, (2) cycling as physical activity or for transport, (3) health benefits, (4) environmental factors, (5) facilitators and barriers, (6) application of technology and (7) promotion of cycling. Results show that the majority of studies were performed in both younger (60-79 years) and older (80+ years) adults. Most studies had an observational study design, used conventional bicycles, and were based on quantitative methods. Researchers from the United States, Netherlands, and Japan published the highest number of studies related to cycling. Discussion Traffic safety was the most prevalent focus of the included studies. Gaps were identified with regard to studies focusing on the promotion of cycling, application of technology, as well as facilitators and barriers of cycling. While research on traffic safety should continue to be a high priority for public health, potentially more research should focus on how to get older people to bicycle more. This is warranted by the proven individual and planetary health benefits of cycling and the urgency of combating climate change.
Collapse
|
6
|
Till M, Abu-Omar K, Ferschl S, Abel T, Pfeifer K, Gelius P. Implementing the capability approach in health promotion projects: Recommendations for implementation based on empirical evidence. Eval Program Plann 2022; 95:102149. [PMID: 36029567 DOI: 10.1016/j.evalprogplan.2022.102149] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/10/2021] [Revised: 05/03/2022] [Accepted: 08/01/2022] [Indexed: 06/15/2023]
Abstract
OBJECTIVE The aim of this paper was to develop a framework for the use of the capability approach in health promotion projects, which could guide future projects as well as improve the comparability of the projects' effectiveness. METHOD The study involved a three-stage process comprising a total of six steps. We first developed a theoretical model and then analyzed data from four empirical studies that had implemented projects using the capability approach between 2015 and 2018 in the settings of kindergartens, schools, vocational training, and communities to promote an active lifestyle. Finally, we developed a framework for the use of the capability approach in health promotion projects based on the analysis of the data. RESULTS We developed a theoretical model of the "capability cycle," which was used for further analysis. There were divergent understandings of the capability approach due to existing theoretical constructs that are commonly used by the scientific teams of the projects. Further, the conceptualization, implementation, and evaluation of the capability approach within the four settings showed discrepancies, which inhibited a comparison of their effectiveness. The developed framework comprises recommendations regarding the planning of a project, its implementation, and especially its evaluation in future comparisons of project effectiveness. CONCLUSION This paper provides a comprehensive analysis of four projects for which we developed a framework using a participatory approach. The findings can help research teams in the conceptualization, implementation, and evaluation of future projects that focus on improving capabilities in the field of health promotion. Further, the established framework will help facilitate comparisons of capability-oriented health promotion projects in terms of their effectiveness.
Collapse
Affiliation(s)
- Maike Till
- Department of Sport Science and Sport, Division of Physical Activity and Health, Friedrich-Alexander-Universität Erlangen-Nuremberg, Germany.
| | - Karim Abu-Omar
- Department of Sport Science and Sport, Division of Physical Activity and Health, Friedrich-Alexander-Universität Erlangen-Nuremberg, Germany
| | - Susanne Ferschl
- Department of Sport and Health Sciences, Technical University of Munich, Germany
| | - Thomas Abel
- Department of Social and Preventive Medicine, University of Bern, Switzerland
| | - Klaus Pfeifer
- Department of Sport Science and Sport, Division of Physical Activity and Health, Friedrich-Alexander-Universität Erlangen-Nuremberg, Germany
| | - Peter Gelius
- Department of Sport Science and Sport, Division of Physical Activity and Health, Friedrich-Alexander-Universität Erlangen-Nuremberg, Germany
| |
Collapse
|
7
|
den Braver NR, Garcia Bengoechea E, Messing S, Kelly L, Schoonmade LJ, Volf K, Zukowska J, Gelius P, Forberger S, Woods CB, Lakerveld J. The impact of mass-media campaigns on physical activity: a review of reviews through a policy lens. Eur J Public Health 2022; 32:iv71-iv83. [PMID: 36444108 PMCID: PMC9706123 DOI: 10.1093/eurpub/ckac085] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
Abstract
BACKGROUND This review of reviews aimed to: (1) summarize the evidence from published reviews on the effectiveness of mass-media campaigns to promote physical activity (PA) or PA-related determinants (intermediate psychological and proximal outcomes) and (2) to identify policy-relevant recommendations related to successful PA campaigns. METHODS An extensive literature search was performed on 1 March 2021. Reviews that evaluated the impact of campaigns on distal (e.g. PA) and/or proximal outcomes of PA (awareness, knowledge, etc.) and that targeted the general population or subsets were included. Quality of reviews was assessed using the AMSTAR-2 tool. Policy-relevant recommendations were systematically derived and synthesized and formulated as good practice statements. A protocol was registered beforehand (ID: CRD42021249184). RESULTS A total of 1915 studies were identified, of which 22 reviews were included. The most consistent evidence was found for the effectiveness of mass-media campaigns on proximal outcomes, while the evidence for distal outcomes was mixed. Good practice statements were derived: (1) to achieve behaviour change, mass-media is an important component of larger, multilevel and multicomponent strategies; (2) mass-media strategies should be coordinated and aligned at local- and national-level and be sustained, monitored and resourced at these levels and (3) media should be tailored to reduce socioeconomic inequalities. CONCLUSIONS Mass-media can play an important role in the promotion of PA. In general, evidence was more inconsistent for effectiveness on distal outcomes than for proximal outcomes. Policy-relevant recommendations include that mass-media strategies should be resourced, coordinated, aligned, sustained, monitored and evaluated on the local and national level.
Collapse
Affiliation(s)
- Nicolette R den Braver
- Correspondence: Nicolette R. den Braver, Department of Epidemiology and Data Science, Amsterdam Public Health Research Institutes, Amsterdam University Medical Centres, De Boelelaan 1089a, 1081HV Amsterdam, The Netherlands, Tel: +31 20 44 430 80, e-mail:
| | - Enrique Garcia Bengoechea
- Department of Physical Education and Sport Sciences, Physical Activity for Health Research Cluster, Health Research Institute, University of Limerick, Limerick, Ireland,Research and Innovation Unit, Sport Ireland, Ireland
| | - Sven Messing
- Department of Sport Science and Sport, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany
| | - Liam Kelly
- Department of Physical Education and Sport Sciences, Physical Activity for Health Research Cluster, Health Research Institute, University of Limerick, Limerick, Ireland
| | - Linda J Schoonmade
- Medical Library, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands
| | - Kevin Volf
- Department of Physical Education and Sport Sciences, Physical Activity for Health Research Cluster, Health Research Institute, University of Limerick, Limerick, Ireland
| | - Joanna Zukowska
- Faculty of Civil and Environmental Engineering, Gdansk University of Technology, Gdansk, Poland
| | - Peter Gelius
- Department of Sport Science and Sport, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany
| | - Sarah Forberger
- Leibniz Institute for Prevention Research and Epidemiology—BIPS, Bremen, Germany
| | - Catherine B Woods
- Department of Physical Education and Sport Sciences, Physical Activity for Health Research Cluster, Health Research Institute, University of Limerick, Limerick, Ireland
| | - J Lakerveld
- Department of Epidemiology and Data Science, Amsterdam Public Health Research Institutes, Amsterdam University Medical Centres, Amsterdam, The Netherlands,Upstream Team, Amsterdam, The Netherlands
| |
Collapse
|
8
|
Woods CB, Kelly L, Volf K, Gelius P, Messing S, Forberger S, Lakerveld J, den Braver NR, Zukowska J, García Bengoechea E. The Physical Activity Environment Policy Index for monitoring government policies and actions to improve physical activity. Eur J Public Health 2022; 32:iv50-iv58. [PMID: 36444111 PMCID: PMC9706113 DOI: 10.1093/eurpub/ckac062] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
Abstract
BACKGROUND A multifaceted response, including government action, is essential to improve population levels of physical activity (PA). This article describes the development process of the 'Physical Activity Environment Policy Index' (PA-EPI) monitoring framework, a tool to assess government policies and actions for creating a healthy PA environment. METHODS An iterative process was undertaken. This involved a review of policy documents from authoritative organizations, a PA policy audit of four European countries, and a systematic review of scientific literature. This was followed by an online consultation with academic experts (N = 101; 20 countries, 72% response rate), and policymakers (N = 40, 4 EU countries). During this process, consensus workshops were conducted, where quantitative and qualitative data, alongside theoretical and pragmatic considerations, were used to inform PA-EPI development. RESULTS The PA-EPI is conceptualized as a two-component 'policy' and 'infrastructure support' framework. The two-components comprise eight policy and seven infrastructure support domains. The policy domains are education, transport, urban design, healthcare, public education (including mass media), sport-for-all, workplaces and community. The infrastructure support domains are leadership, governance, monitoring and intelligence, funding and resources, platforms for interaction, workforce development and health-in-all-policies. Forty-five 'good practice statements' or indicators of ideal good practice within each domain conclude the PA-EPI. A potential eight-step process for conducting the PA-EPI is described. CONCLUSIONS Once pre-tested and piloted in several countries of various sizes and income levels, the PA-EPI good practice statements will evolve into benchmarks established by governments at the forefront of creating and implementing policies to address inactivity.
Collapse
Affiliation(s)
- Catherine B Woods
- Correspondence: Catherine B. Woods, Department of Physical Education and Sport Sciences, Physical Activity for Health Research Cluster, Health Research Institute, University of Limerick, Limerick, V94 T9PX, Ireland, Tel: +353 (0) 61 202379, e-mail:
| | - Liam Kelly
- Department of Physical Education and Sport Sciences, Physical Activity for Health Research Cluster, Health Research Institute, University of Limerick, Limerick, Ireland
| | - Kevin Volf
- Department of Physical Education and Sport Sciences, Physical Activity for Health Research Cluster, Health Research Institute, University of Limerick, Limerick, Ireland
| | - Peter Gelius
- Department of Sport Science and Sport, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany
| | - Sven Messing
- Department of Sport Science and Sport, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany
| | - Sarah Forberger
- Leibniz Institute for Prevention Research and Epidemiology—BIPS, Bremen, Germany
| | - Jeroen Lakerveld
- Department of Epidemiology and Data Science, Amsterdam UMC, VU University Amsterdam, Amsterdam Public Health Research institute, Amsterdam, The Netherlands,Upstream Team, Amsterdam UMC, VU University Amsterdam, Amsterdam, The Netherlands
| | - Nicolette R den Braver
- Department of Epidemiology and Data Science, Amsterdam UMC, VU University Amsterdam, Amsterdam Public Health Research institute, Amsterdam, The Netherlands,Upstream Team, Amsterdam UMC, VU University Amsterdam, Amsterdam, The Netherlands
| | - Joanna Zukowska
- Faculty of Civil and Environmental Engineering, Gdansk University of Technology, Gdansk, Poland
| | - Enrique García Bengoechea
- Department of Physical Education and Sport Sciences, Physical Activity for Health Research Cluster, Health Research Institute, University of Limerick, Limerick, Ireland,Research and Innovation Unit, Sport Ireland, Dublin, Ireland
| |
Collapse
|
9
|
Messing S, Tcymbal A, Abu-Omar K, Richardson D, Gelius P. Methods of policy monitoring in physical activity promotion: a systematic review across different levels of government. Eur J Public Health 2022. [PMCID: PMC9594761 DOI: 10.1093/eurpub/ckac129.269] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/02/2022] Open
Abstract
Background Even though the importance of policy monitoring in public health has increased in the last decades, there is still a lack of understanding what different approaches of policy monitoring exist and which methodology they employ. In order to address this research gap, this review attempts to provide a comprehensive overview about the methods of policy monitoring in the field of physical activity promotion. Methods A systematic search was conducted in five scientific databases, using the terms “physical activity”, “policy” and “monitoring” and their variations. In total, 12.963 studies were identified and, after the elimination of duplicates, screened independently by two reviewers. During full text analysis, information on the methods applied for policy monitoring was extracted and studies were categorized based on their key characteristics (monitoring tool, policy level, and setting). Results The search yielded in a total of 112 studies that were structured into seven categories: Report Cards on Physical Activity for Children and Youth, HEPA Monitoring Framework, HEPA Policy Audit Tool, national policies, subnational policies, school setting, and childcare setting. Across all categories, policy monitoring focused mainly on national level policies in a single country. Differences were identified with regards to the level of government involvement which allowed to differentiate between research-driven approaches (little or no government involvement), government-driven approaches (led by governments), and co-production approaches (strong collaboration between researchers and governments). Conclusions Research-driven, government-driven and co-production approaches have different strengths and weaknesses with regards to the monitoring of policies. Awareness needs to be raised regarding the implications of these approaches, and more research is needed to analyse the impact of policy monitoring on policy-making in public health.
Collapse
Affiliation(s)
- S Messing
- Department of Sport Science and Sport, Friedrich-Alexander-Universität Erlangen-Nürn , Erlangen, Germany
| | - A Tcymbal
- Department of Sport Science and Sport, Friedrich-Alexander-Universität Erlangen-Nürn , Erlangen, Germany
| | - K Abu-Omar
- Department of Sport Science and Sport, Friedrich-Alexander-Universität Erlangen-Nürn , Erlangen, Germany
| | - D Richardson
- Department of Sport Science and Sport, Friedrich-Alexander-Universität Erlangen-Nürn , Erlangen, Germany
| | - P Gelius
- Department of Sport Science and Sport, Friedrich-Alexander-Universität Erlangen-Nürn , Erlangen, Germany
| |
Collapse
|
10
|
Woods C, Kelly L, Volf K, Gelius P, Messing S, Forberger S, Lakerveld J, den Braver N, Zukowska J. The development of the Physical Activity Environment Policy Index (PA-EPI): a tool for monitoring and benchmarking government policies and actions to improve physical activity. Eur J Public Health 2022. [DOI: 10.1093/eurpub/ckac129.270] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Background
Insufficient physical activity (PA) is a global issue for health. A multifaceted response, including government action, is essential to improve population levels of PA. The purpose of this study was to develop the ‘Physical Activity Environment Policy Index’ (PA-EPI) monitoring framework to assess government policies and actions for creating a healthy PA environment.
Methods
An iterative process was undertaken. This involved a review of policy documents from authoritative organisations, a policy audit of four European countries, and systematic reviews of scientific literature. This was followed by an online consultation with academic experts (N = 101; 20 countries, 72% response rate), and policymakers (N = 40, 4 EU countries). During this process, consensus workshops where quantitative and qualitative data alongside theoretical and pragmatic considerations were used to inform PA-EPI development.
Results
The PA-EPI is conceptualised as a two-component ‘policy’ and ‘infrastructure support’ framework. The two components comprise eight policy and seven infrastructure support domains. The policy domains are education, transport, urban design, healthcare, public education (including mass media), sport-for-all, workplaces and community. The infrastructure support domains are leadership, governance, monitoring and intelligence, funding and resources, platforms for interaction, workforce development, and health-in-all-policies. Forty-five ‘good practice statements’ (GPS) or indicators of ideal good practice within each domain concludes the PA-EPI. A potential eight-step process for conducting the PA-EPI is described.
Conclusions
Once pre-tested and piloted in several countries of various sizes and income levels, the PA-EPI GPS will evolve into benchmarks established by governments at the forefront of creating and implementing policies to address inactivity.
Collapse
Affiliation(s)
- C Woods
- Physical Activity for Health Research Cluster, University of Limerick , Limerick, Ireland
| | - L Kelly
- Physical Activity for Health Research Cluster, University of Limerick , Limerick, Ireland
| | - K Volf
- Physical Activity for Health Research Cluster, University of Limerick , Limerick, Ireland
| | - P Gelius
- Department of Sport Science and Sport, Friedrich-Alexander-Universität Erlangen- Nürnberg , Erlangen, Germany
| | - S Messing
- Department of Sport Science and Sport, Friedrich-Alexander-Universität Erlangen- Nürnberg , Erlangen, Germany
| | - S Forberger
- Leibniz Institute for Prevention Research and Epidemiology , Bremen, Germany
| | - J Lakerveld
- Department of Epidemiology and Data Science, Amsterdam UMC, VU University Amsterdam , Amsterdam, Netherlands
- Upstream Team, VU University Amsterdam , Amsterdam, Netherlands
| | - N den Braver
- Department of Epidemiology and Data Science, Amsterdam UMC, VU University Amsterdam , Amsterdam, Netherlands
- Upstream Team, VU University Amsterdam , Amsterdam, Netherlands
| | - J Zukowska
- Faculty of Civil and Environmental Engineering, Gdansk University of Technology , Gdansk, Poland
| | | |
Collapse
|
11
|
Zeeb H, Brandes M, Bauer U, Forberger S, Gelius P, Muellmann S, Okan O, Pfeifer K, Renner B, Wright M. [Perspective Paper "Future Prevention Research" - Current and Future Coordinated Research on Prevention and Health Promotion]. Gesundheitswesen 2022; 85:388-394. [PMID: 36055281 PMCID: PMC10155309 DOI: 10.1055/a-1816-3398] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2022]
Abstract
From 2014 to 2022, the BMBF has funded five research networks in prevention research and health promotion that are also jointly coordinated (Research Network Primary Prevention and Health Promotion, www.fp2g.net). The researchers have produced a large number of relevant research outputs with insights gained into essential aspects of prevention research and health promotion. The networks research focused on basic principles, application-relevant findings, and implementation conditions of long-term prevention and health promotion for non-communicable diseases (NCDs). The constraints imposed by the pandemic from 2020 onwards were partly addressed by integrating Corona-related research and transfer activities. The importance of resilience for dealing with multiple health and social challenges got increased attention and was analyzed and discussed during the pandemic. For prevention research, research questions such as how to better implement prevention measures through digital tools are gaining additional importance. Together, the research networks have presented achievements and desiderata for future research. This perspective paper with its nine theses formulated in conclusion is intended as a stimulus for discussion among funders as well as the communty of researchers on the subject of successful prevention and health promotion. It is explicitly part of the continuity of the memoranda on prevention research developed in 2012.
