CITY BASED INTERVENTIONS TO STIMULATE ACTIVE MOVEMENT FOR HEALTH (CITY-MOVE)

City-Move在三大洲的六个城市调整和实施世卫组织全球体力活动行动计划(GAPPA)，并为可转移性和可伸缩性制定一个跨背景的评估框架。体力活动是减轻非传染性疾病负担的关键行为，包括预防癌症和2型糖尿病。城市有许多以证据为基础的干预措施来促进体育活动，但这些干预措施仍未得到充分实施，尤其缺乏全系统的方法，而且往往无法针对最不活跃或最脆弱的群体。知识差距是：a)如何适应，b)成功实施，c)评价干预措施，d)如何将经验教训传授给其他干预措施、目标群体和背景。与城市合作，我们确定了针对整个生命周期的个人，特别是脆弱和最不活跃的群体的干预措施，与活跃的人、社会、环境和系统的Gappa领域保持一致。城市行动将：1)制定城市--Gappa变化理论，并使评估措施付诸实施；2)使城市--Gappa适应六个城市，让利益攸关方参与每一种情况；3)通过生活实验室的行动研究，支持城市成功实施；4)评估每个城市选定干预措施的覆盖范围、采用率、可行性、保真度和可持续性；5)改进常规收集的数据的开发和利用，以支持成功实施；6)通过对六个城市的12项干预措施进行多标准决策评估，产生关于实施、评估和可伸缩性的跨背景证据；以及7)通过区域实践社区建设全球能力。城市迁移的结果导致目标人群的体力活动增加，有助于降低非传染性疾病的过早死亡率，并为实施者提供随时可接受的适应性解决方案。

CITY-MOVE adapts and implements the WHO Global Action Plan on Physical Activity (GAPPA) in six cities across three continents and develops a cross-contextual evaluation framework for transferability and scalability. Physical activity is a key behavior to reduce the NCD burden, including protecting against cancers and type 2 diabetes. There are many evidence-based interventions for cities to promote physical activity, yet they remain under-implemented, with a whole-of-system approach particularly lacking, and often fail to target the least active or vulnerable groups. Knowledge gaps are: a) how to adapt, b) successfully implement, and c) evaluate interventions, and d) how to transfer lessons to other interventions, target groups and contexts. In partnership with the cities, we identified interventions targeting individuals across the life course, particularly vulnerable and least active groups, aligned with the GAPPA domains of active people, societies, environments and systems. CITY-MOVE will: 1) Develop a city-GAPPA Theory of Change and operationalise assessment measures; 2) Adapt city-GAPPA to six cities, engaging stakeholders in each context; 3) Support cities in successful implementation through action research in living labs; 4) Assess reach, adoption, feasibility, fidelity, and sustainability of selected interventions in each city; 5) Improve the development and utilisation of routinely collected data to support successful implementation; 6) Generate cross-contextual evidence on implementation, evaluation and scalability through multi-criteria decision assessment for 12 interventions in six cities; and 7) Generate global capacity through regional Communities of Practice. CITY-MOVE results lead to increased physical activity by target populations, contributing to reduced premature NCD mortality, and to adaptable solutions ready for take-up by implementers.