Scaling up community-based physical activity-related health promotion – a best fit framework synthesis

Birkholz L, Weber P, Dippon L, Kohler S, Helsper N, Pfeifer K, Rütten A, Semrau J (2022)


Publication Type: Conference contribution, Abstract of lecture

Publication year: 2022

Abstract

Background/Objectives

Community-based health promotion with a focus on structural change towards better “health for all” is essential to address persistently existing health inequities. However, achieving a public health impact requires the scaling up of this approach beyond manifold funded pilot projects. In the field of physical activity-related health promotion only few community-based approaches have been implemented on a larger scale. Thus, the aim of this systematic review is to provide an overview of scaling up frameworks for community-based health promotion, and to identify key components for successfully scaling up community-based approaches to promote physical activity.

 

Methods

We followed the “best fit” framework synthesis approach. Firstly, we conducted a search for scaling up frameworks for community-based health promotion in PubMed, CINAHL, Scopus, Web of Science, PsycInfo, and SportDiscus. Then, we created an a priori framework based on the included frameworks. Secondly, we searched for primary research studies in the same databases with an additional grey literature search using Google Scholar. We searched for studies that report on scaling up processes of community-based physical activity promotion. The data were coded using the identified a priori framework.

 

Results

From 80 articles, a total of 12 studies were eligible and reported on 12 scaling up frameworks. We included 5 frameworks for data extraction. This yielded into 10 a priori defined key components: innovation characteristics; clarify and coordinate roles and responsibilities; build up skills, knowledge, and capacity; mobilize and sustain resources; initiate and maintain regular communication; plan, conduct and apply assessment, monitoring, and evaluation; develop political commitment and advocacy; build and obtain collaborations; encourage participation and ownership; plan and follow strategic approaches. We further identified 113 primary research studies with a total of 10 eligible studies. No new key components were found, but all a priori defined key components were supported by the studies.

 

Discussion

The “best fit” framework synthesis approach provides science-based insights for developing successful scaling up processes in the field of physical activity-related health promotion. The results will be used to develop a science- and practice-based concept for scaling up a community-based physical activity approach together with stakeholders from the national and community level.  

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How to cite

APA:

Birkholz, L., Weber, P., Dippon, L., Kohler, S., Helsper, N., Pfeifer, K.,... Semrau, J. (2022). Scaling up community-based physical activity-related health promotion – a best fit framework synthesis. Paper presentation at 24th IUHPE World Conference on Health Promotion.

MLA:

Birkholz, Leonie, et al. "Scaling up community-based physical activity-related health promotion – a best fit framework synthesis." Presented at 24th IUHPE World Conference on Health Promotion 2022.

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