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Needs to Create Healthy Living Environments—A Two-Stage Delphi Survey in Europe to Identify Facilitating Factors and Barriers in Municipal Health Promotion

Author

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  • Eike Quilling

    (Department of Applied Health Sciences, Hochschule für Gesundheit—University of Applied Sciences, 44801 Bochum, Germany)

  • Maja Kuchler

    (Department of Applied Health Sciences, Hochschule für Gesundheit—University of Applied Sciences, 44801 Bochum, Germany)

  • Patricia Tollmann

    (Department of Applied Health Sciences, Hochschule für Gesundheit—University of Applied Sciences, 44801 Bochum, Germany)

  • Anke Osterhoff

    (Department of Applied Health Sciences, Hochschule für Gesundheit—University of Applied Sciences, 44801 Bochum, Germany)

  • Janna Leimann

    (Department of Applied Health Sciences, Hochschule für Gesundheit—University of Applied Sciences, 44801 Bochum, Germany)

Abstract

(1) In the field of health promotion, municipalities offer opportunities to reduce SES-based health inequalities by addressing vulnerable communities. This research project aims to identify facilitating and inhibiting factors for the creation of healthy living environments. (2) After preliminary literature and qualitative research work, an online-based Delphi survey was conducted (December 2020–March 2021). This included the rating and commentating of 22 theses at two times, whereby the results of the first round of rating were visible to the participants the second time. (3) Twelve experts from seven European countries participated in the Delphi survey across both rounds (1st round: n = 37; 12 countries). The consensus was particularly clear with regard to providing resources, which, in turn, are especially necessary for involving target groups in health promotion. (4) The results illustrate the relevance of further cross-national exchange. Certain aspects however, such as the HiAP approach or strategies to reach disadvantaged groups, are still challenging in practice. In order to develop concrete recommendations, the theses need to be further operationalised. The Delphi method offers a suitable possibility to map international expertise in this field and with a focus on health equity.

Suggested Citation

  • Eike Quilling & Maja Kuchler & Patricia Tollmann & Anke Osterhoff & Janna Leimann, 2022. "Needs to Create Healthy Living Environments—A Two-Stage Delphi Survey in Europe to Identify Facilitating Factors and Barriers in Municipal Health Promotion," IJERPH, MDPI, vol. 19(9), pages 1-15, April.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:9:p:5084-:d:799316
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    References listed on IDEAS

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    1. repec:mpr:mprres:7813 is not listed on IDEAS
    2. Emee Vida Estacio & Mike Oliver & Beth Downing & Judy Kurth & Joanne Protheroe, 2017. "Effective Partnership in Community-Based Health Promotion: Lessons from the Health Literacy Partnership," IJERPH, MDPI, vol. 14(12), pages 1-8, December.
    3. Eike Quilling & Stefanie Kruse & Maja Kuchler & Janna Leimann & Ulla Walter, 2020. "Models of Intersectoral Cooperation in Municipal Health Promotion and Prevention: Findings from a Scoping Review," Sustainability, MDPI, vol. 12(16), pages 1-11, August.
    4. Margaret B. Hargreaves & Todd Honeycutt & Cara Orfield & Michaela Vine & Charlotte Cabili & Michaella Morzuch & Sylvia K. Fisher & Ronette Briefel, 2013. "The Healthy Weight Collaborative: Using Learning Collaboratives to Enhance Community-Based Prevention Initiatives Addressing Childhood Obesity," Mathematica Policy Research Reports 9400b95bca5045d2878be1b45, Mathematica Policy Research.
    5. Eike Quilling & Birgit Babitsch & Kevin Dadaczynski & Stefanie Kruse & Maja Kuchler & Heike Köckler & Janna Leimann & Ulla Walter & Christina Plantz, 2020. "Municipal Health Promotion as Part of Urban Health: A Policy Framework for Action," Sustainability, MDPI, vol. 12(16), pages 1-10, August.
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