Collapse
Affiliation(s)
- Hajo Zeeb
- Abteilung Prävention und Evaluation, Leibniz-Institut für Präventionsforschung und Epidemiologie - BIPS, Bremen, Germany.,Health Sciences Bremen, Universität Bremen, Bremen, Germany
| | - Mirko Brandes
- Abteilung Prävention und Evaluation, Leibniz-Institut für Präventionsforschung und Epidemiologie - BIPS, Bremen, Germany
| | - Ullrich Bauer
- Fakultät für Erziehungswissenschaft, Interdisziplinäres Zentrum für Gesundheitskompetenzforschung (IZGK), Zentrum für Prävention und Intervention im Kindes- und Jugendalter (ZPI), Universität Bielefeld, Bielefeld, Germany
| | - Sarah Forberger
- Abteilung Prävention und Evaluation, Leibniz-Institut für Präventionsforschung und Epidemiologie - BIPS, Bremen, Germany
| | - Peter Gelius
- Institut für Sportwissenschaft und Sport, Lehrstuhl Bewegung und Gesundheit, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany
| | - Saskia Muellmann
- Abteilung Prävention und Evaluation, Leibniz-Institut für Präventionsforschung und Epidemiologie - BIPS, Bremen, Germany
| | - Orkan Okan
- Fakultät für Sport- und Gesundheitswissenschaften, Technische Universität München, München, Germany
| | - Klaus Pfeifer
- Institut für Sportwissenschaft und Sport, Lehrstuhl Bewegung und Gesundheit, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany
| | - Britta Renner
- Fachbereich Psychologie, AG Psychologische Diagnostik und Gesundheitspsychologie, Universität Konstanz, Konstanz, Germany
| | - Michael Wright
- Institut für Soziale Gesundheit, Katholische Hochschule fur Sozialwesen Berlin, Berlin, Germany
| |
Collapse
|
12
|
Gelius P, Messing S, Tcymbal A, Whiting S, Breda J, Abu-Omar K. Policy Instruments for Health Promotion: A Comparison of WHO Policy Guidance for Tobacco, Alcohol, Nutrition and Physical Activity. Int J Health Policy Manag 2022; 11:1863-1873. [PMID: 34634879 PMCID: PMC9808214 DOI: 10.34172/ijhpm.2021.95] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/02/2020] [Accepted: 07/24/2021] [Indexed: 01/12/2023] Open
Abstract
BACKGROUND Policy is an important element of influencing individual health-related behaviours associated to major risk factors for non-communicable diseases (NCDs) such as smoking, alcohol consumption, unhealthy eating and physical inactivity. However, our understanding of the specific measures recommended in NCD prevention policy-making remains limited. This study analysed recent World Health Organization (WHO) documents to identify common policy instruments suggested for national NCD prevention policy and to assess similarities and differences between policies targeting different health-related behaviours. METHODS Evert Vedung's typology of policy instruments, which differentiates between regulatory, economic/ fiscal and soft instruments, served as a basis for this analysis. A systematic search on WHO websites was conducted to identify documents relating to tobacco, alcohol, nutrition and physical activity. The staff of the respective units at the WHO Regional Office for Europe conducted an expert validation of these documents. The resulting documents were systematically searched for policy instruments. A word frequency analysis was conducted to estimate the use of individual instruments in the different policy fields, followed by an additional in-depth coding and content analysis by two independent reviewers. RESULTS Across all health-related behaviours, the following policy instruments were suggested most frequently in WHO guidance documents: laws, regulations, standards, taxes, prices, campaigns, recommendations, partnerships and coordination. The analysis showed that regulatory and economic/fiscal policy instruments are mainly applied in tobacco and alcohol policy, while soft instruments dominate in the fields of nutrition and especially physical activity. CONCLUSION The study confirms perceived differences regarding recommended policy instruments in the different policy fields and supports arguments that "harder" instruments still appear to be underutilized in nutrition and physical activity. However, more comprehensive research is needed, especially with respect to actual instrument use and effectiveness in national-level NCD prevention policy.
Collapse
Affiliation(s)
- Peter Gelius
- Department of Sport Science and Sport, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany
| | - Sven Messing
- Department of Sport Science and Sport, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany
| | - Antonina Tcymbal
- Department of Sport Science and Sport, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany
| | - Stephen Whiting
- WHO European Office for Prevention and Control of Noncommunicable Diseases, Moscow, Russia
| | - João Breda
- WHO European Office for Prevention and Control of Noncommunicable Diseases, Moscow, Russia
| | - Karim Abu-Omar
- Department of Sport Science and Sport, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany
| |
Collapse
|
13
|
Woods CB, Kelly L, Volf K, Gelius P, Messing S, Forberger S, Lakerveld J, den Braver NR, Zukowska J, Bengoechea EG. S09-4 The development of the Physical Activity Environment Policy Index (PA-EPI): a tool for monitoring and benchmarking government policies and actions to improve physical activity. Eur J Public Health 2022. [PMCID: PMC9435359 DOI: 10.1093/eurpub/ckac093.048] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Abstract
Background Insufficient physical activity (PA) is a global issue for health. A multifaceted response, including government action, is essential to improve population levels of PA. The purpose of this study was to develop the ‘Physical Activity Environment Policy Index’ (PA-EPI) monitoring framework to assess government policies and actions for creating a healthy PA environment. Methods An iterative process was undertaken. This involved a review of policy documents from authoritative organisations, a policy audit of four European countries, and systematic reviews of scientific literature. This was followed by an online consultation with academic experts (N = 101; 20 countries, 72% response rate), and policymakers (N = 40, 4 EU countries). During this process, consensus workshops where quantitative and qualitative data alongside theoretical and pragmatic considerations were used to inform PA-EPI development. Results The PA-EPI is conceptualised as a two-component ‘policy’ and ‘infrastructure support’ framework. The two components comprise eight policy and seven infrastructure support domains. The policy domains are education, transport, urban design, healthcare, public education (including mass media), sport-for-all, workplaces and community. The infrastructure support domains are leadership, governance, monitoring and intelligence, funding and resources, platforms for interaction, workforce development, and health-in-all-policies. Forty-five ‘good practice statements’ (GPS) or indicators of ideal good practice within each domain concludes the PA-EPI. A potential eight-step process for conducting the PA-EPI is described. Conclusions Once pre-tested and piloted in several countries of various sizes and income levels, the PA-EPI GPS will evolve into benchmarks established by governments at the forefront of creating and implementing policies to address inactivity.
Collapse
Affiliation(s)
- Catherine B Woods
- Physical Activity for Health Research Cluster, Health Research Institute, Department of Physical Education and Sport Sciences, University of Limerick , Limerick, Ireland
| | - Liam Kelly
- Physical Activity for Health Research Cluster, Health Research Institute, Department of Physical Education and Sport Sciences, University of Limerick , Limerick, Ireland
| | - Kevin Volf
- Physical Activity for Health Research Cluster, Health Research Institute, Department of Physical Education and Sport Sciences, University of Limerick , Limerick, Ireland
| | - Peter Gelius
- Department of Sport Science and Sport, Friedrich-Alexander-Universität Erlangen-Nürnberg , 91058 Erlangen, Germany
| | - Sven Messing
- Department of Sport Science and Sport, Friedrich-Alexander-Universität Erlangen-Nürnberg , 91058 Erlangen, Germany
| | - Sarah Forberger
- Leibniz Institute for Prevention Research and Epidemiology – BIPS , 28359 Bremen, Germany
| | - Jeroen Lakerveld
- Amsterdam UMC, VU University Amsterdam, Department of Epidemiology and Data Science, Amsterdam Public Health Research institute , De Boelelaan 1089a, Amsterdam 1081 HV, The Netherlands
- Upstream Team , www.upstreamteam.nl . Amsterdam UMC, VU University Amsterdam, De Boelelaan 1089a, Amsterdam 1081 HV, The Netherlands
| | - Nicolette R den Braver
- Amsterdam UMC, VU University Amsterdam, Department of Epidemiology and Data Science, Amsterdam Public Health Research institute , De Boelelaan 1089a, Amsterdam 1081 HV, The Netherlands
- Upstream Team , www.upstreamteam.nl . Amsterdam UMC, VU University Amsterdam, De Boelelaan 1089a, Amsterdam 1081 HV, The Netherlands
| | - Joanna Zukowska
- Faculty of Civil and Environmental Engineering, Gdansk University of Technology , Gdansk 80-213, Poland
| | - Enrique García Bengoechea
- Physical Activity for Health Research Cluster, Health Research Institute, Department of Physical Education and Sport Sciences, University of Limerick , Limerick, Ireland
- Research and Innovation Unit , Sport Ireland, Dublin, Ireland
| | | |
Collapse
|
14
|
Tcymbal A, Gelius P, Abu-Omar K, Messing S, Whiting S, Kremlin W. P01-15 National focal point network for physical activity promotion - experiences from the european union. Eur J Public Health 2022. [PMCID: PMC9421879 DOI: 10.1093/eurpub/ckac095.015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Background An analysis of currently existing partnerships and cross-country collaboration for physical activity (PA) promotion is valuable for understanding how such partnerships operate, and how they impact national PA promotion efforts. This study aimed to outline the structure of the European Union's (EU) National Physical Activity Focal Point Network, to evaluate its outputs and benefits, and to describe its potential and challenges. Methods We employed a mixed methods approach with three components: (1) document analysis of network meeting reports, (2) semi-structured interviews with key officials who were involved in establishing the network, and (3) an online evaluation survey with the national PA Focal Points. Results The PA Focal Point Network was founded in 2014, and its main task is to coordinate the collection of information for the EU's HEPA Monitoring Framework. Each of the EU Member States nominated a representative to the network. Focal Points usually meet twice a year to discuss issues related to the HEPA Monitoring Framework and to share best practices and plan activities for the promotion of PA within the EU. The results of the evaluation survey show that participation in the network helped members to specify goals for PA promotion, gain knowledge, and identify opportunities to promote PA in their country. From the perspective of the Focal Points, most helpful outputs of the Network activity are the country factsheets on physical activity, the connections within the Network and the opportunity to share their experience with colleagues during meetings and group discussions. Conclusions The study shows that the PA Focal Point Network may serve as an example of successful cross-country collaboration in PA promotion. The network has supported the monitoring of the implementation of the EU Council Recommendation on HEPA across sectors in particular and of PA promotion in the EU in general. It also had positive effects on national PA promotion efforts and on cooperation between countries. All in all, the PA Focal Point Network can serve as an example for other world regions or policy areas that set up similar networks.
Collapse
Affiliation(s)
- Antonina Tcymbal
- Department of Sport Science and Sport, Friedrich-Alexander-Universität Erlangen-Nürnberg , Erlangen, Germany
| | - Peter Gelius
- Department of Sport Science and Sport, Friedrich-Alexander-Universität Erlangen-Nürnberg , Erlangen, Germany
| | - Karim Abu-Omar
- Department of Sport Science and Sport, Friedrich-Alexander-Universität Erlangen-Nürnberg , Erlangen, Germany
| | - Sven Messing
- Department of Sport Science and Sport, Friedrich-Alexander-Universität Erlangen-Nürnberg , Erlangen, Germany
| | - Stephen Whiting
- Division of Noncommunicable Diseases and Promoting Health through the Life-course, World Health Organization Regional Office for Europe , Moscow, Russia
| | - Wickramasinghe Kremlin
- European Office for the Prevention and Control of Noncommunicable Diseases, World Health Organization , Moscow, Russia
| |
Collapse
|
15
|
Sandu P, Chereches RM, Papiu A, Gelius P, Abu-Omar K, Takeda N, Oida Y, Onatsu T, Tuunanen K. P01-01 Assessment of local governments’ involvement in sport and physical activity policy promotion – LoGoPAS project. Eur J Public Health 2022. [PMCID: PMC9435625 DOI: 10.1093/eurpub/ckac095.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Background
The involvement of local governments in physical activity (PA) promotion represents a key factor to drive change at grassroots level, based on identified specific needs and solutions, tailored to each local context (needs, resources, etc.). The aim of LoGoPAS, Erasmus + Sport co-financed project (2020-2021), is to assess, promote and support local governments' involvement in PA (policy) promotion.
Methods
A mixed methods approach has been put in place (including thematic document analysis of grey literature, semi-structured stakeholder interviews, group consensus methodologies) to explore and analyze the current legally binding and voluntary activities of local goverments in PA (policy) promotion. The study is being conducted at local level in Finland, France, Germany, Japan and Romania. Already validated instruments to evaluate local PA policy, such as L-PAT (Local Policy Audit Tool), Capla SANTE or TEAviisari will be used to harmonize data collected from each partner country, at local level.
Results
Locally collected data from partner countries reveal significant differences in the organization and delivery of PA related policies with more regulations and structures in the western countries (e.g. Germany or Finland) and more opportunistic and mixed approach (related to the purpose of the PA related projects) in Romania. Also, the currently available instruments for evaluation of local PA policies (those used for data harmonization in our project - see methods section) can benefit from additions in order to capture the complexities of the engagement of local governments in PA promotion.
Conclusion
Although the roles of local governments in PA promotion has been widely acknowledged (e.g. by WHO or the European Comission), there are currently few hands-on instruments for policy-makers and other actors at local level to advance PA promotion agenda and activities. Approaches tailored to local contexts may help engage local governments, while international networking may foster the exchange of experiences and help optimize interventions.
Collapse
Affiliation(s)
- Petru Sandu
- Public Health, University Babes-Bolyai , Cluj-Napoca, Romania
- Public Health, University of Medicine and Pharmacy Iuliu Hatieganu , Cluj-Napoca, Romania
| | | | - Antonia Papiu
- Public Health, University Babes-Bolyai , Cluj-Napoca, Romania
| | - Peter Gelius
- Department Sportwissenschaft und Sport, University of Erlangen-Nuremberg (Friedrich-Alexander-Universität Erlangen-Nürnberg) , Erlangen, Germany
| | - Karim Abu-Omar
- Department Sportwissenschaft und Sport, University of Erlangen-Nuremberg (Friedrich-Alexander-Universität Erlangen-Nürnberg) , Erlangen, Germany
| | - Noriko Takeda
- Physical Activity and Health Promotion Studies, Center for Promotion of Higher Education, Kogakuin University , Tokyo, Japan
| | - Yukio Oida
- School of Life Science and Technology, Chukyo University , Nagoya, Japan
| | - Tanja Onatsu
- Fit for life program, LIKES – Research Centre for Physical Activity and Health , Jyväskylä, Finland
| | - Katariina Tuunanen
- Fit for life program, LIKES – Research Centre for Physical Activity and Health , Jyväskylä, Finland
| |
Collapse
|
16
|
Woods C, Zukowska J, Forberger S, Garcia E, Gelius P, Gobis A, Kelly L, Krajewski P, Lakerveld J, Messing S, denBraver N, Volf K. S09 Insights into the development of the physical activity environment policy index, a tool for benchmarking implementation of public policies to create healthy physical activity policy environments. Eur J Public Health 2022. [PMCID: PMC9421901 DOI: 10.1093/eurpub/ckac093.044] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/02/2022] Open
Abstract
The UN Sustainable Development Goals' (https://sustainabledevelopment.un.org/) and the Global Action Plan on Physical Activity (https://www.who.int/ncds/prevention/physical-activity/gappa) highlight the need to move beyond individual behaviour change to broader policy and system approaches, focusing not only on health but also on sustainability. Recently, policy responses to the epidemics of physical inactivity and sedentary behaviour have grown. The Global Observatory for Physical Activity (GoPA) reports that by 2013, 139 countries were members of its physical activity advocacy alliance and 26.6% of these countries had already published a stand-alone physical activity plan. The ‘Policy Evaluation Network' is a multi-disciplinary European research network aimed at understanding the impact of public policy for promoting healthy lifestyles in an effort to prevent non-communicable disease. To understand the progress governments are making in creating healthy policy environments, the benchmarking of best practice has proven effective for advancing the food policy agenda; however its usefulness for physical activity requires evaluation. Individual country results promote mutual learning between countries. This symposium will take a deep look at public policy in physical activity. It will summarise evidence from systematic literature reviews and present a tool for benchmarking progress. It will also discuss the potential next steps for addressing the inactivity, obesity and climate challenges through policy solutions in a systematic way. The Chair will give an overview of context within which this symposium takes place e.g. GAPPA, Policy developments etc. They will also explain the symposium's purpose and objectives, introduce the speakers and direct questions.
Symposium Objectives
1. To review evidence for the contribution of transport, sport and mass media policy to the promotion of physical activity. 2. To show how evidence generate in each of these reviews contributed to the development of the physical activity environment policy index (PA-EPI). 3. To discuss the next steps for addressing inactivity by using policy intervention as a tool to catalyse change. Abstract 1: Which transport policies increase physical activity of the whole of society? A Systematic Review. Abstract 2: The impact of mass-media campaigns on physical activity: a review of reviews through a policy lens. Abstract 3: Evidence of the impact of Sport Policies on physical activity and sport participation: A Systematic Mixed Studies Review. Abstract 4: The development of the Physical Activity Environment Policy Index (PA-EPI): a tool for monitoring and benchmarking government policies and actions to improve physical activity. The Discussant summarizes the presentations and provides insights on the specific topic area, generating an interactive discussion with the audience for at least 15 minutes, moderated by the Chair. (15 minutes) Conclusions: Some discussion of the possible contribution to, or implications for, the advancement of HEPA related goals.
Collapse
Affiliation(s)
- Catherine Woods
- Physical Activity for Health Research Cluster, Physical Education and Sport Sciences, University of Limerick , Limerick, Ireland
| | - Joanna Zukowska
- Faculty of Civil and Environmenatl Engineering, Gdansk University of Technology , Poland, Gdansk, Poland
| | - Sarah Forberger
- Leibniz Institute for Prevention Research and Epidemiology, Leibniz Institute for Prevention Research and Epidemiology, BIPS , Germany, Bremen, Germany
| | - Enrique Garcia
- Physical Activity for Health Research Cluster, Physical Education and Sport Sciences, University of Limerick , Limerick, Ireland
- Sport Ireland, Sport Ireland, The Courtyard, Blanchardstown , Dublin, Dublin, Ireland
| | - Peter Gelius
- Friedrich-Alexander-Universitat, Friedrich-Alexander-Universität Erlangen-Nürnberg , Erlangen, Germany, Erlangen, Germany
| | - Anna Gobis
- Faculty of Civil and Environmenatl Engineering, Gdansk University of Technology , Poland, Gdansk, Poland
| | - Liam Kelly
- Physical Activity for Health Research Cluster, Physical Education and Sport Sciences, University of Limerick , Limerick, Ireland
| | - Piotr Krajewski
- Faculty of Civil and Environmenatl Engineering, Gdansk University of Technology , Poland, Gdansk, Poland
| | - Jeroen Lakerveld
- VU University Amsterdam, Department of Epidemiology and Data Science, Amsterdam Public Health research institute , De Boelelaan 1089a, Amsterdam, the Netherlands., Amsterdam, The Netherlands
| | - Sven Messing
- Friedrich-Alexander-Universitat, Friedrich-Alexander-Universität Erlangen-Nürnberg , Erlangen, Germany, Erlangen, Germany
| | - Nicole denBraver
- VU University Amsterdam, Department of Epidemiology and Data Science, Amsterdam Public Health research institute , De Boelelaan 1089a, Amsterdam, the Netherlands., Amsterdam, The Netherlands
| | - Kevin Volf
- Physical Activity for Health Research Cluster, Physical Education and Sport Sciences, University of Limerick , Limerick, Ireland
| |
Collapse
|
17
|
den Braver NR, Bengoechea EG, Messing S, Kelly L, Schoonmade LJ, Volf K, Zukowska J, Gelius P, Forberger S, Woods C, Lakerveld J. S09-2 The impact of mass-media campaigns on physical activity: a review of reviews through a policy lens. Eur J Public Health 2022. [PMCID: PMC9435356 DOI: 10.1093/eurpub/ckac093.046] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Background
This review of reviews aims to summarize the evidence from published reviews on the effectiveness of mass-media campaigns to promote physical activity (PA), or PA-related determinants, and identify policy-relevant recommendations related to successful PA campaigns.
