Multicenter Study

. 2019 Sep 1;16(17):3195.

doi: 10.3390/ijerph16173195.

Equity-Specific Effects of Interventions to Promote Physical Activity among Middle-Aged and Older Adults: Development of a Collaborative Equity-Specific Re-Analysis Strategy

Gesa Czwikla^{1

2}, Filip Boen³, Derek G Cook⁴, Johan de Jong⁵, Tess Harris⁴, Lisa K Hilz^{6

7}, Steve Iliffe⁸, Richard Morris⁹, Saskia Muellmann¹⁰, Denise A Peels¹¹, Claudia R Pischke¹², Benjamin Schüz^{7

13}, Martin Stevens¹⁴, Frank J van Lenthe¹⁵, Julie Vanderlinden³, Gabriele Bolte^{6

7}

Affiliations

¹ Department of Social Epidemiology, Institute of Public Health and Nursing Research, University of Bremen, 28359 Bremen, Germany. gesa.czwikla@uni-bremen.de.
² Health Sciences Bremen, University of Bremen, 28359 Bremen, Germany. gesa.czwikla@uni-bremen.de.
³ Department of Movement Sciences, Physical Activity, Sports & Health Research Group, KU Leuven, 3001 Leuven, Belgium.
⁴ Population Health Research Institute, St George's University of London, London SW17 0RE, UK.
⁵ School of Sports Studies, Hanze University of Applied Sciences, 9747 AS Groningen, The Netherlands.
⁶ Department of Social Epidemiology, Institute of Public Health and Nursing Research, University of Bremen, 28359 Bremen, Germany.
⁷ Health Sciences Bremen, University of Bremen, 28359 Bremen, Germany.
⁸ Research Department of Primary Care & Population Health, University College London, London NW3 2PF, UK.
⁹ Department of Population Health Sciences, Bristol Medical School, University of Bristol, Bristol BS8 2PS, UK.
¹⁰ Leibniz-Institute for Prevention Research and Epidemiology-BIPS, 28359 Bremen, Germany.
¹¹ Department of Psychology and Educational Sciences, Open University, 6401 DL Heerlen, The Netherlands.
¹² Institute of Medical Sociology, Centre for Health and Society, Medical Faculty, University of Duesseldorf, 40225 Duesseldorf, Germany.
¹³ Department of Prevention and Health Promotion, Institute of Public Health and Nursing Research, University of Bremen, 28359 Bremen, Germany.
¹⁴ Department of Orthopedics, University of Groningen, University Medical Center Groningen, 9713 GZ Groningen, The Netherlands.
¹⁵ Department of Public Health, Erasmus University Medical Center Rotterdam, 3000 CA Rotterdam, The Netherlands.

PMID: 31480561
PMCID: PMC6747170
DOI: 10.3390/ijerph16173195

Multicenter Study

Equity-Specific Effects of Interventions to Promote Physical Activity among Middle-Aged and Older Adults: Development of a Collaborative Equity-Specific Re-Analysis Strategy

Gesa Czwikla et al. Int J Environ Res Public Health. 2019.

. 2019 Sep 1;16(17):3195.

doi: 10.3390/ijerph16173195.

Authors

Affiliations

¹ Department of Social Epidemiology, Institute of Public Health and Nursing Research, University of Bremen, 28359 Bremen, Germany. gesa.czwikla@uni-bremen.de.
² Health Sciences Bremen, University of Bremen, 28359 Bremen, Germany. gesa.czwikla@uni-bremen.de.
³ Department of Movement Sciences, Physical Activity, Sports & Health Research Group, KU Leuven, 3001 Leuven, Belgium.
⁴ Population Health Research Institute, St George's University of London, London SW17 0RE, UK.
⁵ School of Sports Studies, Hanze University of Applied Sciences, 9747 AS Groningen, The Netherlands.
⁶ Department of Social Epidemiology, Institute of Public Health and Nursing Research, University of Bremen, 28359 Bremen, Germany.
⁷ Health Sciences Bremen, University of Bremen, 28359 Bremen, Germany.
⁸ Research Department of Primary Care & Population Health, University College London, London NW3 2PF, UK.
⁹ Department of Population Health Sciences, Bristol Medical School, University of Bristol, Bristol BS8 2PS, UK.
¹⁰ Leibniz-Institute for Prevention Research and Epidemiology-BIPS, 28359 Bremen, Germany.
¹¹ Department of Psychology and Educational Sciences, Open University, 6401 DL Heerlen, The Netherlands.
¹² Institute of Medical Sociology, Centre for Health and Society, Medical Faculty, University of Duesseldorf, 40225 Duesseldorf, Germany.
¹³ Department of Prevention and Health Promotion, Institute of Public Health and Nursing Research, University of Bremen, 28359 Bremen, Germany.
¹⁴ Department of Orthopedics, University of Groningen, University Medical Center Groningen, 9713 GZ Groningen, The Netherlands.
¹⁵ Department of Public Health, Erasmus University Medical Center Rotterdam, 3000 CA Rotterdam, The Netherlands.

PMID: 31480561
PMCID: PMC6747170
DOI: 10.3390/ijerph16173195

Abstract

Reducing social inequalities in physical activity (PA) has become a priority for public health. However, evidence concerning the impact of interventions on inequalities in PA is scarce. This study aims to develop and test the application of a strategy for re-analyzing equity-specific effects of existing PA intervention studies in middle-aged and older adults, as part of an international interdisciplinary collaboration. This article aims to describe (1) the establishment and characteristics of the collaboration; and (2) the jointly developed equity-specific re-analysis strategy as a first result of the collaboration. To develop the strategy, a collaboration based on a convenience sample of eight published studies of individual-level PA interventions among the general population of adults aged ≥45 years was initiated (UK, n = 3; The Netherlands, n = 3; Belgium, n = 1; Germany, n = 1). Researchers from these studies participated in a workshop and subsequent e-mail correspondence. The developed strategy will be used to investigate social inequalities in intervention adherence, dropout, and efficacy. This will allow for a comprehensive assessment of social inequalities within intervention benefits. The application of the strategy within and beyond the collaboration will help to extend the limited evidence regarding the effects of interventions on social inequalities in PA among middle-aged and older adults.

Keywords: equity impact assessment; intervention-generated inequalities; interventions; middle-aged adults; older adults; physical activity; social inequalities.

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Conflict of interest statement

The authors declare no conflict of interest. The funder had no role in the design of the study; in the collection, analyses, or interpretation of data; in the writing of the manuscript, or in the decision to publish the results.

Figures

**Figure 1**
Flow chart of study selection.

See this image and copyright information in PMC

References

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Equity-Specific Effects of Interventions to Promote Physical Activity among Middle-Aged and Older Adults: Development of a Collaborative Equity-Specific Re-Analysis Strategy

Affiliations

Equity-Specific Effects of Interventions to Promote Physical Activity among Middle-Aged and Older Adults: Development of a Collaborative Equity-Specific Re-Analysis Strategy

Authors

Affiliations

Abstract

Conflict of interest statement

Figures

References

Publication types

MeSH terms

Grants and funding

LinkOut - more resources

Full Text Sources

Medical