Repository logo
 

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

Published version
Peer-reviewed

Type

Article

Change log

Authors

Forberger, S 
Reisch, LA 
Meshkovska, B 
Lobczowska, K 
Scheller, DA 

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.

Description

Keywords

Educational Status, Exercise, Humans, Public Policy, Schools, Sedentary Behavior

Journal Title

European Journal of Public Health

Conference Name

Journal ISSN

1101-1262
1464-360X

Volume Title

32

Publisher

Oxford University Press (OUP)
Sponsorship
The PEN project (www.jpi-pen.eu) is funded by the Joint Programming Initiative ‘A Healthy Diet for a Healthy Life’ (JPI HDHL), a research and innovation initiative of EU Member States and associated countries. The funding agencies supporting this work are (in alphabetical order of participating countries): Germany: Federal Ministry of Education and Research (BMBF); Ireland: Health Research Board (HRB); Norway: the Research Council of Norway (RCN); Poland: the National Centre for Research and Development (NCBR).