Methods
An extensive literature search was performed on March 1st, 2021. Reviews that evaluated the impact of campaigns on distal (e.g., PA) and/or proximal outcomes of PA (awareness, knowledge etc.) and that targeted the general population or subsets were included. Quality of reviews was assessed using the AMSTAR-2 tool. Policy-relevant recommendations were systematically derived and synthesized, and formulated as good practice statements. A protocol was registered beforehand (ID: CRD42021249184).
Results
A total of 1,915 studies were identified, of which 22 reviews were included. Results indicate that the most consistent evidence was found for the effectiveness of mass-media campaigns on proximal outcomes, while the evidence for distal outcomes was mixed. Good practice statements were derived: 1) to achieve behaviour change, mass-media is an important component of larger, multilevel, and multicomponent strategies, 2) mass-media strategies should be coordinated and aligned at local- and national-level, and be sustained, monitored and resourced at these levels, 3) media should be tailored to reduce socioeconomic inequalities.
Conclusions
Mass-media can play an important role in the promotion of PA. In general, evidence was more inconsistent for effectiveness on distal outcomes than for proximal outcomes. The policy-relevant recommendations identified will serve to inform the PA environment policy index (PA-EPI), a tool for monitoring, evaluating and benchmarking government progress in implementing public policies.
Collapse
Affiliation(s)
- Nicolette R den Braver
- Department of Epidemiology & Data Science, Amsterdam Public Health Research Institutes, Amsterdam University Medical Centres , De Boelelaan 1089a, Amsterdam 1081 HV, The Netherlands
- Upstream Team , www.upstreamteam.nl , De Boelelaan 1089a, Amsterdam 1081 HV, The Netherlands
| | - Enrique Garcia Bengoechea
- Physical Activity for Health Research Cluster, Health Research Institute, Department of Physical Education and Sport Sciences, University of Limerick , Limerick, Ireland
- Research & Innovation Unit , Sport Ireland, Ireland
| | - Sven Messing
- Department of Sport Science and Sport, Friedrich-Alexander-Universität Erlangen-Nürnberg , Gebbertstr. 123b, 91058 Erlangen, Germany
| | - Liam Kelly
- Physical Activity for Health Research Cluster, Health Research Institute, Department of Physical Education and Sport Sciences, University of Limerick , Limerick, Ireland
| | - Linda J Schoonmade
- Department of Sport Science and Sport, Friedrich-Alexander-Universität Erlangen-Nürnberg , Gebbertstr. 123b, 91058 Erlangen, Germany
| | - Kevin Volf
- Physical Activity for Health Research Cluster, Health Research Institute, Department of Physical Education and Sport Sciences, University of Limerick , Limerick, Ireland
| | - Joanna Zukowska
- Faculty of Civil and Environmental Engineering, Gdansk University of Technology , Narutowicza 11, Gdansk 80-233, Poland
| | - Peter Gelius
- Department of Sport Science and Sport, Friedrich-Alexander-Universität Erlangen-Nürnberg , Gebbertstr. 123b, 91058 Erlangen, Germany
| | - Sarah Forberger
- Leibniz Institute for Prevention Research and Epidemiology – BIPS, 28359 Bremen , Germany
| | - Catherine Woods
- Physical Activity for Health Research Cluster, Health Research Institute, Department of Physical Education and Sport Sciences, University of Limerick , Limerick, Ireland
| | - J Lakerveld
- Department of Epidemiology & Data Science, Amsterdam Public Health Research Institutes, Amsterdam University Medical Centres , De Boelelaan 1089a, Amsterdam 1081 HV, The Netherlands
- Upstream Team , www.upstreamteam.nl , De Boelelaan 1089a, Amsterdam 1081 HV, The Netherlands
| | | |
Collapse
|
18
|
Till M, Ferschl S, Abu-Omar K, Gelius P. O4-8 Measuring capabilities for physical activity-related health outcomes: A Systematic review. Eur J Public Health 2022. [PMCID: PMC9421856 DOI: 10.1093/eurpub/ckac094.032] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
Background Health promotion projects commonly measure health outcomes and behavior to provide proof of effectiveness. An alternative concept that focuses on the real opportunities a person can choose from to influence their health is Amartya Sen's capability approach. Numerous tools have been developed to measure capability change in general, but it remains unclear which ones can be applied specifically to physical activity (PA).We therefore conducted a systematic review to identify appropriate tools to measure capabilities for physical activity and health and provide information on their quality. Methods The review included a total of 6,850 articles published between 2000 and June 2019 that were identified via searches on PubMed, EbscoHost, and ProQuest. Screenings of titles/abstracts and full texts were conducted independently by two researchers using Endnote X9 and Microsoft Excel. Identified tools are currently being analyzed regarding their indicators, evaluation methods, quality, and the extent to which they address capabilities for physical activity. Results The screening resulted in a total of 49 articles included in the analysis. Preliminary results show a diverse use of methods for measuring capabilities for healthy lifestyles. Preliminary results show that three categories of instruments can be identified: (a) Five studies employed secondary data analysis of specific datasets to extrapolate capabilities for healthy living; (b) five articles dealt with measuring capabilities using qualitative approaches (interviews, video recordings); (c) 39 articles reported on a total of 10 different questionnaires to measure capabilities. We identified only one instrument (employing both a questionnaire and qualitative measures) that explicitly measured capabilities for PA, albeit only for a specific target group. Conclusions The identified articles show that capabilities for healthy lifestyles are mostly measured by questionnaire. Available tools are mostly target group- and setting-specific. Currently, there is a dearth of tools that explicitly cover capabilities for PA, especially across settings or target groups. Therefore, more research is needed to work towards the development of universally applicable tools to measure PA capability.
Collapse
Affiliation(s)
- Maike Till
- Department of Sportscience and Sport, Friedrich-Alexander-Universität Erlangen-Nürnberg , Erlangen, Germany
| | - Susanne Ferschl
- Department of Sportscience and Sport, Friedrich-Alexander-Universität Erlangen-Nürnberg , Erlangen, Germany
| | - Karim Abu-Omar
- Department of Sportscience and Sport, Friedrich-Alexander-Universität Erlangen-Nürnberg , Erlangen, Germany
| | - Peter Gelius
- Department of Sportscience and Sport, Friedrich-Alexander-Universität Erlangen-Nürnberg , Erlangen, Germany
| |
Collapse
|
19
|
Naber I, Mino E, Klamroth S, Weissenfels A, Geidl W, Gelius P, Abu-Omar K, Pfeifer K. P07-12 Stakeholders perspectives on exercise referral schemes in Germany. Eur J Public Health 2022. [PMCID: PMC9421779 DOI: 10.1093/eurpub/ckac095.112] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
Background There is a growing popularity of exercise referral schemes (ERS) and they are widely implemented in nations such as New Zealand and Sweden. To this point, the German health care system (GHCS) is not utilising a structurally implemented ERS, but a research project is currently conducted to develop and test a German ERS. In the first project phase, the aim was to introduce the topic of ERS to relevant stakeholders of the GHCS and to gather their expert opinions on such a potential ERS. Further, the aim was to familiarise the stakeholders to the project and its collaborative approach in developing and testing an ERS. Methods Semi-structured interviews were conducted with 12 relevant stakeholder of the GHCS. In each case, two researchers conducted the interviews between June to September 2019. Main topics addressed during the interviews were potential target groups for an ERS, their own role within an ERS, PA counselling and dropouts that would be expected. During the interviews, stakeholders were encouraged to sketch their ideas for how to organise an ERS on paper. In the analysis, we digitalised these sketches into flow-chart diagrams. Results The analysis of the interviews showed that the sketches proposed innovative additions and alternative PA promotion strategies within the GHCS. The stakeholders identified barriers within the GHCS such as the rigid costing of treatments and performance measurements. Some reoccurring important core elements for an ERS in Germany were suggested: having a supportive person, implementing PA behaviour impact, utilising existing PA programs and tailoring individual PA counselling. Some stakeholders envisioned an ERS focusing on their perspectives and desired role within the ERS while others outlined ERS that largely excluded them. Conclusions All stakeholders clearly expressed the need for collaboration to develop and test an ERS in Germany. Previous studies have been focused on factors that influence effectiveness, as uptake and adherence. In contrast, these interviews resulted in the identification of concrete barriers and facilitators from the administrative perspective within the GHCS. Different stakeholders show varying degrees of interest in being part of an ERS. This information is highly valuable for the upcoming collaborative process.
Collapse
Affiliation(s)
- Inga Naber
- Department of Sport Science and Sport - Physical Activity and Health, Friedrich-Alexander University , Erlangen, Germany
| | - Eriselda Mino
- Department of Sport Science and Sport - Physical Activity and Health, Friedrich-Alexander University , Erlangen, Germany
| | - Sarah Klamroth
- Department of Sport Science and Sport - Physical Activity and Health, Friedrich-Alexander University , Erlangen, Germany
| | - Anja Weissenfels
- Department of Sport Science and Sport - Physical Activity and Health, Friedrich-Alexander University , Erlangen, Germany
| | - Wolfgang Geidl
- Department of Sport Science and Sport - Physical Activity and Health, Friedrich-Alexander University , Erlangen, Germany
| | - Peter Gelius
- Department of Sport Science and Sport - Physical Activity and Health, Friedrich-Alexander University , Erlangen, Germany
| | - Karim Abu-Omar
- Department of Sport Science and Sport - Physical Activity and Health, Friedrich-Alexander University , Erlangen, Germany
| | - Klaus Pfeifer
- Department of Sport Science and Sport - Physical Activity and Health, Friedrich-Alexander University , Erlangen, Germany
| |
Collapse
|
20
|
Till M, Gelius P, Abel T. O4-7 An alternative framework for HEPA projects: Developing recommendations for the use of the Capability Approach. Eur J Public Health 2022. [PMCID: PMC9421726 DOI: 10.1093/eurpub/ckac094.031] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Background
Using Amartya Sen's capability approach (CA) to conceptualize physical activity (PA) promotion projects has been suggested as a promising alternative to conventional theories, as it focuses on the real opportunities people have to engage in PA rather than on PA behavior alone. The Capital4Health research consortium used the CA to conceptualize and implement PA projects in four different settings across the life-course. The aim of the study was to evaluate the implementation of the CA in these projects and to develop recommendations for the use of the concept in future PA promotion projects.
Methods
Based on an overarching analytical framework, we investigated the utilization of the CA in the individual projects using document analysis, workshops, and group interviews with project teams. Results were used to develop a set of draft principles and recommendations for effectively employing the CA in future projects and as a bridging framework for larger consortia. A participatory process combining elements of action research and Delphi surveys is currently conducted with all members of the Capital4Health consortium to arrive at final set of agreed-upon principles.
Results
Preliminary results show that the use of the CA varied substantially between projects and settings, but that a number of common conclusions can be drawn. A future framework for using capabilities for PA promotion may focus on three areas: (a) Project conceptualization should address both the target group and relevant multipliers. It should also consider both individual PA competences and structural factors, (b) Evaluation should cover both capabilities for PA as well as actual changes in PA levels to assess health impact on multiple levels, (c) The CA may be very useful to research consortia for developing shared goals and evaluation frameworks. This, however, requires a shared knowledge base and agreement about central theoretical concepts.
Conclusions
The CA constitutes a potentially useful theoretical basis for both individual PA promotion projects and multi-setting research consortia. However, the application of the concept is complex and may vary significantly between settings. The proposed guiding principles may therefore provide a useful aid to future projects wishing to apply this innovative approach.
Collapse
Affiliation(s)
- Maike Till
- Department of Sportscience and Sport, Friedrich-Alexander-Universität Erlangen-Nürnberg , Erlangen, Germany
| | - Peter Gelius
- Department of Sportscience and Sport, Friedrich-Alexander-Universität Erlangen-Nürnberg , Erlangen, Germany
| | - Thomas Abel
- Institute of Social and Preventive Medicine, University of Bern , Bern, Switzerland
| |
Collapse
|
21
|
Whiting S, Buoncristiano M, Gelius P, Abu-Omar K, Pattison M, Hyska J, Duleva V, Milanović SM, Zamrazilová H, Hejgaard T, Rasmussen M, Nurk E, Shengelia L, Kelleher CC, Heinen MM, Spinelli A, Nardone P, Abildina A, Abdrakhmanova S, Aitmurzaeva G, Usuopva Z, Pudule I, Petrauskiene A, Angelo VFS, Kujundzic E, Popovic S, Fismen AS, Bergh IH, Fijalkowska A, Rito AI, Cucu A, Brinduse LA, Peterkova V, Gualtieri A, García-Solano M, Gutiérrez-González E, Abdurrahmonova Z, Boymatova K, Yardim N, Tanrygulyyeva M, Weghuber D, Schindler K, Stojisavljević D, Hadžiomeragić AF, Ionnaidu EM, Ahrens W, Hassapidou M, Kovacs VA, Ostojic SM, Ticha L, Starc G, Jonsson KR, Spiroski I, Rutter H, Mendes R, Williams J, Rakovac I, Breda J. S02-1 Physical activity and sedentary behaviour of children aged 6-9 in Europe: an analysis within the Childhood Obesity Surveillance Initiative (COSI). Eur J Public Health 2022. [PMCID: PMC9421738 DOI: 10.1093/eurpub/ckac093.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Background
Children are becoming less physically active for a variety of interrelated reasons. The availability of opportunities for safe active playgrounds, recreational activities and active transport has decreased, while time spend on sedentary screen-based activities has increased. This study aimed to evaluate physical activity (PA), sedentary and sleep behaviours of children aged 6-9 years in Europe using data from the WHO Childhood Obesity Surveillance Initiative (COSI).
Methods
The fourth COSI data collection round was conducted in 36 countries from 2015-2018 using a standardized protocol including a family form completed by parents with specific questions about diet and physical activity-related behaviours.
Results
Nationally representative data from the 24 countries, who filled in the non-mandatory family record form, were included. Information on PA, screen-time and sleep behaviours of 137,807 children were analysed. Pooled analysis showed that: one in two children walked or cycled to school every day; one in two children were members of a sport or dancing club; around 40 % of children spent at least two hours per day watching TV or using electronic devices; around four in five children were actively or vigorously playing each day; around 88 % of children slept for at least nine hours per night. Country specific analyses showed pronounced differences in prevalence estimates between countries.
Conclusions
While the severity of the problem varies between countries, physical inactivity and sedentary behaviours are common across the European Region. Policy makers across the Region must do more in order to increase opportunities for young people to participate in daily activities. Furthermore, they should explore solutions to reduce the amount of time spend on sedentary activities, in order to halt the rise in overweight and obesity.
Collapse
Affiliation(s)
- Stephen Whiting
- Division of Country Health Programmes, WHO Regional Office for Europe , Copenhagen, Denmark
- EPIUnit – Instituto de Saúde Pública, Universidade do Porto , Porto, Portugal
| | - Marta Buoncristiano
- Division of Country Health Programmes, WHO Regional Office for Europe , Copenhagen, Denmark
| | - Peter Gelius
- Department of Sport Science and Sport, FAU , Erlangen, Germany
| | - Karim Abu-Omar
- Department of Sport Science and Sport, FAU , Erlangen, Germany
| | - Mary Pattison
- Division of Country Health Programmes, WHO Regional Office for Europe , Copenhagen, Denmark
| | - Jolanda Hyska
- Nutrition and Food Safety Sector, Institute of Public Health , Tirana, Albania
| | - Vesselka Duleva
- National Center of Public Health and Analyses , Sofia, Bulgaria
| | - Sanja Musić Milanović
- School of Medicine, University of Zagreb, Croatian Institute of Public Health , Zagreb, Croatia
| | - Hana Zamrazilová
- Institute of Endocrinology, Obesity Management Centre , Prague, Czechia
| | | | - Mette Rasmussen
- National Institute of Public Health, University of Southern Denmark , Copenhagen, Denmark
| | - Eha Nurk
- National Institute for Health Development , Tallinn, Estonia
| | - Lela Shengelia
- National Center for Disease Control and Public Health , Tbilisi, Georgia
| | - Cecily C Kelleher
- National Nutrition Surveillance Centre, University College Dublin , Dublin, Ireland
| | - Mirjam M Heinen
- National Nutrition Surveillance Centre, University College Dublin , Dublin, Ireland
| | | | | | - Akbota Abildina
- National Centre of Public Health of the Ministry of Health of the Republic of Kazakhstan , Nur-Sultan, Kazakhstan
| | - Shynar Abdrakhmanova
- National Centre of Public Health of the Ministry of Health of the Republic of Kazakhstan , Nur-Sultan, Kazakhstan
| | | | | | - Iveta Pudule
- Ministry of Health, Centre for Disease Prevention and Control , Riga, Latvia
| | - Aušra Petrauskiene
- Lithuanian University of Health Sciences, Health Research Institute and Department of Preventive Medicine , Kaunas, Lithuania
| | | | - Enisa Kujundzic
- Institute of Public Health of Montenegro , Podgorica, Montenegro
| | - Stevo Popovic
- Faculty for Sport and Physical Education, University of Montenegro , Niksic, Montenegro
| | - Anne-Siri Fismen
- Department of Health Promotion, Norwegian Institute of Public Health , Bergen, Norway
| | - Ingunn Holden Bergh
- Department of Health and Inequality, Division of Mental and Physical Health, Norwegian Institute of Public Health , Bergen, Norway
| | - Anna Fijalkowska
- Department of Cardiology, Institute of Mother and Child , Warsaw, Poland
| | - Ana Isabel Rito
- National Institute of Health Dr Ricardo Jorge I.P ., Lisbon, Portugal
| | - Alexandra Cucu
- National Institute of Public Health , Bucharest, Romania
| | | | | | - Andrea Gualtieri
- Health Authority San Marino , San Marino
- Republic of San Marino , San Marino
| | - Marta García-Solano
- Spanish Agency for Food Safety and Nutrition, Ministry of Health , Madrid, Spain
| | | | - Zulfinissio Abdurrahmonova
- Republican Centre for Nutrition, Ministry of Health and Social Protection of Population , Duschanbe, Tajikistan
| | | | - Nazan Yardim
- Diabetes and Metabolic Disorders Department, Ministry of Health, Public Health Institution , Ankara, Turkey
| | - Maya Tanrygulyyeva
- Scientific Research Institute of Maternal and Child Health , Ashgabat, Turkmenistan
| | - Daniel Weghuber
- Department of Pediatrics, Paracelsus Medical University , Salzburg, Austria
| | | | - Dragana Stojisavljević
- Public Health Institute of Republic of Srpska, the University of Banja Luka, Faculty of Medicine , Banja Luka
- Bosnia and Herzegovina , Banja Luka
| | - Aida Filipović Hadžiomeragić
- Institute of Public Health of Federation of Bosnia and Herzegovina , Banja Luka
- Bosnia and Herzegovina , Banja Luka
| | | | - Wolfgang Ahrens
- Leibniz Institute for Prevention Research and Epidemiology – BIPS, Bremen, Institute of Statistics, University of Bremen , Bremen, Germany
| | | | | | - Sergej M Ostojic
- Faculty of Sport and PE, University of Novi Sad , Novi Sad, Serbia
| | - Lubica Ticha
- National Institute of Children Diseases, Medical Faculty of Comenius University , Bratislava, Slovakia
| | - Gregor Starc
- Faculty of Sport, University of Ljubljana , Ljubljana, Slovenia
| | - Kenisha Russell Jonsson
- Department of Living Conditions and Lifestyle, Public Health Agency of Sweden , Solna, Sweden
| | - Igor Spiroski
- Department of Physiology and Monitoring of Nutrition, Institute of Public Health , Skopje, Republic of Macedonia
| | - Harry Rutter
- Department of Social and Policy Sciences, University of Bath , Bath, UK
| | - Romeu Mendes
- Division of Country Health Programmes, WHO Regional Office for Europe , Copenhagen, Denmark
- EPIUnit – Instituto de Saúde Pública, Universidade do Porto , Porto, Portugal
| | - Julianne Williams
- Division of Country Health Programmes, WHO Regional Office for Europe , Copenhagen, Denmark
| | - Ivo Rakovac
- Division of Country Health Programmes, WHO Regional Office for Europe , Copenhagen, Denmark
| | - João Breda
- Division of Country Health Programmes, WHO Regional Office for Europe , Copenhagen, Denmark
| |
Collapse
|
22
|
Gelius P. S11-1 The cooperative planning approach in health promotion: Theoretical foundation, theoretical classification and key elements. Eur J Public Health 2022. [PMCID: PMC9421809 DOI: 10.1093/eurpub/ckac093.055] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
Abstract
Background Implementing effective physical activity (PA) interventions into routine practice is challenging once research funds run out, and only a minority of programs are successfully moved from research to practice settings and become embedded in a system. Participatory approaches are seen as a means to overcome this trap and sustainably implement and scale-up programs. This presentation provides methodological and methodological overview of the cooperative planning approach (CP), a participatory method increasingly used in PA promotion in the last years. Methods We reviewed the literature to trace the origins of the CP approach, outline its basic theoretical foundations, and summarize its central components and procedures. In addition, we compiled a structured overview of previous CP projects to highlight potential application contexts of the approach. Building on the results of a scoping review, we position the CP method within the body of existing participatory approaches based on Arnstein's ladder of participation. Results From a theoretical point of view, CP can be traced to the literature on knowledge co-creation and participatory research. It bears conceptual similarities with various organization-based planning methods. There are several distinctive characteristics that set it apart, including (a) the heterogeneity and expertise of participants, (b) a specific process sequence, (c) key success indicators, and (d) structured outputs. Variations of the approach have been successfully employed in sports development and physical activity promotion for target groups across the life-course. Positioning CP within the universe of existing approaches shows that it offers comparatively high levels of participation, is focused on later stages of the implementation process, and is well-suited to be combined with other methods of participation (e.g. citizen science). Conclusions The CP approach constitutes an alternative to existing knowledge co-creation and participatory approaches that may help overcome the problem of the pilot project trap. It can be easily adapted to different contexts but is especially suitable for settings where the development of specific measures for PA promotion is required. However, a successful implementation of the CP process depends on a number of prerequisites, e.g. sufficient resources and the engagement of key persons identified as ‘champions'.
