Implementation conditions for diet and physical activity interventions and policies: an umbrella review

BMC Public Health

Research Article

Lars J. Langøien¹  Ilse De Bourdeaudhuij²  Karolina Horodyska³  Aleksandra Luszczynska⁴  Miriam P. O’Shea⁵  Catherine B. Hayes⁵  Matthijs van den Berg⁶  Marieke Hendriksen⁶  Gun Roos⁷  Johannes Brug⁸ 

[1] Department for Physical Education, Norwegian School of Sport Sciences, P.O. BOX 4014, Ullevål Stadion, N-0806, Oslo, Norway;Department of Movement and Sport Sciences, Ghent University, Watersportlaan 2, 9000, Ghent, Belgium;Department of Psychology, SWPS University of Social Sciences and Humanities, 30b Ostrowskiego St, 53238, Wroclaw, Poland;Department of Psychology, SWPS University of Social Sciences and Humanities, 30b Ostrowskiego St, 53238, Wroclaw, Poland;Trauma, Health, & Hazards Center, University of Colorado, 1861 Austin Bluffs Pkwy, 80933-7150, Colorado Springs, CO, USA;Department of Public Health and Primary Care, Trinity College Dublin, Centre for Health Sciences, Tallaght Hospital, Dublin 24, Ireland;National Institute for Public Health and the Environment, Antonie van Leeuwenhoeklaan 9, 3721, Bilthoven, The Netherlands;SIFO – National Institute for Consumer Research, P.O. BOX 4682, Nydalen, N-0405, Oslo, Norway;VU University Medical Center, Amsterdam, Van der Boechorststraat 7, 1081 BT, Amsterdam, The Netherlands;

关键词: Implementation;    Systematic review;    Policy;    Intervention;    Diet;    Physical activity;    Sedentary behavior;    RE-AIM;   

DOI  :  10.1186/s12889-015-2585-5

 received in 2015-06-01, accepted in 2015-12-08,  发布年份 2015

来源: Springer

【 摘 要 】

BackgroundThis umbrella review aimed at identifying evidence-based conditions important for successful implementation of interventions and policies promoting a healthy diet, physical activity (PA), and a reduction in sedentary behaviors (SB). In particular, we examined if the implementation conditions identified were intervention-specific or policy-specific. This study was undertaken as part of the DEterminants of DIet and Physical Activity (DEDIPAC) Knowledge Hub, a joint action as part of the European Joint Programming Initiative a Healthy Diet for a Healthy Life.MethodsA systematic review of reviews and stakeholder documents was conducted. Data from nine scientific literature databases were analyzed (95 documents met the inclusion criteria). Additionally, published documentation of eight major stakeholders (e.g., World Health Organization) were systematically searched (17 documents met the inclusion criteria). The RE-AIM framework was used to categorize elicited conditions. Across the implementation conditions 25 % were identified in at least four documents and were subsequently classified as having obtained sufficient support.ResultsWe identified 312 potential conditions relevant for successful implementation; 83 of these received sufficient support. Using the RE-AIM framework eight implementation conditions that obtained support referred to the reach in the target population; five addressed efficacy of implementation processes; 24 concerned adoption by the target staff, setting, or institutions; 43 referred to consistency, costs, and adaptations made in the implementation process; three addressed maintenance of effects over time. The vast majority of implementation conditions (87.9 %; 73 of 83) were supported by documents referring to both interventions and policies. There were seven policy-specific implementation conditions, which focused on increasing complexities of coexisting policies/legal instruments and their consequences for implementation, as well as politicians’ collaboration in implementation.ConclusionsThe use of the proposed list of 83 conditions for successful implementation may enhance the implementation of interventions and policies which pursue identification of the most successful actions aimed at improving diet, PA and reducing SB.

【 授权许可】

CC BY   
© Horodyska et al. 2015