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了世卫组织《身体活动全球行动计划》，并制定了一个可移植性和可扩展性的跨背景评估框架。身体活动是减少NCD负担的关键行为，包括预防癌症和2型糖尿病。有许多基于证据的干预措施可促进城市的体育活动，但这些措施仍然没有得到充分实施，尤其缺乏一种全系统的方法，而且往往未能针对最不活跃或弱势群体。知识差距是：a）如何适应，B）成功实施，c）评估干预措施，d）如何将经验教训推广到其他干预措施、目标群体和背景。我们与城市合作，确定了针对整个生命过程中的个人，特别是弱势群体和最不活跃群体的干预措施，与GAPPA的活跃人群，社会，环境和系统领域保持一致。CITY-MOVE将：1）制定城市-GAPPA变革理论并实施评估措施; 2）使城市-GAPPA适应六个城市，让利益相关者参与每种情况; 3）通过在生活实验室中进行行动研究，支持城市成功实施; 4）评估每个城市选定干预措施的覆盖面、采用率、可行性、忠诚度和可持续性; 6）通过对六个城市的12项干预措施进行多标准决策评估，生成关于执行、评价和可扩展性的跨背景证据;（7）通过区域同业交流圈建设全球能力。CITY-MOVE的结果导致目标人群增加身体活动，有助于降低非传染性疾病的过早死亡率，并为实施者提供可适应的解决方案。

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.