The Physical Activity Environment Policy Index for monitoring government policies and actions to improve physical activity
- PMID: 36444111
- PMCID: PMC9706113
- DOI: 10.1093/eurpub/ckac062
The Physical Activity Environment Policy Index for monitoring government policies and actions to improve physical activity
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.
© The Author(s) 2022. Published by Oxford University Press on behalf of the European Public Health Association.
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References
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- World Health Organization. Noncommunicable Diseases. 2020. Available at: https://www.who.int/news-room/fact-sheets/detail/noncommunicable-diseases (14 December 2021, date last accessed).
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- Active Healthy Kids Global Alliance. Home. Available at: https://www.activehealthykids.org/ (6 December 2021, date last accessed).
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- Varela AR, Pratt M, Powell K, et al.Worldwide surveillance, policy, and research on physical activity and health: the global observatory for physical activity. J Phys Act Health 2017;14:701–9. - PubMed
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