Frameworks for implementation of policies promoting healthy nutrition and physically active lifestyle: systematic review.

Frameworks for implementation of policies promoting healthy nutrition and physically active lifestyle: systematic review.
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DOI:
10.1186/s12966-021-01242-4
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发表时间:
2022-02-12
期刊:
The international journal of behavioral nutrition and physical activity
影响因子:
--
通讯作者:
Luszczynska A
Luszczynska A
中科院分区:
其他
文献类型:
--
作者:
Lobczowska K;Banik A;Romaniuk P;Forberger S;Kubiak T;Meshkovska B;Neumann-Podczaska A;Kaczmarek K;Scheidmeir M;Wendt J;Scheller DA;Wieczorowska-Tobis K;Steinacker JM;Zeeb H;Luszczynska A

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关注政策实施的策略框架可能会因其范围而有所不同,包括构造,构造之间的关系和上下文因素。旨在健康营养,促进体育锻炼的政策,尤其是久坐行为旨在检查框架的范围和包括的构造的内容(例如,参考实施过程,确定词或实施评估),这些结构运行的级别(例如,个人级别,组织/社区级别),结构之间的关系和股权因素的包含。 使用9个数据库和8个利益相关者网站进行了系统的审查(Prospero Crd42019133251)。 在整个框架中,有47.4%(38中的18个)解决了三个目标:进程的描述,确定词和实施评估。 /社区和系统级别的构造少于个人级别或组织/社区级别的构建框架]和94.7%[38个框架中的36个] 38)包括规定性特征的部分(一般实施步骤); 60.5%(38中的23个)占据了剥夺的部分仅占38个框架的21.1%(38个)。 大多数策略实施框架具有两个或三个目标(结合过程,确定词和/或实施评估),包括多层次结构(尽管系统级的确定词比个人或组织/组织/组织/组织/组织级的频率较低社区级别),将纯描述性格的部分与有关规定性和/或剥夺协会的部分相结合,可能包括一些或没有公平性构造。 Prospero,#CRD42019133251。 在线版本包含的补充材料可在10.1186/s12966-021-01242-4上获得。
Policy frameworks focusing on policy implementation may vary in terms of their scope, included constructs, relationships between the constructs, and context factors. Although multiple policy implementation frameworks exist, the overarching synthesis characterizing differences between the frameworks is missing. This study investigated frameworks guiding implementation of policies aiming at healthy nutrition, physical activity promotion, and a reduction of sedentary behavior. In particular, we aimed at examining the scope of the frameworks and the content of included constructs (e.g., referring to implementation processes, determinants, or implementation evaluation), the level at which these constructs operate (e.g., the individual level, the organizational/community level), relationships between the constructs, and the inclusion of equity factors. A systematic review (the PROSPERO registration no. CRD42019133251) was conducted using 9 databases and 8 stakeholder websites. The content of 38 policy implementation frameworks was coded and analyzed. Across the frameworks, 47.4% (18 in 38) addressed three aims: description of the process, determinants, and the evaluation of implementation. The majority of frameworks (65.8%; 25 in 38) accounted for constructs from three levels: individual, organizational/community, and the system level. System-level constructs were included less often (76.3%; 29 in 38) than individual-level or organizational/community-level constructs (86.8% [33 in 38 frameworks] and 94.7% [36 in 38 frameworks] respectively). The majority of frameworks (84.2%, 32 in 38) included at least some sections that were solely of descriptive character (a list of unassociated constructs); 50.0% (19 in 38) included sections of prescriptive character (general steps of implementation); 60.5% (23 in 38) accounted for explanatory sections (assuming bi- or uni-directorial associations). The complex system approach was accounted for only in 21.1% (8 in 38) of frameworks. More than half (55.3%; 21 in 38) of frameworks did not account for any equity constructs (e.g., socioeconomic status, culture). The majority of policy implementation frameworks have two or three aims (combining processes, determinants and/or the evaluation of implementation), include multi-level constructs (although the system-level determinants are less frequently included than those from the individual- or organizational/community-level), combine sections of purely descriptive character with sections accounting for prescriptive and/or explanatory associations, and are likely to include a little or no equity constructs. PROSPERO, #CRD42019133251. The online version contains supplementary material available at 10.1186/s12966-021-01242-4.
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发表时间: 1999-09-01
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