Collapse
Affiliation(s)
- Peter Gelius
- Department of Sport Science and Sport, FAU Erlangen-Nürnberg , Erlangen, Germany
| |
Collapse
|
23
|
Zukowska J, Gobis A, Krajewski P, Morawiak A, Okraszewska R, Woods CB, Volf K, Kelly L, Gelius P, Messing S, Forberger S, Lakerveld J, Bengoechea EG. S09-1 Which transport policies increase physical activity of the whole of society? A Systematic Review. Eur J Public Health 2022. [PMCID: PMC9421807 DOI: 10.1093/eurpub/ckac093.045] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Background There is strong evidence of the links between car-dependence and the global physical inactivity epidemic. If eliminated, physical inactivity would remove between 6% and 10% of major non-communicable diseases that are the leading cause of death globally, killing 38 million people each year. Research consistently shows that unlike passive transport (e.g. driving a car), active transport (i.e., walking, cycling) is associated with higher total daily physical activity (PA). While there are public policies that support PA in transport and, as a result, overall PA levels, the specific quantitative effect of such policies on PA behaviour has not been sufficiently investigated. The aim of this systematic review is to determine the level and type of evidence for policies in the area of transport that contribute to higher PA levels of society at large. Methods Six databases (MEDLINE (Ebsco), SportDiscus, Cinahl, Cochrane library, Web of Science, and Scopus) were searched for key concepts of policy, transport, evaluation and PA. Methodological quality was assessed using standardised tools. The strength of the evidence of policy impact was described based on pre-determined categories of positive, negative, inconclusive or untested. Results 17 of 2,549 studies were included in the data synthesis. The authors identified three main transport policy areas with 60 individual policy actions that had a direct or indirect effect on PA. The policy areas were: convenient transport infrastructure development, active travel promotion and shift of transport mode. These areas correspond to Haddon's methodological approach of the transport system division in to three elements (human, vehicle, road). More than half of the policy actions identified (53%) had a positive effect on PA. Study quality ratings were moderate to good. Conclusions PA levels can be increased by implementing policies that provide convenient, safe, and connected walking and cycling infrastructures, promote active travel and give strong support to public transport. There is also clear evidence that active travel policies work best when implemented in a comprehensive way (very often as a combination of several policies). This may include infrastructure and facility improvements as well as educational programmes to achieve substantial shifts towards active modes of travel.
Collapse
Affiliation(s)
- Joanna Zukowska
- Faculty of Civil and Environmental Engineering, Gdansk University of Technology , Poland
| | - Anna Gobis
- Faculty of Civil and Environmental Engineering, Gdansk University of Technology , Poland
| | - Piotr Krajewski
- Faculty of Civil and Environmental Engineering, Gdansk University of Technology , Poland
| | - Agnieszka Morawiak
- Faculty of Civil and Environmental Engineering, Gdansk University of Technology , Poland
| | - Romanika Okraszewska
- Faculty of Civil and Environmental Engineering, Gdansk University of Technology , Poland
| | - Catherine B Woods
- Physical Activity for Health Research Cluster, Health Research Institute, Department of Physical Education and Sport Sciences, University of Limerick
| | - Kevin Volf
- Physical Activity for Health Research Cluster, Health Research Institute, Department of Physical Education and Sport Sciences, University of Limerick
| | - Liam Kelly
- Physical Activity for Health Research Cluster, Health Research Institute, Department of Physical Education and Sport Sciences, University of Limerick
| | - Peter Gelius
- Friedrich-Alexander-Universität Erlangen-Nürnberg , Erlangen, Germany
| | - Sven Messing
- Friedrich-Alexander-Universität Erlangen-Nürnberg , Erlangen, Germany
| | - Sarah Forberger
- Leibniz Institute for Prevention Research and Epidemiology – BIPS, Bremen , Germany
| | - Jeroen Lakerveld
- Amsterdam UMC, VU University Amsterdam, Department of Epidemiology and Data Science, Amsterdam Public Health research institute , De Boelelaan 1089a, Amsterdam, the Netherlands
- Upstream Team , www.upstreamteam.nl , Amsterdam UMC, VU University Amsterdam, De Boelelaan 1089a, Amsterdam, the Netherlands
| | - Enrique García Bengoechea
- Physical Activity for Health Research Cluster, Health Research Institute, Department of Physical Education and Sport Sciences, University of Limerick
| | | |
Collapse
|
24
|
Ferschl S, Gelius P, Abu-Omar K, Abel T. P08-11 Capabilities and capitals for leisure-time physical activity among young adults: findings from Switzerland. Eur J Public Health 2022. [PMCID: PMC9421739 DOI: 10.1093/eurpub/ckac095.124] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
Background The association between physical activity (PA) and social, economic and psychological factors in young adults is well documented. By contrast, the mechanisms by which their perceived options to be active in life shape their actual PA behavior are less well understood. By taking into account individual competences as well as social, economic and cultural resources, Sen's capability approach and Bourdieu's theory of capitals may contribute to a better understanding of how PA levels depend on the chances young adults have to realize activity in daily life. This study explores the influence of a set of PA-related capabilities, conversion factors and different forms of capitals on leisure-time PA among young Swiss adults. Methods We analyzed data from the Swiss Federal Survey of Adolescents (YASS), specifically the 2010/11 and 2014/15 panels, to explore capabilities for PA among young Swiss adults (N = 21894; aged 18-25 years). We applied stepwise linear regression analyses to explore the association between continuous PA scores, capabilities to be active, cultural (parental education, parental cultural objects), economic (household equivalent income) and social resources (social connections of parents), as well as individual conversion factors (self-efficiency, own education, health literacy). Results Preliminary findings suggest that higher capabilities to be physically active, being female, having a higher education, having parents with a higher education or a higher number of cultural objects, scoring higher on the health literacy scale and being more self-efficient have a statistically significant positive effect on leisure-time PA. Conclusions In line with Sen's capability approach and Bourdieu's theory of capitals, our findings indicate positive associations between leisure-time PA, the perceived capabilities to be active in life, different resources and conversion factors. This implies that these approaches may serve as a good theoretical foundation for conceptualizing interventions to effectively promote PA among young adults.
Collapse
Affiliation(s)
- Susanne Ferschl
- Department of Sport Science and Sport, Friedrich-Alexander-University of Erlangen-Nuremberg , Erlangen, Germany
| | - Peter Gelius
- Department of Sport Science and Sport, Friedrich-Alexander-University of Erlangen-Nuremberg , Erlangen, Germany
| | - Karim Abu-Omar
- Department of Sport Science and Sport, Friedrich-Alexander-University of Erlangen-Nuremberg , Erlangen, Germany
| | - Thomas Abel
- Institute of Social and Preventive Medicine, University of Bern , Bern, Switzerland
| |
Collapse
|
25
|
Volf K, Kelly L, Bengoechea EG, Casey B, Gelius P, Messing S, Forberger S, Lakerveld J, Den Braver NR, Zukowska J, Woods C. S09-3 Evidence of the impact of Sport Policies on physical activity and sport participation: A Systematic Mixed Studies Review. Eur J Public Health 2022. [PMCID: PMC9435366 DOI: 10.1093/eurpub/ckac093.047] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
Abstract
Background Sport is recognised as a potential public health intervention through its influence on physical activity (PA) levels and consequent health benefits. International policy actors such as the Council of Europe, the World Health Organisation and the International Society for Physical Activity and Health have recommended that sport for all is promoted both for public health and as a basic right. Purpose: This review aims to provide evidence to support the development of policies aimed at maximising the opportunity to participate in PA and sporting activity. Methods We systematically searched six electronic databases for quantitative, qualitative, and review studies investigating how public sport policy affects PA and sport participation outcomes”. The scientific literature was screened according to predetermined eligibility criteria. Following study selection and data extraction, the quality was assessed using modified versions of existing quality assessment tools. Results were synthesised narratively. Results Database searches identified 3705 unique articles. A total of 93 full-text articles were assessed, with 31 meeting our inclusion criteria. Fourteen unique policy actions were identified and were categorised into the policy areas Build Sport Facilities, Reduce Financial Barriers, Build Capacity and Establish Partnerships with Sport Sector, and Promote Public Interest in Sports. Conclusions Policy actions to promote physical activity and sport participation have demonstrated qualified success but there is limited evidence of success in reaching hard to reach groups. Therefore, policymakers utilising sport to increase physical activity should treat it as a complementary intervention alongside other policy actions based on a systems perspective.
Collapse
Affiliation(s)
- Kevin Volf
- Department of Physical Education and Sport Sciences, University of Limerick
- Physical Activity for Health Research Cluster, Health Research Institute, University of Limerick
| | - Liam Kelly
- Department of Physical Education and Sport Sciences, University of Limerick
| | - Enrique García Bengoechea
- Department of Physical Education and Sport Sciences, University of Limerick
- Physical Activity for Health Research Cluster, Health Research Institute, University of Limerick
- Research & Innovation Unit , Sport Ireland, Dublin, Ireland
| | - Bláthín Casey
- Department of Physical Education and Sport Sciences, University of Limerick
- Physical Activity for Health Research Cluster, Health Research Institute, University of Limerick
| | - Peter Gelius
- Department of Sport Science and Sport, Friedrich-Alexander-Universität Erlangen-Nürnberg , 91058 Erlangen, Germany
| | - Sven Messing
- Department of Sport Science and Sport, Friedrich-Alexander-Universität Erlangen-Nürnberg , 91058 Erlangen, Germany
| | - Sarah Forberger
- Leibniz Institute for Prevention Research and Epidemiology – BIPS, 28359 Bremen , Germany
| | - Jeroen Lakerveld
- Amsterdam UMC, VU University Amsterdam, Department of Epidemiology and Data Science, Amsterdam Public Health Research Institute , De Boelelaan 1089a, Amsterdam 1081 HV, The Netherlands
- Upstream Team , www.upstreamteam.nl , De Boelelaan 1089a, Amsterdam 1081 HV, The Netherlands
| | - Nicolette R Den Braver
- Amsterdam UMC, VU University Amsterdam, Department of Epidemiology and Data Science, Amsterdam Public Health Research Institute , De Boelelaan 1089a, Amsterdam 1081 HV, The Netherlands
- Upstream Team , www.upstreamteam.nl , De Boelelaan 1089a, Amsterdam 1081 HV, The Netherlands
| | - Joanna Zukowska
- Faculty of Civil and Environmental Engineering, Gdansk University of Technology , Narutowicza 11, Gdansk 80-233, Poland
| | - Catherine Woods
- Department of Physical Education and Sport Sciences, University of Limerick
- Physical Activity for Health Research Cluster, Health Research Institute, University of Limerick
| | | |
Collapse
|
26
|
Whiting S, Mendes R, Abu-Omar K, Gelius P, Crispo A, McColl K, Simmonds P, Fedkina N, Andreasyan D, Gahraman H, Migal T, Sturua L, Obreja G, Abdurakhmanova Z, Saparkulovna IN, Erguder T, Ekinci B, Keskinkilic B, Shukurov S, Yuldashev R, Berdzuli N, Rakovac I, Breda J. S02-5 Physical inactivity in nine Eastern European and Central Asian countries: results from the WHO STEPwise approach to NCD risk factor surveillance. Eur J Public Health 2022. [PMCID: PMC9421875 DOI: 10.1093/eurpub/ckac093.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Background Physical inactivity is a major risk factor for noncommunicable diseases. This paper explores patterns of physical inactivity in Armenia, Azerbaijan, Belarus, Georgia, Kyrgyzstan, Moldova, Tajikistan, Türkiye and Uzbekistan. Methods Nationally-representative data were collected through the WHO STEPwise survey of noncommunicable disease risk factors, which utilizes the Global Physical Activity Questionnaire (GPAQ) to estimate population physical inactivity. Results The prevalence of physical inactivity varied across the region, from 11.4 to 44.7%, and was higher among women than men in all countries except for Armenia, Belarus and Moldova. In most countries, the highest proportion of physical activity levels were registered during work time and appeared to vary according to the countries’ level of development. For both sexes and across all populations, time spent on leisure or recreational physical activity was low. Conclusions These results have important implications for policy, including actions to promote active travel and leisure-time physical activity as countries develop economically. Investments in workplace physical activity programmes and infrastructure are needed as populations transition to sedentary from more physically active occupations. The results reiterate the need for multisectoral policies, programmes and interventions to promote physical activity tailored to the local context.
Collapse
Affiliation(s)
- Stephen Whiting
- WHO European Office for the Prevention and Control of Noncommunicable Diseases , Moscow, Russian Federation
- EPIUnit—Instituto de Saúde Pública, Universidade do Porto , Porto, Portugal
| | - Romeu Mendes
- WHO European Office for the Prevention and Control of Noncommunicable Diseases , Moscow, Russian Federation
- EPIUnit—Instituto de Saúde Pública, Universidade do Porto , Porto, Portugal
| | - Karim Abu-Omar
- Department of Sport Science and Sport, FAU , Erlangen, Germany
| | - Peter Gelius
- Department of Sport Science and Sport, FAU , Erlangen, Germany
| | - Anna Crispo
- Epidemiology and Biostatistics Unit, Istituto Nazionale Tumori-IRCCS-Fondazione G. Pascale , Napoli, Italy
| | - Karen McColl
- WHO European Office for the Prevention and Control of Noncommunicable Diseases , Moscow, Russian Federation
| | - Phillipa Simmonds
- WHO European Office for the Prevention and Control of Noncommunicable Diseases , Moscow, Russian Federation
| | - Natalia Fedkina
- WHO European Office for the Prevention and Control of Noncommunicable Diseases , Moscow, Russian Federation
| | - Dianne Andreasyan
- National Institute of Health, National Health Information Analytic Centre, National Institute of Health , Yerevan, Armenia
| | | | - Tatyana Migal
- Department of Health Care Organization of the Ministry of Health , Minsk, Belarus
| | - Lela Sturua
- National Center for Disease Control and Public Health , Tbilisi, Georgia
| | - Galina Obreja
- Department of Social Medicine and Health Management, State University of Medicine and Pharmacy , Chisinau, Republic of Moldova
| | | | | | | | - Banu Ekinci
- General Directorate of Public Health, Ministry of Health , Ankara, Turkey
| | - Bekir Keskinkilic
- General Directorate of Public Health, Ministry of Health , Ankara, Turkey
| | - Shukhrat Shukurov
- Central Bureau for the implementation of the Health-3 project , Tashkent, Uzbekistan
| | - Rustam Yuldashev
- Central Bureau for the implementation of the Health-3 project , Tashkent, Uzbekistan
| | - Nino Berdzuli
- Division of Country Health Programmes, WHO Regional Office for Europe , Copenhagen, Denmark
| | - Ivo Rakovac
- WHO European Office for the Prevention and Control of Noncommunicable Diseases , Moscow, Russian Federation
| | - Joao Breda
- WHO European Office for the Prevention and Control of Noncommunicable Diseases , Moscow, Russian Federation
| |
Collapse
|
27
|
Klamroth S, Naber I, Mino E, Geidl W, Gelius P, Abu-Omar K, Pfeifer K. P07-11 Physical activity promotion in the German healthcare system - Establishing pathways of exercise referral for persons with noncommunicable diseases. Eur J Public Health 2022. [PMCID: PMC9436219 DOI: 10.1093/eurpub/ckac095.111] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
Abstract
Background Exercise referral schemes (ERS) are embedded in the routine practice of healthcare systems in many countries (e.g. Sweden and New Zealand). In primary healthcare, ERS are recommended to sustainably increase physical activity (PA) levels among patients with noncommunicable diseases (NCD). Yet, the German health care system currently only incorporates interventions that primarily focus on improving functional outcomes but hardly aim at increasing PA levels. This presentation introduces an ongoing research project that aims to develop, implement and evaluate an ERS to promote PA for persons with NCD within the German healthcare system. Methods In the first phase of the project, a concept of an ERS was developed using a participatory research approach that involved relevant stakeholders such as physicians, funding agencies, PA providers, and patient representatives. The development process comprised three steps: 1) interviews to gather stakeholders' ideas of an ERS; 2) a literature review to collect evidence on key elements of international ERS; 3) three stakeholder meetings to combine scientific evidence with stakeholders' perspectives (co-creation). Subsequently, the ERS will be implemented, tested and evaluated in a regional pilot project using a pragmatic trial design. Finally, a concept for scaling-up the ERS to the German national level will be developed. Results As result of the co-creation process, the following key elements were defined to be part of the ERS: Screening, short counselling and provision of a referral form by a physician; initial assessment, counselling, individual PA recommendations, re-assessment and follow-up by exercise professionals. Additional aspects considered important for the implementation of the ERS were ensuring good communication and feedback between all participating health professionals, as well as an overview of all local physical activity offers and exercise professionals (database). These preliminary findings were combined into a draft of the ERS. Conclusions The participatory research approach employed by our project yielded the first draft of an ERS with a specific focus on PA promotion among persons with NCD within the German healthcare system. In the upcoming project stage, this ERS concept will be further elaborated and prepared for implementation and evaluation at a regional level.
