IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v14y2017i10p1193-d114298.html
   My bibliography  Save this article

From Delivery to Adoption of Physical Activity Guidelines: Realist Synthesis

Author

Listed:
  • Liliana Leone

    (CEVAS Center for Research and Evaluation, 00175 Rome, Italy)

  • Caterina Pesce

    (Department of Movement, Human and Health Sciences, University of Rome “Foro Italico”, 00135 Rome, Italy)

Abstract

Background: Evidence-based guidelines published by health authorities for the promotion of health-enhancing physical activity (PA), continue to be implemented unsuccessfully and demonstrate a gap between evidence and policies. This review synthesizes evidence on factors influencing delivery, adoption and implementation of PA promotion guidelines within different policy sectors (e.g., health, transport, urban planning, sport, education). Methods: Published literature was initially searched using PubMed, EBSCO, Google Scholar and continued through an iterative snowball technique. The literature review spanned the period 2002–2017. The realist synthesis approach was adopted to review the content of 39 included studies. An initial programme theory with a four-step chain from evidence emersion to implementation of guidelines was tested. Results: The synthesis furthers our understanding of the link between PA guidelines delivery and the actions of professionals responsible for implementation within health services, school departments and municipalities. The main mechanisms identified for guidance implementation were scientific legitimation, enforcement, feasibility, familiarity with concepts and PA habits. Threats emerged to the successful implementation of PA guidelines at national/local jurisdictional levels. Conclusions: The way PA guidelines are developed may influence their adoption by policy-makers and professionals. Useful lessons emerged that may inform synergies between policymaking and professional practices, promoting win-win multisectoral strategies.

Suggested Citation

  • Liliana Leone & Caterina Pesce, 2017. "From Delivery to Adoption of Physical Activity Guidelines: Realist Synthesis," IJERPH, MDPI, vol. 14(10), pages 1-19, October.
  • Handle: RePEc:gam:jijerp:v:14:y:2017:i:10:p:1193-:d:114298
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/14/10/1193/pdf
    Download Restriction: no

    File URL: https://www.mdpi.com/1660-4601/14/10/1193/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Sally Nguyen & Anna-Luisa Häcker & Melanie Henderson & Tracie Barnett & Marie-Eve Mathieu & Linda Pagani & Jean-Luc Bigras, 2016. "Physical Activity Programs with Post-Intervention Follow-Up in Children: A Comprehensive Review According to Categories of Intervention," IJERPH, MDPI, vol. 13(7), pages 1-17, June.
    2. Brownson, R.C. & Ballew, P. & Brown, K.L. & Elliott, M.B. & Haire-Joshu, D. & Heath, G.W. & Kreuter, M.W., 2007. "The effect of disseminating evidence-based interventions that promote physical activity to health departments," American Journal of Public Health, American Public Health Association, vol. 97(10), pages 1900-1907.
    3. Elisabeth Fosse & Marit Helgesen, 2017. "Advocating for Health Promotion Policy in Norway: The Role of the County Municipalities," Societies, MDPI, vol. 7(2), pages 1-10, April.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Emiliano Mazzoli & Wei-Peng Teo & Jo Salmon & Caterina Pesce & Jason He & Tal Dotan Ben-Soussan & Lisa M. Barnett, 2019. "Associations of Class-Time Sitting, Stepping and Sit-to-Stand Transitions with Cognitive Functions and Brain Activity in Children," IJERPH, MDPI, vol. 16(9), pages 1-20, April.
    2. Amri, Michelle & Chatur, Ali & O'Campo, Patricia, 2022. "An umbrella review of intersectoral and multisectoral approaches to health policy," Social Science & Medicine, Elsevier, vol. 315(C).

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Thomas E. Strayer & Laura E. Balis & NithyaPriya S. Ramalingam & Samantha M. Harden, 2022. "Dissemination in Extension: Health Specialists’ Information Sources and Channels for Health Promotion Programming," IJERPH, MDPI, vol. 19(24), pages 1-13, December.
    2. Paul Cairney & Sean Kippin & Emily St Denny & Heather Mitchell, 2022. "Policy design for territorial equity in multi‐level and multi‐sectoral political systems: Comparing health and education strategies," Regional Science Policy & Practice, Wiley Blackwell, vol. 14(5), pages 1051-1061, October.
    3. Javier Zaragoza Casterad & Javier Sevil-Serrano & Julien E. Bois & Eduardo Generelo & Léna Lhuisset & Alberto Aibar-Solana, 2019. "Centre for the Promotion of Physical Activity and Health (CAPAS-City): A Pyrenean Cross-Cultural Structure to Lead the Way in the Design, Implementation, and Evaluation of Multilevel Physical Activity," IJERPH, MDPI, vol. 16(19), pages 1-19, September.
    4. Christian Dagenais & Marie Malo & Émilie Robert & Mathieu Ouimet & Diane Berthelette & Valéry Ridde, 2013. "Knowledge Transfer on Complex Social Interventions in Public Health: A Scoping Study," PLOS ONE, Public Library of Science, vol. 8(12), pages 1-9, December.
    5. Gregory W. Heath & David Levine, 2022. "Physical Activity and Public Health among People with Disabilities: Research Gaps and Recommendations," IJERPH, MDPI, vol. 19(16), pages 1-17, August.
    6. Olin Oldeide & Elisabeth Fosse & Ingrid Holsen, 2019. "Collaboration for drug prevention: Is it possible in a “siloed” governmental structure?," International Journal of Health Planning and Management, Wiley Blackwell, vol. 34(4), pages 1556-1568, October.
    7. Disa Tell & Olin Oldeide & Torill Larsen & Ellen Haug, 2022. "Lessons Learned from an Intersectoral Collaboration between the Public Sector, NGOs, and Sports Clubs to Meet the Needs of Vulnerable Youths," Societies, MDPI, vol. 12(1), pages 1-13, January.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:14:y:2017:i:10:p:1193-:d:114298. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.