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. 2022 Nov 28;32(Suppl 4):iv59-iv65.
doi: 10.1093/eurpub/ckac089.

What we know about the actual implementation process of public physical activity policies: results from a scoping review

Sarah Forberger  1 , Lucia A Reisch  1   2 , Biljana Meshkovska  3   4 , Karolina Lobczowska  5 , Daniel A Scheller  6 , Janine Wendt  6 , Lara Christianson  1 , Jennifer Frense  1 , Jürgen M Steinacker  6 , Catherine B Woods  7   8 , Aleksandra Luszczynska  5   9 , Hajo Zeeb  1   10
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What we know about the actual implementation process of public physical activity policies: results from a scoping review

Sarah Forberger et al. Eur J Public Health. .

Abstract

Background: Physical inactivity rates have remained high worldwide since 2001. Public policies are an essential upstream lever to target individual physical activity (PA) behaviour. However, implementers have different strategies and face implementation challenges that are poorly understood. The present study analyzes the implementation processes of public policies to promote PA in terms of: (i) the policies covered and their legal quality, (ii) the actors and stakeholders involved in the implementation process and (iii) the used implementation strategies (vertical, horizontal or a mix).

Methods: A scoping review was systematically conducted (registered Open Science Framework: osf.io/7w84q/), searching 10 databases and grey literature until March 2022. Of the 7741 titles and abstracts identified initially, 10 studies were included.

Results: The current evidence includes high-income countries (USA, n = 7; UK, New Zealand and Oman, n = 1 each). Policy areas covered are education (school sector) and PA promotion in general (national PA plans or city-wide approaches). The legal classification ranges from laws (school sector) to coordination and budgeting to non-legally binding recommendations. The jurisdictions covered were federal (n = 4), state (n = 1), county (n = 1), school district (n = 1) and city (n = 3). Implementation strategies for city-wide approaches are characterized by a coordinated approach with vertical and horizontal integration; federal PA policies by a mix of implementation strategies; and the school sector by a strict horizontal top-down integration without the involvement of other actors.

Conclusion: Implementation strategies differ by policy field. Therefore, continuous evaluation of the implementation process is necessary to align policy implementation with policy goals to promote individual PA behaviour.

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Figures

Figure 1
Figure 1
Policy cycle heuristic and typical accompanying activities (own figure adapted from Armenia et al. (2014)),
Figure 2
Figure 2
Horizontal and vertical integration (own figure, adapted from Kettner et al. (2012))
See this image and copyright information in PMC

References

    1. Kohl HW 3rd, Craig CL, Lambert EV, et al.; Lancet Physical Activity Series Working Group. The pandemic of physical inactivity: global action for public health. Lancet 2012;380:294–305. - PubMed
    1. Katzmarzyk PT, Friedenreich C, Shiroma EJ, Lee I-M.. Physical inactivity and non-communicable disease burden in low-income, middle-income and high-income countries. Br J Sports Med 2022;56:101–6. - PMC - PubMed
    1. Guthold R, Stevens GA, Riley LM, Bull FC.. Worldwide trends in insufficient physical activity from 2001 to 2016: a pooled analysis of 358 population-based surveys with 1.9 million participants. Lancet Glob Health 2018;6:e1077–86. - PubMed
    1. Guthold R, Stevens GA, Riley LM, Bull FC.. Global trends in insufficient physical activity among adolescents: a pooled analysis of 298 population-based surveys with 1.6 million participants. Lancet Child Adolesc Health 2020;4:23–35. - PMC - PubMed
    1. Tummers L. Public policy and behavior change. Public Admin Rev 2019;79:925–30.

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