Collapse
Affiliation(s)
- Sarah Klamroth
- Department of Sport Science and Sport, Friedrich-Alexander-University Erlangen-Nürnberg , Erlangen, Germany
| | - Inga Naber
- Department of Sport Science and Sport, Friedrich-Alexander-University Erlangen-Nürnberg , Erlangen, Germany
| | - Eriselda Mino
- Department of Sport Science and Sport, Friedrich-Alexander-University Erlangen-Nürnberg , Erlangen, Germany
| | - Wolfgang Geidl
- Department of Sport Science and Sport, Friedrich-Alexander-University Erlangen-Nürnberg , Erlangen, Germany
| | - Peter Gelius
- Department of Sport Science and Sport, Friedrich-Alexander-University Erlangen-Nürnberg , Erlangen, Germany
| | - Karim Abu-Omar
- Department of Sport Science and Sport, Friedrich-Alexander-University Erlangen-Nürnberg , Erlangen, Germany
| | - Klaus Pfeifer
- Department of Sport Science and Sport, Friedrich-Alexander-University Erlangen-Nürnberg , Erlangen, Germany
| |
Collapse
|
28
|
Gelius P, Messing S, Sarah F, Lakerveld J, Fiona M, Sarah T, Wendel-Vos W, Zukowska J, Woods C. O6-6 The added value of using the HEPA PAT for physical activity policy monitoring: A four-country comparison. Eur J Public Health 2022. [PMCID: PMC9435474 DOI: 10.1093/eurpub/ckac094.046] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
Abstract
Background Public policy is increasingly recognized as an important component of physical activity (PA) promotion, as policy actions to address lifestyle behaviours have the potential to in?uence the health and well-being of an entire population. However, our knowledge about the current status, implementation and effectiveness of PA policies in individual countries is still very limited, and there is consequently no clear guidance on which policies governments should preferably use in different settings or under various preconditions. In order to improve the evidence-base, we conducted a detailed assessment of existing PA policies in four EU Member States using WHO's HEPA Policy Audit Tool (PAT) in the context of the Policy Evaluation Network (PEN). Methods We employed a six-step process to administer the HEPA PAT Version 2 in Ireland, the Netherlands, Germany, and Poland. This involved identifying stakeholders, pre-filling parts of the tool using existing survey data and desk-research, approaching select institutions to verify details, and obtaining expert opinion via workshops, interviews, and/or questionnaires. Based on the four completed PATs, we performed a comparative analysis to identify similarities and differences between countries and with previous studies using the tool. Results In all four countries, the health and sport sector were found to be most active in PA promotion, followed by education, transport, and environment/urban planning. All countries have national systems to monitor population PA levels, and three out of four already have national PA recommendations. The study also showed that policy context (e.g. ministry portfolios, importance of subnational governments) varies substantially between countries. This influences policy implementation and made it necessary to employ a bespoke approach in each country to obtain the required information. Conclusions Our findings largely confirm results of previous studies using the PAT in other countries. They also indicate that using the tool in combination with other policy monitoring tools, e.g. the EU Monitoring Framework for HEPA across Sectors, may provide added value and help countries monitor policy progress more consistently. Our experience also confirms some known limitations of the PAT, e.g. regarding subnational policies and a high level of dependence on cooperation from key policy actors.
Collapse
Affiliation(s)
- Peter Gelius
- Department of Sport Science and Sport, FAU Erlangen-Nürnberg , Erlangen, Germany
| | - Sven Messing
- Department of Sport Science and Sport, FAU Erlangen-Nürnberg , Erlangen, Germany
| | - Forberger Sarah
- Department Prevention and Evaluation, Leibniz-Institute for Prevention Research and Epidemiology - BIPS , Bremen, Germany
| | - Jeroen Lakerveld
- Department of Epidemiology and Biostatistics, Amsterdam UMC , Amsterdam, The Netherlands
| | - Mansergh Fiona
- Health and Wellbeing Programme, Department of Health , Dublin, Ireland
| | - Taylor Sarah
- Department of Physical Education and Sport Sciences, University of Limerick , Limerick, Ireland
| | - Wanda Wendel-Vos
- Physical Activity and Health Programme, National Institute for Public Health and the Environment RIVM , Bilthoven, The Netherlands
| | - Joanna Zukowska
- Faculty of Civil and Environmental Engineering, Gdansk University of Technology , Gdansk, Poland
| | - Catherine Woods
- Department of Physical Education and Sport Sciences, University of Limerick , Limerick, Ireland
| |
Collapse
|
29
|
Gelius P, Sommer R, Ferschl S, Till M, Abu-Omar K, Semrau J, Helsper N, Kohler S, Dippon L, Pfeifer K, Rütten A, Popp J, Carl J, Grüne E, Müller C, Hassel H, Altmeier D, Frahsa A, Thiel A. S11 Improving knowledge co-creation and participation in physical activity promotion: The cooperative planning approach. Eur J Public Health 2022. [PMCID: PMC9421793 DOI: 10.1093/eurpub/ckac093.054] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
A central problem of current efforts to promote health and physical activity (PA) is that many successful projects remain stuck in the demonstration phase and are not implemented successfully at scale. The use of participatory and/or co-creation approaches has been suggested to avoid this ?pilot project trap? and better adapt interventions to target group needs and setting specificities.
This symposium intends to introduce to an international audience a particular participatory concept that has become increasingly popular in PA promotion in Germany in recent years: The Cooperative Planning approach has been successfully used in sport facility planning, local and regional PA policy development, and various settings of PA promotion (incl. kindergartens, schools, vocational training, and communities). The workshop will shed light on the theoretical background and methodology of Cooperative Planning as well as its specific application in select settings.
The first presentation will introduce the concept of Cooperative Planning, outline potential areas of application, and compare it with other popular participatory and co-creation approaches in PA promotion. Following this, we will provide evidence from ongoing projects employing the approach to promote PA in kindergartens (Presentation 2) and in the community setting (Presentation 3). Presentation 4 will introduce an example from the retirement home setting and also highlight ways of combining Cooperative Planning with other approaches such as photovoice and participatory evaluation. The final presentation will provide an outlook on the future extension of the concept by introducing the idea of the Practice Dive, which may be used to further optimize knowledge co-creation between researchers and practitioners.
A closer look at the Cooperative Planning approach is both timely and relevant for an international audience for a number of reasons: Conceptually, Cooperative Planning is a theory-based framework that combines ideas of participation and co-creation for PA into an innovative whole-of-system approach. From a practical PA promotion perspective, it transcends many existing techniques by focusing both on engaging multipliers and members of the target group, and by involving all of them in the decisive intervention development process (e.g. rather than only via opinion polls or focus groups). This symposium will allow us to combine evidence from four different projects, highlighting both the specificities of working in different settings as well as different aspects and possible extensions of the Cooperative Planning approach.
Collapse
Affiliation(s)
- Peter Gelius
- Department of Sport Science and Sport, FAU Erlangen-Nürnberg , Erlangen, Germany
| | - Raluca Sommer
- Department of Sport Science and Sport, FAU Erlangen-Nürnberg , Erlangen, Germany
| | - Susanne Ferschl
- Department of Sport Science and Sport, FAU Erlangen-Nürnberg , Erlangen, Germany
| | - Maike Till
- Department of Sport Science and Sport, FAU Erlangen-Nürnberg , Erlangen, Germany
| | - Karim Abu-Omar
- Department of Sport Science and Sport, FAU Erlangen-Nürnberg , Erlangen, Germany
| | - Jana Semrau
- Department of Sport Science and Sport, FAU Erlangen-Nürnberg , Erlangen, Germany
| | - Nathalie Helsper
- Department of Sport Science and Sport, FAU Erlangen-Nürnberg , Erlangen, Germany
| | - Simone Kohler
- Department of Sport Science and Sport, FAU Erlangen-Nürnberg , Erlangen, Germany
| | - Lea Dippon
- Department of Sport Science and Sport, FAU Erlangen-Nürnberg , Erlangen, Germany
| | - Klaus Pfeifer
- Department of Sport Science and Sport, FAU Erlangen-Nürnberg , Erlangen, Germany
| | - Alfred Rütten
- Department of Sport Science and Sport, FAU Erlangen-Nürnberg , Erlangen, Germany
| | - Johanna Popp
- Department of Sport Science and Sport, FAU Erlangen-Nürnberg , Erlangen, Germany
| | - Johannes Carl
- Department of Sport Science and Sport, FAU Erlangen-Nürnberg , Erlangen, Germany
| | - Eva Grüne
- Department of Sport Science and Sport, FAU Erlangen-Nürnberg , Erlangen, Germany
| | - Christina Müller
- Institut für angewandte Gesundheitswissenschaften, Coburg University of Applied Sciences and Arts , Coburg, Germany
| | - Holger Hassel
- Institut für angewandte Gesundheitswissenschaften, Coburg University of Applied Sciences and Arts , Coburg, Germany
| | - Dorothee Altmeier
- Institut für Sportwissenschaft, Universität Tübingen , Tübingen, Germany
| | - Annika Frahsa
- Institut für Sportwissenschaft, Universität Tübingen , Tübingen, Germany
| | - Ansgar Thiel
- Institut für Sportwissenschaft, Universität Tübingen , Tübingen, Germany
| |
Collapse
|
30
|
Mino E, Naber I, Klamroth S, Weissenfels A, Geidl W, Gelius P, Abu-Omar K, Pfeifer K. P07-04 A systematic review of key interventional elements in international exercise referral schemes. Eur J Public Health 2022. [PMCID: PMC9421753 DOI: 10.1093/eurpub/ckac095.104] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Background With the first initiatives dating back to the 1990s, the past two decades have seen a rapid increase in the use of exercise referral schemes (ERS) worldwide. Despite the accumulating evidence on their effectiveness, there are currently no international guidelines available to inform the design of such interventions. The key elements and processes employed vary both within and between countries. This systematic review aims to address this frequently overlooked topic by identifying elements that are predominant in international ERS. Methods Scientific databases (PubMed, Scopus) and grey literature sources were systematically searched. In order to collect the information relevant for understanding and visualizing all ERS models, a broad spectrum of document types was considered eligible for inclusion, i.e. randomized controlled or pragmatic trials, cohort studies, case-control studies, case series, case reports, qualitative studies, economic evaluations, mixed designs, policy documents, and official governmental reports. We extracted data on scheme components, contents, and main actors involved in scheme delivery. Cross-functional flowcharts were employed to facilitate comparison between different ERS designs: Firstly, the collected data were visualized in flowcharts indicating the pathway a patient follows from beginning to end of an individual ERS. Secondly, elements that appeared more frequently across all included ERS were identified. Results Preliminary results identified 18 models of ERS that were eligible for data analysis, including Green Prescription (New Zealand), Hreyfiseðill (Iceland), National Exercise Referral Scheme (Wales). Program designs ranged from short advice by a primary healthcare professional to physical activity prescription and/or further referral to affiliated health professionals. The prevailing actors involved in scheme delivery were physicians, nurses, physiotherapists, training experts, physical activity providers, and coordinators. Seven predominant elements emerged from the comparison between ERS designs: assessment, counselling, individualized physical activity recommendations, written prescription, behavior change techniques, support person, and follow-up. Conclusions To the best of our knowledge, this is the first study that takes a closer look at the design characteristics of ERS across the world. Our preliminary results indicate that there are seven key elements. The contribution of these elements on the effectiveness of ERS needs to be explored in future research.
Collapse
Affiliation(s)
- Eriselda Mino
- Department of Sport Science and Sport, Friedrich-Alexander University Erlangen-Nürnberg (FAU) , Erlangen, Germany
| | - Inga Naber
- Department of Sport Science and Sport, Friedrich-Alexander University Erlangen-Nürnberg (FAU) , Erlangen, Germany
| | - Sarah Klamroth
- Department of Sport Science and Sport, Friedrich-Alexander University Erlangen-Nürnberg (FAU) , Erlangen, Germany
| | - Anja Weissenfels
- Department of Sport Science and Sport, Friedrich-Alexander University Erlangen-Nürnberg (FAU) , Erlangen, Germany
| | - Wolfgang Geidl
- Department of Sport Science and Sport, Friedrich-Alexander University Erlangen-Nürnberg (FAU) , Erlangen, Germany
| | - Peter Gelius
- Department of Sport Science and Sport, Friedrich-Alexander University Erlangen-Nürnberg (FAU) , Erlangen, Germany
| | - Karim Abu-Omar
- Department of Sport Science and Sport, Friedrich-Alexander University Erlangen-Nürnberg (FAU) , Erlangen, Germany
| | - Klaus Pfeifer
- Department of Sport Science and Sport, Friedrich-Alexander University Erlangen-Nürnberg (FAU) , Erlangen, Germany
| |
Collapse
|
31
|
Tcymbal A, Gelius P, Abu-Omar K, Messing S, Whiting S, Wickramasinghe K. Cross-country collaboration for physical activity promotion: experiences from the European Union Physical Activity Focal Points Network. Eur J Public Health 2022; 32:i14-i21. [PMID: 36031826 PMCID: PMC9421415 DOI: 10.1093/eurpub/ckac079] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
Background An analysis of currently existing partnerships and cross-country collaboration for physical activity (PA) promotion is valuable for understanding how such partnerships operate, and how they impact national PA promotion efforts. This study aimed to outline the formation and development of the European Union’s (EU) Physical Activity Focal Points Network, to evaluate its outputs and benefits and to describe its potential and challenges. Methods A mixed methods approach were employed, including document analysis, semi-structured interviews with key officials and an online evaluation survey with the focal points. Results The network was founded in 2014. Its main task is to coordinate the national collection of information for the EU’s Health-Enhancing Physical Activity (HEPA) Monitoring Framework. Besides collecting data, focal points usually meet twice a year to share best practices and plan activities for the promotion of PA within the EU. The results of the evaluation survey show that participation in the network helped members specify goals for PA promotion, gain more knowledge regarding how to promote PA, identify more opportunities to promote PA in their country and to join a collaborative project with other countries. Conclusions The study shows that the EU Physical Activity Focal Points Network may serve as an example of successful cross-country collaboration in PA promotion. The network has been able to make a contribution to monitoring the implementation of the EU Council Recommendation on HEPA across sectors in particular and of PA promotion in the EU in general.
Collapse
Affiliation(s)
- Antonina Tcymbal
- Department of Sport Science and Sport, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany
| | - Peter Gelius
- Department of Sport Science and Sport, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany
| | - Karim Abu-Omar
- Department of Sport Science and Sport, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany
| | - Sven Messing
- Department of Sport Science and Sport, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany
| | - Stephen Whiting
- WHO European Office for the Prevention and Control of Noncommunicable Diseases, Moscow, Russian Federation.,EPIUnit-Instituto de Saúde Pública, Universidade do Porto, Porto, Portugal
| | - Kremlin Wickramasinghe
- WHO European Office for the Prevention and Control of Noncommunicable Diseases, Moscow, Russian Federation
| |
Collapse
|
32
|
Abu-Omar K, Messing S, Tcymbal A, Fleuren T, Richardson D, Whiting S, Gelius P, Wickramasinghe K. A proposed checklist for climate-friendly sport and exercise programmes. Eur J Public Health 2022; 32:i44-i49. [PMID: 36031818 PMCID: PMC9421404 DOI: 10.1093/eurpub/ckac073] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND Fighting the climate crisis is the greatest challenge of our time and will touch all aspects of people's lives. In this context, the United Nations (UN) have called on the sport sector to reduce its negative impacts on the environment and show 'climate leadership'. While some efforts have already been made with regards to mega sport events, there is still a dearth of approaches on limiting the climate impact of recreational sport and exercise programmes. METHODS Based on the UN-Framework 'Sports for Climate Action', literature reviews and additional desk research, a checklist to support local level stakeholders in providing climate-friendly sport and exercise programmes was developed. RESULTS The proposed checklist consists of five dimensions that need to be considered when designing and offering a climate-friendly sport and exercise programme: (i) active transport to exercise programmes, (ii) the carbon footprint of different types of exercises, (iii) low carbon sport clothing and equipment, (iv) instructors as champions for climate action and (v) advertising and communication. These five dimensions result in a 16-item checklist that supports the planning, advertising, implementation and evaluation of climate-friendly sport and exercise programmes. CONCLUSIONS The proposed checklist intends to facilitate the development of climate-friendly sport and exercise programmes. However, additional work is needed to test the implementation of the checklist at the local level. While the sport sector can make its own contributions to reduce its climate impact, intersectoral action is needed to improve infrastructure for active transport and to build sustainable sport facilities.
