The development of the Comprehensive Analysis of Policy on Physical Activity (CAPPA) framework
The development of the Comprehensive Analysis of Policy on Physical Activity (CAPPA) framework
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DOI：
10.1186/s12966-019-0822-5
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发表时间：
2019-08-02
影响因子：
8.7
通讯作者：
Pedisic, Zeljko
中科院分区：
文献类型：
--
作者：
Pogrmilovic, Bojana Klepac;O'Sullivan, Grant;Pedisic, Zeljko
背景政策分析被认为是实现健康促进和公共卫生改革成功的关键。体育活动（PA）政策分析的唯一框架是在PA政策研究领域处于早期阶段时开发的。巴勒斯坦权力机构的政策研究自那时以来有所增长，我们对巴勒斯坦权力机构政策的全面分析中需要包括哪些内容的理解现在更加完善。本研究发展了一个新的PA政策分析的概念框架-体育活动政策综合分析框架（CAPPA）。方法CAPPA框架的发展基于：（i）广泛的文献综述;（ii）作者之间的公开讨论;（iii）三轮德尔菲过程;（iv）与PA政策利益相关者的两轮磋商。CAPPA框架规定了对巴勒斯坦权力机构政策进行全面分析的38个要素，分为以下六类，这些要素构成了框架的基石：（i）分析目的（包括审计和政策评估）;（ii）政策层面（包括：国际、国家、国家以下、地方和机构政策）; ㈢政策部门（包括：保健、体育、娱乐和休闲、教育、运输、环境、城市/农村规划和设计、旅游、工作和就业、公共财政和研究部门）;（iv）政策类型（包括：正式的书面政策;非书面的正式声明;书面标准和准则;正式程序;以及非正式政策）;（v）政策周期的阶段（包括：议程的设定;拟订;认可/合法化;执行;评价;维持;终止;和继承）;以及（六）分析范围（包括可用性;背景;进程;行为者;政治意愿;内容;和效果）。基于CAPPA框架，我们还提出了广泛和包容性的PA政策和PA政策分析的定义。结论CAPPA框架可用于指导未来的研究有关PA政策，并提供一个背景下分析其具体组成部分。这一框架可以同样的方式用于久坐行为政策研究。今后的研究应审查巴勒斯坦权力机构的政策分析在多大程度上涵盖了《援助巴勒斯坦人民行动计划》框架中具体规定的每一项内容，并分析缺乏证据的内容。今后的研究还应确定现有工具是否允许对《行动计划》的所有内容进行审计和评估，并在必要时开发新的工具，以便对《行动计划》进行更全面的政策分析。
Background Policy analysis is considered essential for achieving successful reforms in health promotion and public health. The only framework for physical activity (PA) policy analysis was developed at a time when the field of PA policy research was in its early stages. PA policy research has since grown, and our understanding of what elements need to be included in a comprehensive analysis of PA policy is now more refined. This study developed a new conceptual framework for PA policy analysis - the Comprehensive Analysis of Policy on Physical Activity (CAPPA) framework. Methods The development of the CAPPA framework was based on: (i) an extensive review of literature; (ii) an open discussion between the authors; (iii) three rounds of a Delphi process; and (iv) two-rounds of consultations with PA policy stakeholders. Results The CAPPA framework specifies 38 elements of a comprehensive analysis of PA policies in the following six categories, which comprise the building blocks of the framework: (i) purpose of analysis (including auditing and assessment of policies); (ii) policy level (including: international; national; subnational; local; and institutional policies); (iii) policy sector (including: health; sport; recreation and leisure; education; transport; environment; urban/rural planning and design; tourism; work and employment; public finance; and research sectors); (iv) type of policy (including: formal written policies; unwritten formal statements; written standards and guidelines; formal procedures; and informal policies); (v) stage of policy cycle (including: agenda setting; formulation; endorsement/legitimisation; implementation; evaluation; maintenance; termination; and succession); and (vi) scope of analysis (including availability; context; processes; actors; political will; content; and effects). Based on the CAPPA framework, we also proposed broad and inclusive definitions of PA policy and PA policy analysis. Conclusion The CAPPA framework may be used to guide future studies related to PA policy and to provide a context for the analysis of its specific components. The framework could be used in the same way for sedentary behaviour policy research. Future research should examine the extent to which PA policy analysis has covered each of the elements specified in the CAPPA framework and analyse the elements for which evidence is lacking. Future studies should also determine whether the existing tools allow for auditing and assessment of all the CAPPA elements and develop new tools if needed to allow for a more comprehensive PA policy analysis.