Evaluation of Physical Projects and Policies from the Active Living by Design Partnerships

Evaluation of Physical Projects and Policies from the Active Living by Design Partnerships
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DOI:
10.1016/j.amepre.2012.06.024
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发表时间:
2012-11-01
影响因子:
5.5
通讯作者:
Brennan, Laura K.
Brennan, Laura K.
中科院分区:
医学2区
文献类型:
--
作者:
Evenson, Kelly R.;Sallis, James F.;Brennan, Laura K.

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背景:2003 年至 2008 年间,共有 25 个通过积极设计生活 (ALbD) 计划资助的合作伙伴致力于改变社区的建筑环境和政策,以帮助公民积极参与日常生活。目的:本文系统地总结了 ALbD 实体项目和政策变化的范围,描述了合作伙伴产生的资源,并强调了该过程的支持和障碍。方法:使用混合方法、多种数据源,包括关键知情人访谈、焦点小组和基于网络的跟踪系统用于在项目实施期间收集数据。使用系统编码程序对定性结果进行分析,以确定从数据中得出的主题、想法和概念。数据分析发生在 2008-2010 年。结果:25 个伙伴关系中的大多数记录了以下各个部门的实体项目和政策变化:城市规划 (n=16);主动运输(n=23);小径/公园/休闲/开放空间 (n=22);社区(n=22);和学校(n=18)。 ALbD 社区伙伴关系成功地在最初拨款之外筹集了大约 2.56 亿美元的资源,这主要是通过政策变化实现的。挑战包括建立和维持政治意愿和社区支持,以及确保技术专长和资源。规划和关系建设对于改变政策和实施项目的成功至关重要。 结论:尽管对于这些变化过程如何影响不同人群和环境中的体育活动和健康,以及社会、文化和社会心理因素如何影响社区对政策变化和体育项目的反应,还有更多需要了解,但该倡议的研究结果为后续研究和实践奠定了基础。 (Am J Prey Med 2012;43(5S4):S309-S319) (C) 2012 年美国预防医学杂志
Background: Between 2003 and 2008, a total of 25 partnerships funded through the Active Living by Design (ALbD) program worked to change built environments and policies in communities to help citizens be active in their daily routines.Purpose: This paper systematically summarized the scope of ALbD physical projects and policy changes, described resources generated by the partnerships, and highlighted supports and barriers to the process.Methods: Using a mixed-methods approach, multiple data sources, including key informant interviews, focus groups, and a web-based tracking system, were used to collect data during project implementation. Qualitative results were analyzed using systematic coding procedures to identify themes, ideas, and concepts derived from the data. Data analysis occurred in 2008-2010.Results: Most of the 25 partnerships documented physical projects and policy changes in each of the following sectors: urban planning (n=16); active transportation (n=23); trails/parks/recreation/open space (n=22); communities (n=22); and schools (n=18). ALbD community partnerships were successful at generating similar to$256 million in resources beyond their initial grant, mostly through policy changes. Challenges included creating and sustaining political will and community support as well as securing technical expertise and resources. Planning and relationship building were critical to success in changing policy and implementing projects.Conclusions: Although there is more to understand about how these change processes affect physical activity and health across populations and settings, as well as how social, cultural, and psychosocial factors influence community responses to the policy changes and physical projects, findings from this initiative provide a foundation for subsequent research and practice. (Am J Prey Med 2012;43(5S4):S309-S319) (C) 2012 American Journal of Preventive Medicine