Collapse
Affiliation(s)
- Karim Abu-Omar
- Department of Sport Science and Sport, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany
| | - Sven Messing
- Department of Sport Science and Sport, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany
| | - Antonina Tcymbal
- Department of Sport Science and Sport, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany
| | - Tobias Fleuren
- Department of Sport Science and Sport, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany
| | - Diana Richardson
- Department of Sport Science and Sport, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany
| | - Stephen Whiting
- WHO European Office for the Prevention and Control of Noncommunicable Diseases, Moscow, Russian Federation.,EPIUnit-Instituto de Saúde Pública, Universidade do Porto, Porto, Portugal
| | - Peter Gelius
- Department of Sport Science and Sport, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany
| | - Kremlin Wickramasinghe
- WHO European Office for the Prevention and Control of Noncommunicable Diseases, Moscow, Russian Federation
| |
Collapse
|
33
|
Weissenfels A, Klamroth S, Carl J, Naber I, Mino E, Geidl W, Gelius P, Abu-Omar K, Pfeifer K. Effectiveness and implementation success of a co-produced physical activity referral scheme in Germany: study protocol of a pragmatic cluster randomised trial. BMC Public Health 2022; 22:1545. [PMID: 35964042 PMCID: PMC9375362 DOI: 10.1186/s12889-022-13833-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/28/2022] [Accepted: 07/20/2022] [Indexed: 11/22/2022] Open
Abstract
Background While effective physical activity referral schemes (PARSs) and related structures for promoting physical activity (PA) already exist in several countries, in Germany, PARSs have not yet been implemented systematically and nationwide. Through a co-production approach with relevant actors in the German healthcare system, a PARS was developed, and an implementation plan was created (e.g. financing). This study protocol aims to evaluate the developed PARS for people with non-communicable diseases (NCDs) in Germany regarding its potential effectiveness and implementation success. Methods To evaluate the effectiveness and implementation success of the PARS, we will apply a pragmatic cluster-randomised controlled trial (cRCT) in Hybrid II design by comparing two intervention groups (PARS vs PA advice [PAA]). The trial will take place in the Nürnberg metropolitan region, with 24 physician practices recruiting 567 people with NCDs. Both groups will receive brief PA advice from a physician to initially increase the participants’ motivation to change their activity level. Subsequently, the PARS group will be given individualised support from an exercise professional to increase their PA levels and be transferred to local exercise opportunities. In contrast, participants in the PAA group will receive only the brief PA advice as well as information and an overview of regional PA offerings to become more active at their own initiative. After 12 and 24 weeks, changes in moderate to vigorous PA and in physical activity-related health competence (movement competence, control competence, self-regulation competence) will be measured as primary outcomes. Secondary outcomes will include changes in quality of life. To measure implementation success, we refer to the RE-AIM framework and draw on patient documentation, interviews, focus groups and surveys of the participating actors (physicians, exercise professionals). Discussion Through a between-group comparison, we will investigate whether additional individual support by an exercise professional compared to brief PA advice alone leads to higher PA levels in people with NCDs. The acceptance and feasibility of both interventions in routine care in the German healthcare system will also be evaluated. Trial registration ClinicalTrials.gov, NCT04947787. Registered 01 June 2021. Supplementary Information The online version contains supplementary material available at 10.1186/s12889-022-13833-2.
Collapse
Affiliation(s)
- Anja Weissenfels
- Department of Sport Science and Sport, Friedrich-Alexander-Universität Erlangen-Nürnberg, Gebbertstraße 123b, 91058, Erlangen, Germany.
| | - Sarah Klamroth
- Department of Sport Science and Sport, Friedrich-Alexander-Universität Erlangen-Nürnberg, Gebbertstraße 123b, 91058, Erlangen, Germany
| | - Johannes Carl
- Department of Sport Science and Sport, Friedrich-Alexander-Universität Erlangen-Nürnberg, Gebbertstraße 123b, 91058, Erlangen, Germany
| | - Inga Naber
- Department of Sport Science and Sport, Friedrich-Alexander-Universität Erlangen-Nürnberg, Gebbertstraße 123b, 91058, Erlangen, Germany
| | - Eriselda Mino
- Department of Sport Science and Sport, Friedrich-Alexander-Universität Erlangen-Nürnberg, Gebbertstraße 123b, 91058, Erlangen, Germany
| | - Wolfgang Geidl
- Department of Sport Science and Sport, Friedrich-Alexander-Universität Erlangen-Nürnberg, Gebbertstraße 123b, 91058, Erlangen, Germany
| | - Peter Gelius
- Department of Sport Science and Sport, Friedrich-Alexander-Universität Erlangen-Nürnberg, Gebbertstraße 123b, 91058, Erlangen, Germany
| | - Karim Abu-Omar
- Department of Sport Science and Sport, Friedrich-Alexander-Universität Erlangen-Nürnberg, Gebbertstraße 123b, 91058, Erlangen, Germany
| | - Klaus Pfeifer
- Department of Sport Science and Sport, Friedrich-Alexander-Universität Erlangen-Nürnberg, Gebbertstraße 123b, 91058, Erlangen, Germany
| |
Collapse
|
34
|
Boyer L, Sauter A, Sommer R, Till M, Gelius P, Herrmann-Johns A. Pandemiebedingte Transformationsprozesse partizipativer
Forschungsprojekte – Eine qualitative Studie zu vier
Bewegungsförderungsprojekten aus dem Capital4Health
Forschungsverbund. Das Gesundheitswesen 2022. [DOI: 10.1055/s-0042-1753675] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
Affiliation(s)
- L Boyer
- Universität Regensburg, Medizinische Soziologie, Regensburg,
Deutschland
| | - A Sauter
- Universität Regensburg, Medizinische Soziologie, Regensburg,
Deutschland
| | - R Sommer
- Friedrich-Alexander-Universität Erlangen-Nürnberg,
Department für Sportwissenschaften und Sport, Erlangen,
Deutschland
| | - M Till
- Friedrich-Alexander-Universität Erlangen-Nürnberg,
Department für Sportwissenschaften und Sport, Erlangen,
Deutschland
| | - P Gelius
- Friedrich-Alexander-Universität Erlangen-Nürnberg,
Department für Sportwissenschaften und Sport, Erlangen,
Deutschland
| | - A Herrmann-Johns
- Universität Regensburg, Medizinische Soziologie, Regensburg,
Deutschland
| |
Collapse
|
35
|
Marzi I, Tcymbal A, Gelius P, Abu-Omar K, Reimers AK, Whiting S, Wickramasinghe K. Monitoring of physical activity promotion in children and adolescents in the EU: current status and future perspectives. Eur J Public Health 2022; 32:95-104. [PMID: 34791137 PMCID: PMC8807108 DOI: 10.1093/eurpub/ckab193] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
BACKGROUND Policy action is required to address physical inactivity in boys and girls. This action can be supported by international data collection, comparisons and sharing of good practices. Thus, this study aims to present and discuss the ongoing monitoring of physical activity (PA) indicators in children and adolescents in the 28 EU Member States. METHODS Data on PA recommendations, PA prevalence, physical education (PE) and PA promotion programs for children and adolescents were provided by governments in a joint EU/WHO survey on the implementation status of the EU Council Recommendation on Health-Enhancing Physical Activity (HEPA) across Sectors. RESULTS In 23 countries, national recommendations on PA are available. Detailed PA prevalence data among children and adolescents was available in 27 countries, in most cases separately for sex/gender and age groups. The total amount of PE lessons in schools differed greatly between countries and lessons were predominantly mandatory. After-school HEPA promotion programs were mostly implemented in EU Member States (78.6%), followed by active school breaks (57.1%), active travel to school (57.1%) and active breaks during school lessons (53.6%). CONCLUSIONS This study summarizes the monitoring of PA indicators among children and adolescents in all EU Member States by providing a comprehensive overview of the status of PA promotion and monitoring across the region. Based on our findings, it could be concluded that the current EU monitoring system on PA promotion should be adapted to provide evidence that can inform future policy development.
Collapse
Affiliation(s)
- Isabel Marzi
- Department of Sport Science and Sport, Friedrich-Alexander-University Erlangen-Nuremberg, Erlangen, Germany
| | - Antonina Tcymbal
- Department of Sport Science and Sport, Friedrich-Alexander-University Erlangen-Nuremberg, Erlangen, Germany
| | - Peter Gelius
- Department of Sport Science and Sport, Friedrich-Alexander-University Erlangen-Nuremberg, Erlangen, Germany
| | - Karim Abu-Omar
- Department of Sport Science and Sport, Friedrich-Alexander-University Erlangen-Nuremberg, Erlangen, Germany
| | - Anne K Reimers
- Department of Sport Science and Sport, Friedrich-Alexander-University Erlangen-Nuremberg, Erlangen, Germany
| | - Stephen Whiting
- European Office for the Prevention and Control of Noncommunicable Diseases, Regional Office for Europe, World Health Organization, Moscow, Russian Federation
- EPIUnit-Instituto de Saúde Pública, Universidade do Porto, Porto, Portugal
| | - Kremlin Wickramasinghe
- European Office for the Prevention and Control of Noncommunicable Diseases, Regional Office for Europe, World Health Organization, Moscow, Russian Federation
| |
Collapse
|
36
|
Volf K, Kelly L, García Bengoechea E, Casey B, Gobis A, Lakerveld J, Zukowska J, Gelius P, Messing S, Forberger S, Woods C. Policy Evaluation Network (PEN): Protocol for systematic literature reviews examining the evidence for impact of policies on physical activity across seven different policy domains. HRB Open Res 2022; 3:62. [PMID: 34805740 PMCID: PMC8567685 DOI: 10.12688/hrbopenres.13089.4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/13/2021] [Indexed: 11/20/2022] Open
Abstract
Introduction: Over 40 million deaths annually are due to noncommunicable diseases, 15 million of these are premature deaths and physical inactivity contributes an estimated 9% to this figure. Global responses have included the Sustainable Development Goals (SDGs) and the Global Action Plan on Physical Activity (GAPPA). Both point to policy action on physical activity (PA) to address change, yet the impact of policy on PA outcomes is unknown. The protocol described outlines the methodology for systematic literature reviews that will be undertaken by the Policy Evaluation Network (PEN) to address this knowledge gap. Methods: The seven best investments for promotion of population PA identified in the Toronto Charter highlighted seven policy domains (schools, transport, urban design, primary health care systems, public education, community-wide programmes and sport) which will form the basis of these PEN reviews. Seven individual scientific literature searches across six electronic databases will be conducted. Each will use the key concepts of policy, PA, evaluation and a distinct concept for each of the seven policy domains. This will be supplemented with a search of the reference list of included articles. Methodological quality will be assessed and overall effectiveness for each included study will be described according to pre-determined criteria. Conclusions: Each review will provide policy makers with a list of policy statements and corresponding actions which the evidence has determined impact on PA directly or indirectly. By collating the evidence, and demonstrating the depth of the science base which informs these policy recommendations, each review will provide guidance to policymakers to use evidence-based or evidence-informed policies to achieve the 15% relative reduction in physical inactivity as defined by GAPPA. Registration: PROSPERO CRD42020156630 (10/07/2020).
Collapse
Affiliation(s)
- Kevin Volf
- Physical Activity for Health, Health Research Institute, Department of Physical Education and Sport Sciences, University of Limerick, Limerick, Ireland
- Physical Activity for Health Research Cluster, Health Research Institute, University of Limerick, Limerick, Ireland
| | - Liam Kelly
- Physical Activity for Health, Health Research Institute, Department of Physical Education and Sport Sciences, University of Limerick, Limerick, Ireland
- Physical Activity for Health Research Cluster, Health Research Institute, University of Limerick, Limerick, Ireland
| | - Enrique García Bengoechea
- Physical Activity for Health, Health Research Institute, Department of Physical Education and Sport Sciences, University of Limerick, Limerick, Ireland
- Physical Activity for Health Research Cluster, Health Research Institute, University of Limerick, Limerick, Ireland
| | - Bláthín Casey
- Physical Activity for Health, Health Research Institute, Department of Physical Education and Sport Sciences, University of Limerick, Limerick, Ireland
- Physical Activity for Health Research Cluster, Health Research Institute, University of Limerick, Limerick, Ireland
| | - Anna Gobis
- Faculty of Civil and Environmental Engineering, Gdansk University of Technology, Gdansk, Poland
| | | | - Joanna Zukowska
- Faculty of Civil and Environmental Engineering, Gdansk University of Technology, Gdansk, Poland
| | - Peter Gelius
- Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany
| | - Sven Messing
- Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany
| | - Sarah Forberger
- Leibniz Institute for Prevention Research and Epidemiology - BIPS, Bremen, Germany
| | - Catherine Woods
- Physical Activity for Health, Health Research Institute, Department of Physical Education and Sport Sciences, University of Limerick, Limerick, Ireland
- Physical Activity for Health Research Cluster, Health Research Institute, University of Limerick, Limerick, Ireland
| | - Policy Evaluation Network (PEN) Consortium
- Physical Activity for Health, Health Research Institute, Department of Physical Education and Sport Sciences, University of Limerick, Limerick, Ireland
- Physical Activity for Health Research Cluster, Health Research Institute, University of Limerick, Limerick, Ireland
- Faculty of Civil and Environmental Engineering, Gdansk University of Technology, Gdansk, Poland
- Amsterdam University Medical Center, Amsterdam, The Netherlands
- Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany
- Leibniz Institute for Prevention Research and Epidemiology - BIPS, Bremen, Germany
| |
Collapse
|
37
|
Messing S, Forberger S, Woods C, Abu-Omar K, Gelius P. [Policies to promote physical activity in Germany : An analysis based on a policy audit tool from the World Health Organization]. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 2022; 65:107-115. [PMID: 34448901 PMCID: PMC8732938 DOI: 10.1007/s00103-021-03403-z] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/10/2021] [Accepted: 08/02/2021] [Indexed: 12/01/2022]
Abstract
BACKGROUND Physical inactivity is a key determinant of noncommunicable diseases. Therefore, the World Health Organization (WHO) as well as researchers worldwide have developed different tools to monitor and audit policies to promote physical activity. However, these tools have so far not been used to systematically collect and analyse data on physical activity promoting policies in Germany. AIM This study aims to provide a systematic overview of policies to promote physical activity in Germany. METHODS The study was conducted as part of the Policy Evaluation Network ( www.jpi-pen.eu ). Data from the European Union Physical Activity Monitoring Framework, desk research, and an expert survey were utilised and collected with the WHO's health-enhancing physical activity (HEPA) policy audit tool (PAT). RESULTS The results highlight the wide range of relevant stakeholders and provide an overview of current policies as well as surveillance, evaluation, and funding. Significant accomplishments and persistent challenges are identified. DISCUSSION An international comparison shows that, in contrast to Germany, other countries have formulated measurable goals for physical activity promotion on a national level. However, Germany is among a minority of countries with specific physical activity recommendations for adults with noncommunicable diseases. Further structural development of physical activity promotion in Germany is necessary.
Collapse
Affiliation(s)
- Sven Messing
- Department für Sportwissenschaft und Sport, Friedrich-Alexander-Universität Erlangen-Nürnberg, Gebbertstraße 123 b, 91058, Erlangen, Deutschland.
| | - Sarah Forberger
- Leibniz-Institut für Präventionsforschung und Epidemiologie - BIPS, Bremen, Deutschland
| | | | - Karim Abu-Omar
- Department für Sportwissenschaft und Sport, Friedrich-Alexander-Universität Erlangen-Nürnberg, Gebbertstraße 123 b, 91058, Erlangen, Deutschland
| | - Peter Gelius
- Department für Sportwissenschaft und Sport, Friedrich-Alexander-Universität Erlangen-Nürnberg, Gebbertstraße 123 b, 91058, Erlangen, Deutschland
| |
Collapse
|
38
|
Duffey K, Barbosa A, Whiting S, Mendes R, Yordi Aguirre I, Tcymbal A, Abu-Omar K, Gelius P, Breda J. Barriers and Facilitators of Physical Activity Participation in Adolescent Girls: A Systematic Review of Systematic Reviews. Front Public Health 2021; 9:743935. [PMID: 34722450 PMCID: PMC8553996 DOI: 10.3389/fpubh.2021.743935] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/19/2021] [Accepted: 09/17/2021] [Indexed: 01/08/2023] Open
Abstract
Background: Persistent low physical activity (PA) levels among adolescent girls constitute a public health concern that calls for immediate and evidence-based policy action. This systematic review (SR) aimed to summarize evidence from SRs examining the barriers and facilitators of PA participation in adolescent girls. The objectives were to provide a synthesis of the available evidence and identify key areas for fostering gender-responsive action and policy implications. Methods: A comprehensive search of relevant SR and meta-analyses were performed in PubMed and Cochrane Library, until February 2021. Studies were included if they were SRs or meta-analyses, included adolescent girls aged between 10 and 19 years, and described barriers or facilitators of PA. Two independent authors performed the screening of potentially eligible studies and both assessed the methodological quality of included studies using the AMSTAR 2 tool. The barriers and facilitators were synthesized at environmental, interpersonal, and individual levels. Results: A total of eight SRs were included in the qualitative synthesis. The most frequent barriers identified were the lack of support from peers, family, and teachers, and the lack of time. The most reported facilitators were weight loss, and support from peers, family, and teachers. Key areas for action and policy implementation include an inclusive approach to curriculum development to address gender norms; adequate training of professionals so they have a range of skills to ensure inclusion of adolescent girls; environmental changes in and out of schools to stimulate participation, to allow adolescent girls to be active in a safe and attractive environment; multistakeholder support at local, regional, and national level in incorporating a gender-responsive approach toward PA participation. Conclusion: The results highlight a variety of factors that influences the PA participation of adolescent girls. For the attainment of effective policies that increase PA levels in adolescent girls, it is essential to engage several stakeholders at different levels in incorporating a gender-responsive approach toward PA participation. Systematic Review Registration: PROSPERO, identifier: CRD42020204023.
Collapse
Affiliation(s)
- Keeva Duffey
- World Health Organization, Regional Office for Europe, Copenhagen, Denmark
| | - Ana Barbosa
- World Health Organization, Regional Office for Europe, Copenhagen, Denmark.,Epidemiology Research Unit-Instituto de Saúde Pública, Universidade do Porto, Porto, Portugal
| | - Stephen Whiting
- World Health Organization, Regional Office for Europe, Copenhagen, Denmark.,Epidemiology Research Unit-Instituto de Saúde Pública, Universidade do Porto, Porto, Portugal
| | - Romeu Mendes
- World Health Organization, Regional Office for Europe, Copenhagen, Denmark.,Epidemiology Research Unit-Instituto de Saúde Pública, Universidade do Porto, Porto, Portugal
| | | | - Antonina Tcymbal
- Department of Sport Science and Sport, Friedrich-Alexander University Erlangen-Nürnberg, Erlangen, Germany
| | - Karim Abu-Omar
- Department of Sport Science and Sport, Friedrich-Alexander University Erlangen-Nürnberg, Erlangen, Germany
| | - Peter Gelius
- Department of Sport Science and Sport, Friedrich-Alexander University Erlangen-Nürnberg, Erlangen, Germany
| | - João Breda
- World Health Organization, Regional Office for Europe, Copenhagen, Denmark
| |
Collapse
|
39
|
Gelius P, Tcymbal A, Whiting S, Messing S, Abu-Omar K, Geidl W, Reimers AK, Pfeifer K, Mendes R, Berdzuli N, Breda J. Impact of the First Wave of COVID-19 on Physical Activity Promotion in the European Union: Results From a Policymaker Survey. J Phys Act Health 2021; 18:1490-1494. [PMID: 34702788 DOI: 10.1123/jpah.2021-0083] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/05/2021] [Revised: 06/07/2021] [Accepted: 07/27/2021] [Indexed: 11/18/2022]
Abstract
BACKGROUND The COVID-19 pandemic is a major challenge for societies and governments around the world that severely affects all aspects of health promotion. This study assesses the potential influence of the first wave of the pandemic on national physical activity promotion policy in the European Union (EU). METHODS Data were collected using an online survey among members of the EU Physical Activity Focal Point Network, which consists of government officials from all EU member states. RESULTS The COVID-19 pandemic has significantly affected physical activity promotion across the EU. In particular, experts indicated that it has negatively impacted opportunities for physical activity in their countries. There have, however, been positive effects of the crisis on public awareness of physical activity. While almost all countries were able to issue physical activity recommendations during quarantine, opinions varied regarding the overall impact of the pandemic on governmental capacities for physical activity promotion and policy. CONCLUSIONS This study shows that the COVID-19 crisis has had both negative and positive effects on physical activity promotion in the EU. The positive experiences reported by some members of the Focal Point Network may assist other countries in identifying potential policy windows and strategies for the ongoing pandemic.
