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Equity Impact Assessment of Interventions to Promote Physical Activity among Older Adults: A Logic Model Framework

Author

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  • Gesa Lehne

    (Department of Social Epidemiology, Institute of Public Health and Nursing Research, University of Bremen, 28359 Bremen, Germany
    Health Sciences Bremen, University of Bremen, 28359 Bremen, Germany)

  • Claudia Voelcker-Rehage

    (Institute of Human Movement Science and Health, Faculty of Behavioral and Social Sciences, Chemnitz University of Technology, 09126 Chemnitz, Germany)

  • Jochen Meyer

    (OFFIS—Institute for Information Technology, 26121 Oldenburg, Germany)

  • Karin Bammann

    (Health Sciences Bremen, University of Bremen, 28359 Bremen, Germany
    Working Group Epidemiology of Demographic Change, Institute of Public Health and Nursing Research, University of Bremen, 28359 Bremen, Germany)

  • Dirk Gansefort

    (Leibniz Institute for Prevention Research and Epidemiology—BIPS, 28359 Bremen, Germany)

  • Tanja Brüchert

    (Department of Social Epidemiology, Institute of Public Health and Nursing Research, University of Bremen, 28359 Bremen, Germany
    Health Sciences Bremen, University of Bremen, 28359 Bremen, Germany)

  • Gabriele Bolte

    (Department of Social Epidemiology, Institute of Public Health and Nursing Research, University of Bremen, 28359 Bremen, Germany
    Health Sciences Bremen, University of Bremen, 28359 Bremen, Germany)

Abstract

Reducing social inequalities in health and health determinants, including physical activity (PA), is a major challenge for public health. PA-promoting interventions are increasingly implemented. Little is known, however, about the impact of these interventions on social inequalities. For prioritizing interventions most likely to be effective in reducing inequalities, studies of PA interventions need to conduct equity impact assessments. The aim of this article is to describe the development of a logic model framework for equity impact assessments of interventions to promote PA. The framework was developed within the prevention research network AEQUIPA—Physical activity and health equity: primary prevention for healthy ageing, informed by an equity-focused systematic review, expert interviews, exploratory literature searches, and joint discussions within the network. The framework comprises a general equity-focused logic model to be adapted to specific interventions. The intervention-specific equity-focused logic models illustrate the key elements relevant for assessing social inequalities in study participation, compliance with and acceptance of interventions, as well as the efficacy of interventions. Future work within AEQUIPA will reveal which key elements are most critical for the interventions’ equity impacts. Equity impact assessments are beneficial for prioritizing interventions most likely to be effective in reducing health inequalities.

Suggested Citation

  • Gesa Lehne & Claudia Voelcker-Rehage & Jochen Meyer & Karin Bammann & Dirk Gansefort & Tanja Brüchert & Gabriele Bolte, 2019. "Equity Impact Assessment of Interventions to Promote Physical Activity among Older Adults: A Logic Model Framework," IJERPH, MDPI, vol. 16(3), pages 1-17, February.
  • Handle: RePEc:gam:jijerp:v:16:y:2019:i:3:p:420-:d:202557
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    References listed on IDEAS

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    1. Sarah Forberger & Karin Bammann & Jürgen Bauer & Susanne Boll & Gabriele Bolte & Tilman Brand & Andreas Hein & Frauke Koppelin & Sonia Lippke & Jochen Meyer & Claudia R. Pischke & Claudia Voelcker-Reh, 2017. "How to Tackle Key Challenges in the Promotion of Physical Activity among Older Adults (65+): The AEQUIPA Network Approach," IJERPH, MDPI, vol. 14(4), pages 1-18, April.
    2. Dirk Gansefort & Tilman Brand & Christina Princk & Hajo Zeeb, 2018. "Community Readiness for the Promotion of Physical Activity in Older Adults—A Cross-Sectional Comparison of Rural and Urban Communities," IJERPH, MDPI, vol. 15(3), pages 1-11, March.
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    1. Gesa Czwikla & Filip Boen & Derek G. Cook & Johan de Jong & Tess Harris & Lisa K. Hilz & Steve Iliffe & Richard Morris & Saskia Muellmann & Denise A. Peels & Claudia R. Pischke & Benjamin Schüz & Mart, 2019. "Equity-Specific Effects of Interventions to Promote Physical Activity among Middle-Aged and Older Adults: Development of a Collaborative Equity-Specific Re-Analysis Strategy," IJERPH, MDPI, vol. 16(17), pages 1-17, September.

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