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全球身体活动行动计划（GAPPA），并制定了可转移性和可扩展性的跨背景评估框架。身体活动是减少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身体活动，但这些干预措施仍未得到充分实施，特别是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，以及d)如何将经验教训转移到其他干预措施、目标群体和环境中。通过与城市合作，我们确定了针对个人生命历程的干预措施，特别是弱势群体和最不活跃群体，与GAPPA活跃人群、社会、环境和系统的领域保持一致。CITY-MOVE将：1)发展城市- gappa变化理论并实施评估措施；2)将城市- gappa应用于六个城市，让每个城市的利益相关者参与其中；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、采用情况、可行性、保真度和可持续性；5)改进常规收集数据的开发和利用，以支持成功实施；6)通过对6个城市的12项干预措施进行多标准决策评估，生成关于实施、评估和可扩展性的跨背景证据；7)通过区域实践社区建立全球能力。CITY-MOVE的成果使目标人群增加了身体活动，有助于降低非传染性疾病的过早死亡率，并为实施者准备好了适应性解决方案。

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.