Collapse
|
40
|
Whiting S, Mendes R, Abu-Omar K, Gelius P, Crispo A, McColl K, Simmonds P, Fedkina N, Andreasyan D, Gahraman H, Migal T, Sturua L, Obreja G, Abdurakhmanova Z, Saparkulovna IN, Erguder T, Ekinci B, Keskinkilic B, Shukurov S, Yuldashev R, Berdzuli N, Rakovac I, Breda J. Physical inactivity in nine European and Central Asian countries: an analysis of national population-based survey results. Eur J Public Health 2021; 31:846-853. [PMID: 34405879 PMCID: PMC8504998 DOI: 10.1093/eurpub/ckab028] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/04/2022] Open
Abstract
Background Physical inactivity is a major risk factor for non-communicable diseases. However, recent and systematically obtained national-level data to guide policy responses are often lacking, especially in countries in Eastern Europe and Central Asia. This article describes physical inactivity patterns among adults in Armenia, Azerbaijan, Belarus, Georgia, Kyrgyzstan, Republic of Moldova, Tajikistan, Turkey and Uzbekistan. Methods Data were collected using the Global Physical Activity Questionnaire drawing nationally representative samples of adults in each country. The national prevalence of physical inactivity was calculated as well as the proportional contribution to total physical activity (PA) during work, transport and leisure-time. An adjusted logistic regression model was applied to analyze the association of age, gender, education, household status and income with physical inactivity. Results National prevalence of physical inactivity ranged from 10.1% to 43.6%. The highest proportion of PA was registered during work or in the household in most countries, whereas the lowest was during leisure-time in all countries. Physical inactivity was more likely with older age in eight countries, with female gender in three countries, and with living alone in three countries. There was no clear pattern of association with education and income. Conclusion Prevalence of physical inactivity is heterogeneous across the region. PA during leisure-time contributes minimally to total PA in all countries. Policies and programs that increase opportunities for active travel and leisure-time PA, especially for older adults, women and people living alone will be an essential part of strategies to increase overall population PA.
Collapse
Affiliation(s)
- Stephen Whiting
- WHO European Office for the Prevention and Control of Noncommunicable Diseases, Moscow, Russian Federation.,EPIUnit-Instituto de Saúde Pública, Universidade do Porto, Porto, Portugal
| | - Romeu Mendes
- WHO European Office for the Prevention and Control of Noncommunicable Diseases, Moscow, Russian Federation.,EPIUnit-Instituto de Saúde Pública, Universidade do Porto, Porto, Portugal
| | - Karim Abu-Omar
- Department of Sport Science and Sport, FAU, Erlangen, Germany
| | - Peter Gelius
- Department of Sport Science and Sport, FAU, Erlangen, Germany
| | - Anna Crispo
- Epidemiology and Biostatistics Unit, Istituto Nazionale Tumori-IRCCS-Fondazione G. Pascale, Napoli, Italy
| | - Karen McColl
- WHO European Office for the Prevention and Control of Noncommunicable Diseases, Moscow, Russian Federation
| | - Phillipa Simmonds
- WHO European Office for the Prevention and Control of Noncommunicable Diseases, Moscow, Russian Federation
| | - Natalia Fedkina
- WHO European Office for the Prevention and Control of Noncommunicable Diseases, Moscow, Russian Federation
| | - Dianne Andreasyan
- National Institute of Health, National Health Information Analytic Centre, National Institute of Health, Yerevan, Armenia
| | | | - Tatyana Migal
- Department of Health Care Organization of the Ministry of Health, Minsk, Belarus
| | - Lela Sturua
- National Center for Disease Control and Public Health, Tbilisi, Georgia
| | - Galina Obreja
- Department of Social Medicine and Health Management, State University of Medicine and Pharmacy, Chisinau, Republic of Moldova
| | | | | | | | - Banu Ekinci
- General Directorate of Public Health, Ministry of Health, Ankara, Turkey
| | - Bekir Keskinkilic
- General Directorate of Public Health, Ministry of Health, Ankara, Turkey
| | - Shukhrat Shukurov
- Central Bureau for the implementation of the Health-3 project, Tashkent, Uzbekistan
| | - Rustam Yuldashev
- Central Bureau for the implementation of the Health-3 project, Tashkent, Uzbekistan
| | | | - Ivo Rakovac
- WHO European Office for the Prevention and Control of Noncommunicable Diseases, Moscow, Russian Federation
| | - Joao Breda
- WHO European Office for the Prevention and Control of Noncommunicable Diseases, Moscow, Russian Federation
| |
Collapse
|
41
|
Gelius P, Till M, Ferschl S, Abu-Omar K, Pfeifer K. Capital4Health: Handlungsmöglichkeiten für aktive Lebensstile: Ein Forschungsnetzwerk für interaktiven Wissensaustausch in der Gesundheitsförderung. Das Gesundheitswesen 2021. [DOI: 10.1055/s-0041-1732111] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Affiliation(s)
- P Gelius
- Friedrich-Alexander-Universität Erlangen-Nürnberg
| | - M Till
- Friedrich-Alexander-Universität Erlangen-Nürnberg
| | - S Ferschl
- Friedrich-Alexander-Universität Erlangen-Nürnberg
| | - K Abu-Omar
- Friedrich-Alexander-Universität Erlangen-Nürnberg
| | - K Pfeifer
- Friedrich-Alexander-Universität Erlangen-Nürnberg
| |
Collapse
|
42
|
Popp J, Carl J, Grüne E, Semrau J, Gelius P, Pfeifer K. Physical activity promotion in German vocational education: does capacity building work? Health Promot Int 2021; 35:1577-1589. [PMID: 32105312 PMCID: PMC7785309 DOI: 10.1093/heapro/daaa014] [Citation(s) in RCA: 19] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/06/2023] Open
Abstract
Apprentices in many sectors are exposed to increased health risks and show low levels of physical activity (PA). Environmental and policy approaches seem to be promising tools for PA promotion as they can positively influence the context in which PA occurs. This article reports results from a German research project (2015–2018) that developed and implemented measures for PA promotion in the field of vocational education (VE). A participatory approach—cooperative planning (COP)—involving researchers as well as stakeholders from policy and practice was used in two VE settings—nursing care and automotive mechatronics. We assessed the extent to which new capacities for PA promotion were created by conducting semi-structured interviews with stakeholders from both sectors (n = 12) and one group interview with nursing students (n = 4). Transcripts were analysed using qualitative content analysis. Findings show that new capacities were created mainly in the form of resources and opportunities and that several measures for PA promotion (e.g. a regular lesson on the issue of PA and health and a tutoring system) were successfully integrated into VE routines. However, establishing new organizational goals and obligations appeared to be challenging. Moreover, the article presents influencing factors, such as the participation of the main actors that strongly supported the process of capacity building within their organization. We conclude that COP seems promising in creating new capacities for PA promotion in the field of VE, and therefore has the potential to promote a physically active lifestyle among apprentices.
Collapse
Affiliation(s)
- Johanna Popp
- Department of Sport Science and Sport, Friedrich-Alexander University Erlangen-Nuremberg, Gebbertstraße 123b, 91058 Erlangen, Germany
| | - Johannes Carl
- Department of Sport Science and Sport, Friedrich-Alexander University Erlangen-Nuremberg, Gebbertstraße 123b, 91058 Erlangen, Germany
| | - Eva Grüne
- Department of Sport Science and Sport, Friedrich-Alexander University Erlangen-Nuremberg, Gebbertstraße 123b, 91058 Erlangen, Germany
| | - Jana Semrau
- Department of Sport Science and Sport, Friedrich-Alexander University Erlangen-Nuremberg, Gebbertstraße 123b, 91058 Erlangen, Germany
| | - Peter Gelius
- Department of Sport Science and Sport, Friedrich-Alexander University Erlangen-Nuremberg, Gebbertstraße 123b, 91058 Erlangen, Germany
| | - Klaus Pfeifer
- Department of Sport Science and Sport, Friedrich-Alexander University Erlangen-Nuremberg, Gebbertstraße 123b, 91058 Erlangen, Germany
| |
Collapse
|
43
|
Frahsa A, Abel T, Gelius P, Rütten A. The capability approach as a bridging framework across health promotion settings: theoretical and empirical considerations. Health Promot Int 2021; 36:493-504. [PMID: 32989442 DOI: 10.1093/heapro/daaa076] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Health promotion research has increasingly called for transdisciplinary approaches. Such calls ask for bridging frameworks that define comprehensive sets of health determinants and appropriately conceptualize the roles of population groups as well as other relevant actor groups in the co-production of health. This article aims to present the seminal capability approach by Sen and Nussbaum as a potentially suitable framework for such bridging endeavors to guide health promotion research. It highlights domains of the capability approach that appear to be particularly relevant to bridging diverse disciplines and settings. Such domains particularly refer to the agency of decisive actor groups (population groups, professionals, policymakers and researchers) as well as to the differentiation of personal, social and environmental conversion factors that disciplines define within their specific epistemologies and ontologies. The article uses empirical examples from a German research consortium that aimed to promote physical activity in five different settings while fostering cooperation and conceptual alignment between several academic disciplines and sub-disciplines to highlight benefits and challenges of using the capability approach as a bridging framework for transdisciplinary health promotion. We conclude that the capability approach might serve as bridging framework to guide future transdisciplinary research if partners involved continuously exchange to develop a shared understanding of the issues to be researched.
Collapse
Affiliation(s)
- Annika Frahsa
- Frahsa Institute of Sport Science, University of Tübingen, Wilhelmstr. 124, 72074 Tübingen
| | - Thomas Abel
- Institute of Social and Preventive Medicine, University of Bern, Mittelstrasse 43, 3012 Bern, Switzerland
| | - Peter Gelius
- Department of Sport Science and Sport, Friedrich-Alexander University Erlangen-Nuremberg, Gebbertstraße 123b, 91058 Erlangen, Germany
| | - Alfred Rütten
- Department of Sport Science and Sport, Friedrich-Alexander University Erlangen-Nuremberg, Gebbertstraße 123b, 91058 Erlangen, Germany
| | | |
Collapse
|
44
|
Mino E, Geidl W, Naber I, Weissenfels A, Klamroth S, Gelius P, Abu-Omar K, Pfeifer K. Physical activity referral scheme components: a study protocol for systematic review and meta-regression. BMJ Open 2021; 11:e049549. [PMID: 34145021 PMCID: PMC8215250 DOI: 10.1136/bmjopen-2021-049549] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
INTRODUCTION In its attempt to establish effective physical activity promotion methods, research on physical activity referral schemes (PARS) is attracting significant attention. Sometimes known as physical activity on prescription schemes, PARS involve a well-defined procedure whereby a primary healthcare professional introduces a participant to the topic of physical activity and employs prescription or referral forms to connect the participant to physical activity opportunities, such as local fitness offers. The planned systematic review will focus on these referral routes and scheme components and how they are integrated into various PARS models worldwide. We seek to identify the evidence-based core components that play the most important roles in the effectiveness of PARS. METHODS AND ANALYSIS The development and reporting of the protocol follow the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Protocols guidelines. We plan to conduct a systematic main literature search on PubMed, Scopus, Web of Science, CINAHL, HTA, SpringerLink and other databases. We will include studies that report outcomes on physical activity, PARS uptake and adherence rates or descriptive information about PARS models. We intend for all review stages, citation screening, data extraction and risk of bias assessment to be conducted by at least two independent reviewers. As a broad spectrum of study designs, including randomised and non-randomised studies of interventions and mixed methods, will be eligible, we will use three separate tools to assess the risk of bias in individual studies. The data will be primarily synthesised narratively, following Intervention Component Analysis. If the data allow, we will perform a random-effects meta-analysis and meta-regression to investigate the impact of specific PARS components on effect sizes. ETHICS AND DISSEMINATION This systematic review does not require formal ethics approval. The results will be submitted to a peer-reviewed journal and international conferences to reach the scientific community. PROSPERO REGISTRATION NUMBER CRD42021233229.
Collapse
Affiliation(s)
- Eriselda Mino
- Department of Sport Science and Sport, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Bayern, Germany
| | - Wolfgang Geidl
- Department of Sport Science and Sport, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Bayern, Germany
| | - Inga Naber
- Department of Sport Science and Sport, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Bayern, Germany
| | - Anja Weissenfels
- Department of Sport Science and Sport, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Bayern, Germany
| | - Sarah Klamroth
- Department of Sport Science and Sport, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Bayern, Germany
| | - Peter Gelius
- Department of Sport Science and Sport, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Bayern, Germany
| | - Karim Abu-Omar
- Department of Sport Science and Sport, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Bayern, Germany
| | - Klaus Pfeifer
- Department of Sport Science and Sport, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Bayern, Germany
| |
Collapse
|
45
|
Ferschl S, Till M, Abu-Omar K, Pfeifer K, Gelius P. Scientific Cooperation and the Co-production of Scientific Outcomes for Physical Activity Promotion: Results From a Transdisciplinary Research Consortium. Front Public Health 2021; 9:604855. [PMID: 34178910 PMCID: PMC8232050 DOI: 10.3389/fpubh.2021.604855] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/10/2020] [Accepted: 05/04/2021] [Indexed: 11/29/2022] Open
Abstract
Background: To tackle complex societal challenges such as the high prevalence of physical inactivity, research funding is increasingly channeled toward cross-disciplinary research consortia. This study focused on exchange and cooperation (E&C) among the scientists of a 5-year transdisciplinary research initiative in Germany. Researchers' perceptions of E&C were combined with numbers of collaborative products during the project's life to make the developments of E&C and the quality of collaborative products visible. Methods: We applied a mixed-methods design including a qualitative content analysis of pre-interviews, focus-group interviews, and documents as well as a quantitative analysis of research (scientific publications, books, conference participations) and training outcomes (supervised bachelor's, master's, and Ph.D. theses). Inductive and deductive approaches were combined to analyze factors of collaborative readiness and to identify perceptions of E&C among project teams. Based on Hall et al.'s “Conceptual Model for Evaluation of Collaborative Initiatives,” the project period was separated into phases of “collaborative readiness,” “collaborative capacity,” and “collaborative products.” Results: Our findings revealed a discrepancy between the objectively assessed concepts of collaborative readiness and researchers' reported perceptions of E&C during the early project stage. A set of E&C hindering factors identified during the initial project phase remained present until the final project stage. Further, E&C among scientists increased over time, as reflected by researchers' perceptions. Reports of scientists also showed that outcomes were co-produced at the final project stage for the first time, while knowledge integration had not yet been achieved. Generally, the number of collaborative products (particularly scientific publications) also substantially increased over time. E&C was supported and promoted by the efforts of the coordinating sub-project. Conclusion: Scientific E&C is a learning process and needs time to develop. A participatory research approach taking into account the perspectives on and requirements for E&C during the project's design might lay the ground for suitable, supportive, and transparent conditions for effective and successful E&C. Despite their time- and resource-consuming nature, cross-disciplinary research initiatives provide a fertile context in which to generate new solutions for pressing societal issues given that long-term funding and the establishment of an overarching coordination organ is assured.
Collapse
Affiliation(s)
- Susanne Ferschl
- Department of Sport Science and Sport, Friedrich-Alexander-University of Erlangen-Nuremberg, Erlangen, Germany
| | - Maike Till
- Department of Sport Science and Sport, Friedrich-Alexander-University of Erlangen-Nuremberg, Erlangen, Germany
| | - Karim Abu-Omar
- Department of Sport Science and Sport, Friedrich-Alexander-University of Erlangen-Nuremberg, Erlangen, Germany
| | - Klaus Pfeifer
- Department of Sport Science and Sport, Friedrich-Alexander-University of Erlangen-Nuremberg, Erlangen, Germany
| | - Peter Gelius
- Department of Sport Science and Sport, Friedrich-Alexander-University of Erlangen-Nuremberg, Erlangen, Germany
| |
Collapse
|
46
|
Whiting S, Mendes R, Morais ST, Gelius P, Abu-Omar K, Nash L, Rakovac I, Breda J. Promoting health-enhancing physical activity in Europe: Surveillance, policy development and implementation 2015-2018. Health Policy 2021; 125:1023-1030. [PMID: 34120770 PMCID: PMC8450183 DOI: 10.1016/j.healthpol.2021.05.011] [Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/28/2021] [Revised: 05/09/2021] [Accepted: 05/21/2021] [Indexed: 11/17/2022]
Abstract
Study of trends in physical activity policy development in Europe. National physical activity policy development has advanced. Increased national policy actions in the health and education sectors. Monitoring and surveillance has expanded but needs to be standardised.
In the European Union (EU), the low levels of health-enhancing physical activity (HEPA) and high levels of sedentary behaviour are a concerning public health issue common to all Member States. In 2013, the Council of the EU recognized the need for more data related to HEPA to support policymaking across the region and proposed a monitoring framework that included 23 indicators covering different themes relevant to HEPA promotion in the EU context. In 2014, the EU Physical Activity Focal Points Network was established to support the implementation of the monitoring framework and in 2015 and 2018 surveys were conducted to collect epidemiological and policy information related to HEPA for each Member State. This paper aims to provide an update on the status of HEPA policies and surveillance in the EU and describe the changes that have occurred since 2015. In 2018, all countries had implemented more than 10 indicators, 8/28 had implemented 20 or more indicators, and only one country had completed all 23 indicators. From 2015 to 2018, 19 indicators improved, one remained unchanged, and three regressed. From the country perspective, 17 improved the number of accomplished indicators, five maintained the indicators, and five worsened the number of indicators. Overall, there has been a clear increase in the number of countries implementing HEPA policies and strategies across the different sectors, although some heterogeneity between Members Sates was still observed. Implementation of regional physical activity strategies and the establishment of the EU-wide monitoring framework appears to have had an overall positive impact on HEPA policy development and implementation.
Collapse
Affiliation(s)
- Stephen Whiting
- World Health Organization Regional Office for Europe, Copenhagen, Denmark; European Office for the Prevention and Control of Noncommunicable Diseases, World Health Organization Regional Office for Europe, Moscow, Russian Federation; EPIUnit - Instituto de Saúde Pública, Universidade do Porto, Porto, Portugal.
| | - Romeu Mendes
- World Health Organization Regional Office for Europe, Copenhagen, Denmark; European Office for the Prevention and Control of Noncommunicable Diseases, World Health Organization Regional Office for Europe, Moscow, Russian Federation; EPIUnit - Instituto de Saúde Pública, Universidade do Porto, Porto, Portugal
| | | | - Peter Gelius
- Department of Sport Science and Sport, Friedrich-Alexander University Erlangen-Nürnberg, Erlangen, Germany
| | - Karim Abu-Omar
- Department of Sport Science and Sport, Friedrich-Alexander University Erlangen-Nürnberg, Erlangen, Germany
| | - Lea Nash
- World Health Organization Regional Office for Europe, Copenhagen, Denmark
| | - Ivo Rakovac
- World Health Organization Regional Office for Europe, Copenhagen, Denmark; European Office for the Prevention and Control of Noncommunicable Diseases, World Health Organization Regional Office for Europe, Moscow, Russian Federation
| | - João Breda
- World Health Organization Regional Office for Europe, Copenhagen, Denmark; European Office for the Prevention and Control of Noncommunicable Diseases, World Health Organization Regional Office for Europe, Moscow, Russian Federation
| |
Collapse
|
47
|
Woods CB, Volf K, Kelly L, Casey B, Gelius P, Messing S, Forberger S, Lakerveld J, Zukowska J, Bengoechea EG. The evidence for the impact of policy on physical activity outcomes within the school setting: A systematic review. J Sport Health Sci 2021; 10:263-276. [PMID: 33482424 PMCID: PMC8167338 DOI: 10.1016/j.jshs.2021.01.006] [Citation(s) in RCA: 35] [Impact Index Per Article: 11.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/01/2020] [Revised: 10/24/2020] [Accepted: 11/13/2020] [Indexed: 05/06/2023]
Abstract
BACKGROUND Despite the well-established health benefits of physical activity (PA) for young people (aged 4-19 years), most do not meet PA guidelines. Policies that support PA in schools may be promising, but their impact on PA behavior is poorly understood. The aim of this systematic review was to ascertain the level and type of evidence reported in the international scientific literature for policies within the school setting that contribute directly or indirectly to increasing PA. METHODS This systematic review is compliant with Preferred Reporting Items for Systematic Review and Meta-Analysis guidelines. Six databases were searched using key concepts of policy, school, evaluation, and PA. Following title and abstract screening of 2323 studies, 25 progressed to data synthesis. Methodological quality was assessed using standardized tools, and the strength of the evidence of policy impact was described based on pre-determined codes: positive, negative, inconclusive, or untested statistically. RESULTS Evidence emerged for 9 policy areas that had a direct or indirect effect on PA within the school setting. These were whole school PA policy, physical education, sport/extracurricular PA, classroom-based PA, active breaks/recess, physical environment, shared use agreements, active school transport, and surveillance. The bulk of the evidence was significantly positive (54%), 27% was inconclusive, 9% was significantly negative, and 11% was untested (due to rounding, some numbers add to 99% or 101%). Frequency of evidence was highest in the primary setting (41%), 34% in the secondary setting, and 24% in primary/secondary combined school settings. By policy area, frequency of evidence was highest for sport/extracurricular PA (35%), 17% for physical education, and 12% for whole school PA policy, with evidence for shared use agreements between schools and local communities rarely reported (2%). Comparing relative strength of evidence, the evidence for shared use agreements, though sparse, was 100% positive, while 60% of the evidence for whole school PA policy, 59% of the evidence for sport/extracurricular PA, 57% of the evidence for physical education, 50% of the evidence for PA in classroom, and 50% of the evidence for active breaks/recess were positive. CONCLUSION The current evidence base supports the effectiveness of PA policy actions within the school setting but cautions against a "one-size-fits-all" approach and emphasizes the need to examine policy implementation to maximize translation into practice. Greater clarity regarding terminology, measurement, and methods for evaluation of policy interventions is needed.
Collapse
Affiliation(s)
- Catherine B Woods
- Department of Physical Education and Sport Sciences, Health Research Institute, University of Limerick, Limerick V94 T9PX, Ireland.
| | - Kevin Volf
- Department of Physical Education and Sport Sciences, Health Research Institute, University of Limerick, Limerick V94 T9PX, Ireland
| | - Liam Kelly
- Department of Physical Education and Sport Sciences, Health Research Institute, University of Limerick, Limerick V94 T9PX, Ireland
| | - Bláthín Casey
- Department of Physical Education and Sport Sciences, Health Research Institute, University of Limerick, Limerick V94 T9PX, Ireland
| | - Peter Gelius
- Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen 91058, Germany
| | - Sven Messing
- Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen 91058, Germany
| | - Sarah Forberger
- Leibniz Institute for Prevention Research and Epidemiology - BIPS, Bremen 28359, Germany
| | - Jeroen Lakerveld
- Department of Epidemiology and Data Science, Amsterdam Public Health Research institute, Amsterdam UMC, VU University Amsterdam, Amsterdam 1081 HV, the Netherlands; Upstream Team, Amsterdam UMC, VU University Amsterdam, Amsterdam 1081 HV, the Netherlands
| | - Joanna Zukowska
- Faculty of Civil and Environmental Engineering, Gdańsk University of Technology, Gdańsk 80-213, Poland
| | - Enrique García Bengoechea
- Department of Physical Education and Sport Sciences, Health Research Institute, University of Limerick, Limerick V94 T9PX, Ireland
| |
Collapse
|
48
|
Tcymbal A, Gelius P, Abu-Omar K, Foster C, Whiting S, Mendes R, Titze S, Dorner TE, Halbwachs C, Duclos M, Toussaint JF, Wendel-Vos W, Baxter B, Ferschl S, Breda JJ. Development of national physical activity recommendations in 18 EU member states: a comparison of methodologies and the use of evidence. BMJ Open 2021; 11:e041710. [PMID: 33858863 PMCID: PMC8054104 DOI: 10.1136/bmjopen-2020-041710] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/19/2022] Open
Abstract
OBJECTIVES The aim of the study is to compare how member states of the European Union (EU) develop their national physical activity (PA) recommendations and to provide an overview of the methodologies they apply in doing so. Information was collected directly from the physical activity focal points of EU member states in 2018. Five countries were chosen for detailed case study analysis of development processes. DESIGN Cross-sectional survey. PARTICIPANTS The representatives of the 28 EU member state governments to the EU physical activity Focal Point Network. OUTCOME MEASURES From national documents we extracted data on (1) the participants of the development process, (2) the different methods used during development, and (3) on which sources national PA recommendations were based. An additional survey for case study countries provided details on (1) anonymised information on the participants of development process, (2) methods employed and rationale for choosing them, (3) development process and timeline, and (4) main source documents used for recommendation development. RESULTS Eighteen national documents on PA recommendations contained information about development process. The results showed that countries used different approaches to develop national recommendations. The main strategies were (1) adoption of WHO 2010 recommendations or (2) a combination of analysis and adoption of other national and international recommendations and literature review. All of the five case study countries relied on review processes rather than directly adopting WHO recommendations. CONCLUSIONS While there are arguments for the use of particular strategies for PA recommendation development, there is currently no evidence for the general superiority of a specific approach. Instead, our findings highlight the broad spectrum of potential development methods, resources utilisation and final recommendations design currently available to national governments. These results may be a source of inspiration for other countries currently planning the development or update of national PA recommendations.
Collapse
Affiliation(s)
- Antonina Tcymbal
- Department of Sport Science and Sport, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany
| | - Peter Gelius
- Department of Sport Science and Sport, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany
| | - Karim Abu-Omar
- Department of Sport Science and Sport, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany
| | - Charlie Foster
- Centre for Exercise, Nutrition and Health Sciences, School for Policy Studies, University of Bristol Faculty of Health Sciences, Bristol, UK
| | - Stephen Whiting
- European Office for the Prevention and Control of Noncommunicable Diseases, World Health Organization Regional Office for Europe, Moscow, Russian Federation
- EPIUnit - Instituto de Saúde Pública, Universidade do Porto, Porto, Portugal
| | - Romeu Mendes
- European Office for the Prevention and Control of Noncommunicable Diseases, World Health Organization Regional Office for Europe, Moscow, Russian Federation
- EPIUnit - Instituto de Saúde Pública, Universidade do Porto, Porto, Portugal
| | - Sylvia Titze
- Institute of Sports Science, University of Graz, Graz, Austria
| | - Thomas Ernst Dorner
- Centre for Public Health, Institute of Social Medicine, Medical University of Vienna, Vienna, Austria
| | | | - Martine Duclos
- Department of Sport Medicine and Functional Exploration, University Hospital CHU G. Montpied, INRA, UNH, CRNH Auvergne, University of Auvergne, Clermont-Ferrand, France
| | - Jean-Francois Toussaint
- IRMES (Institut de Recherche bioMédicale et d'Epidémiologie du Sport/INSEP), Université de Paris, Paris, France
| | - Wanda Wendel-Vos
- Centre for Nutrition, Prevention and Health Services, National Institute for Public Health and the Environment, Bilthoven, The Netherlands
| | - Beelin Baxter
- Population Health, United Kingdom Department of Health and Social Care, London, UK
| | - Susanne Ferschl
- Department of Sport Science and Sport, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany
| | - Joao Joaquim Breda
- European Office for the Prevention and Control of Noncommunicable Diseases, World Health Organization Regional Office for Europe, Moscow, Russian Federation
| |
Collapse
|
49
|
Brandes M, Muellmann S, Allweiss T, Bauer U, Bethmann A, Forberger S, Frense J, Gelius P, Pfeifer K, Okan O, Renner B, Schupp H, Wright M, Zeeb H. [Evidence-based primary prevention and health promotion: methods and procedures in 5 research consortia]. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 2021; 64:581-589. [PMID: 33835197 PMCID: PMC8033542 DOI: 10.1007/s00103-021-03322-z] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/13/2020] [Accepted: 03/29/2021] [Indexed: 11/24/2022]
Abstract
Von 2014 bis 2022 erforschen die 5 deutschen Forschungsverbünde AEQUIPA, CAPITAL4HEALTH, HLCA, PartKommPlus und SMARTACT Themen der Primärprävention und Gesundheitsförderung mit dem Ziel, die Evidenzgrundlagen in diesen Bereichen weiterzuentwickeln. In diesem Beitrag wird die Arbeit der 5 Forschungsverbünde für Primärprävention und Gesundheitsförderung unter dem Aspekt der Evidenzbasierung aus der internen Perspektive vorgestellt, analysiert und diskutiert. Als orientierender Rahmen dient ein Modell der evidenzbasierten Public Health. Die 5 Forschungsverbünde nutzen für die Evidenzgenerierung vielfältige Zugangswege bzgl. der Beteiligung nichtakademischer, zivilgesellschaftlicher Akteur*innen und Nutzer*innen. Es finden sich vielfältige Studiendesigns, die von randomisiert kontrollierten Studien und systematischen Reviews zu diversen qualitativen Designs reichen. Die Nutzung von Modellen und Theorien unterstützt die Evidenzbasierung. Über die Evidenzentwicklung hinaus legen alle Verbünde einen Schwerpunkt auf die zumindest exemplarische Implementierung des neuen Wissens. Durch die Methodenvielfalt kann eine breit gefächerte Evidenzbasierung unter Berücksichtigung verbundspezifischer Aspekte realisiert werden. Grenzen für eine weitere systematische Stärkung der Evidenzbasierung liegen in strukturellen Rahmenbedingungen. Insbesondere die Einbindung von nichtakademischen, zivilgesellschaftlichen Akteur*innen und Nutzer*innen für die Arbeit mit schwer erreichbaren Zielgruppen kann oft nicht ausfinanziert bzw. zeitlich berücksichtigt werden. Die COVID-19-Pandemie verdeutlicht die Wichtigkeit eines flexiblen Methodenspektrums, in dem ein sinnvolles Zusammenspiel von digitalen und analogen Methoden anzustreben ist.
Collapse
Affiliation(s)
- Mirko Brandes
- Abteilung Prävention und Evaluation, Leibniz-Institut für Präventionsforschung und Epidemiologie - BIPS, Achterstr. 30, 28359, Bremen, Deutschland
| | - Saskia Muellmann
- Abteilung Prävention und Evaluation, Leibniz-Institut für Präventionsforschung und Epidemiologie - BIPS, Achterstr. 30, 28359, Bremen, Deutschland
| | - Theresa Allweiss
- Katholische Hochschule für Sozialwesen Berlin, Berlin, Deutschland
| | - Ulrich Bauer
- Fakultät für Erziehungswissenschaft, Zentrum für Prävention und Intervention im Kindes- und Jugendalter (ZPI), Interdisziplinäres Zentrum für Gesundheitskompetenzforschung (IZGK), Universität Bielefeld, Bielefeld, Deutschland
| | - Andreas Bethmann
- Katholische Hochschule für Sozialwesen Berlin, Berlin, Deutschland
| | - Sarah Forberger
- Abteilung Prävention und Evaluation, Leibniz-Institut für Präventionsforschung und Epidemiologie - BIPS, Achterstr. 30, 28359, Bremen, Deutschland
| | - Jennifer Frense
- Abteilung Prävention und Evaluation, Leibniz-Institut für Präventionsforschung und Epidemiologie - BIPS, Achterstr. 30, 28359, Bremen, Deutschland
| | - Peter Gelius
- Department für Sportwissenschaft und Sport, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Deutschland
| | - Klaus Pfeifer
- Department für Sportwissenschaft und Sport, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Deutschland
| | - Orkan Okan
- Fakultät für Erziehungswissenschaft, Zentrum für Prävention und Intervention im Kindes- und Jugendalter (ZPI), Interdisziplinäres Zentrum für Gesundheitskompetenzforschung (IZGK), Universität Bielefeld, Bielefeld, Deutschland
| | - Britta Renner
- Fachbereich Psychologie, Universität Konstanz, Konstanz, Deutschland
| | - Harald Schupp
- Fachbereich Psychologie, Universität Konstanz, Konstanz, Deutschland
| | - Michael Wright
- Katholische Hochschule für Sozialwesen Berlin, Berlin, Deutschland
| | - Hajo Zeeb
- Abteilung Prävention und Evaluation, Leibniz-Institut für Präventionsforschung und Epidemiologie - BIPS, Achterstr. 30, 28359, Bremen, Deutschland. .,Wissenschaftsschwerpunkt Gesundheitswissenschaften, Universität Bremen, Bremen, Deutschland.
| |
Collapse
|
50
|
Volf K, Kelly L, García Bengoechea E, Casey B, Gobis A, Lakerveld J, Zukowska J, Gelius P, Messing S, Forberger S, Woods C. Policy Evaluation Network (PEN): Protocol for systematic literature reviews examining the evidence for impact of policies on physical activity across seven different policy domains. HRB Open Res 2021; 3:62. [PMID: 34805740 PMCID: PMC8567685 DOI: 10.12688/hrbopenres.13089.3] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/11/2021] [Indexed: 01/08/2023] Open
Abstract
Introduction: Over 40 million deaths annually are due to noncommunicable diseases, 15 million of these are premature deaths and physical inactivity contributes an estimated 9% to this figure. Global responses have included the Sustainable Development Goals (SDGs) and the Global Action Plan on Physical Activity (GAPPA). Both point to policy action on physical activity (PA) to address change, yet the impact of policy on PA outcomes is unknown. The protocol described outlines the methodology for systematic literature reviews that will be undertaken by the Policy Evaluation Network (PEN) to address this knowledge gap. Methods: The seven best investments for promotion of population PA identified in the Toronto Charter highlighted seven policy domains (schools, transport, urban design, primary health care systems, public education, community-wide programmes and sport) which will form the basis of these PEN reviews. Seven individual scientific literature searches across six electronic databases will be conducted. Each will use the key concepts of policy, PA, evaluation and a distinct concept for each of the seven policy domains. This will be supplemented with a search of the reference list of included articles. Methodological quality will be assessed and overall effectiveness for each included study will be described according to pre-determined criteria. Conclusions: Each review will provide policy makers with a list of policy statements and corresponding actions which the evidence has determined impact on PA directly or indirectly. By collating the evidence, and demonstrating the depth of the science base which informs these policy recommendations, each review will provide guidance to policymakers to use evidence-based or evidence-informed policies to achieve the 15% relative reduction in physical inactivity as defined by GAPPA. Registration: PROSPERO CRD42020156630 (10/07/2020).
Collapse
Affiliation(s)
- Kevin Volf
- Physical Activity for Health, Health Research Institute, Department of Physical Education and Sport Sciences, University of Limerick, Limerick, Ireland
- Physical Activity for Health Research Cluster, Health Research Institute, University of Limerick, Limerick, Ireland
| | - Liam Kelly
- Physical Activity for Health, Health Research Institute, Department of Physical Education and Sport Sciences, University of Limerick, Limerick, Ireland
- Physical Activity for Health Research Cluster, Health Research Institute, University of Limerick, Limerick, Ireland
| | - Enrique García Bengoechea
- Physical Activity for Health, Health Research Institute, Department of Physical Education and Sport Sciences, University of Limerick, Limerick, Ireland
- Physical Activity for Health Research Cluster, Health Research Institute, University of Limerick, Limerick, Ireland
| | - Bláthín Casey
- Physical Activity for Health, Health Research Institute, Department of Physical Education and Sport Sciences, University of Limerick, Limerick, Ireland
- Physical Activity for Health Research Cluster, Health Research Institute, University of Limerick, Limerick, Ireland
| | - Anna Gobis
- Faculty of Civil and Environmental Engineering, Gdansk University of Technology, Gdansk, Poland
| | | | - Joanna Zukowska
- Faculty of Civil and Environmental Engineering, Gdansk University of Technology, Gdansk, Poland
| | - Peter Gelius
- Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany
| | - Sven Messing
- Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany
| | - Sarah Forberger
- Leibniz Institute for Prevention Research and Epidemiology - BIPS, Bremen, Germany
| | - Catherine Woods
- Physical Activity for Health, Health Research Institute, Department of Physical Education and Sport Sciences, University of Limerick, Limerick, Ireland
- Physical Activity for Health Research Cluster, Health Research Institute, University of Limerick, Limerick, Ireland
| | - Policy Evaluation Network (PEN) Consortium
- Physical Activity for Health, Health Research Institute, Department of Physical Education and Sport Sciences, University of Limerick, Limerick, Ireland
- Physical Activity for Health Research Cluster, Health Research Institute, University of Limerick, Limerick, Ireland
- Faculty of Civil and Environmental Engineering, Gdansk University of Technology, Gdansk, Poland
- Amsterdam University Medical Center, Amsterdam, The Netherlands
- Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany
- Leibniz Institute for Prevention Research and Epidemiology - BIPS, Bremen, Germany
| |
Collapse
|