Advocating for Implementation of the Global Action Plan on Physical Activity: Challenges and Support Requirements

Murphy, Joey; Milton, Karen; Mclaughlin, Matthew; Shilton, Trevor; McLoughlin, Gabriella M.; Reece, Lindsey; Mair, Jacqueline L.; Direito, Artur; Kariippanon, Katharina E.; Mackenzie, Kelly; Mavilidi, Myrto F.; Shellington, Erin M.; Kamada, Masao; Heron, Leonie; Jáuregui, Edtna; Abdeta, Chalchisa; Pina, Ilaria; Pinto, Ryan; Sutherland, Rachel

doi:10.1123/jpah.2022-0357

Cited by 2 publications

(1 citation statement)

References 23 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Established causal relationships between general physical activity and health outcomes are well documented ( 1 , 2 ). While riding bicycles is often included in population measures of physical activity alongside other exercise modalities, few studies have investigated the contribution of cycling alone with health associations ( 3 ).…”

Section: Introductionmentioning

confidence: 99%

Benefits, risks, barriers, and facilitators to cycling: a narrative review

Logan,

Somers,

Baker

et al. 2023

Front. Sports Act. Living

View full text Add to dashboard Cite

There is large potential to increase cycling participation worldwide. Participation in cycling is associated with lower risk of mortality from any cause, and incidence of cardiovascular disease and type 2 diabetes, as well as positive mental health and well-being. The largest potential for health gains likely to come from increasing participation amongst those who do not currently cycle regularly, rather than encouraging those who already cycle regularly to cycle more. Replacing car journeys with cycling can lead to reductions in air pollution emissions and lower pollutant exposure to the general population. Important gaps and uncertainties in the existing evidence base include: the extent to which the health benefits associated with cycling participation are fully causal due to the observational nature of much of the existing evidence base; the real-world economic cost-benefits of pragmatic interventions to increase cycling participation; and the most effective (combination of) approaches to increase cycling participation. To address these uncertainties, large-scale, long-term randomised controlled trials are needed to: evaluate the effectiveness, and cost-effectiveness, of (combinations of) intervention approaches to induce sustained long-term increases in cycling participation in terms of increases in numbers of people cycling regularly and number of cycling journeys undertaken, across a range of population demographic groups; establish the effects of such interventions on relevant outcomes related to health and wellbeing, economic productivity and wider societal impacts; and provide more robust quantification of potential harms of increasing cycling participation, such as collision risks.

show abstract

Section: Introductionmentioning

confidence: 99%

Benefits, risks, barriers, and facilitators to cycling: a narrative review

Logan,

Somers,

Baker

et al. 2023

Front. Sports Act. Living

View full text Add to dashboard Cite

show abstract

Systems approaches to scaling up: a systematic review and narrative synthesis of evidence for physical activity and other behavioural non-communicable disease risk factors

Koorts,

Ma,

Swain

et al. 2024

Int J Behav Nutr Phys Act

View full text Add to dashboard Cite

Background Non-communicable diseases (NCDs) are the leading causes of death worldwide. Systems approaches have potential for creating sustainable outcomes at scale but have rarely been used to support scale up in physical activity/nutrition promotion or NCD prevention more generally. This review aimed to: (i) synthesise evidence on the use of systems approaches in scaling up interventions targeting four behavioural risk factors for NCDs; and (ii) to explore how systems approaches have been conceptualised and used in intervention implementation and scale up. Method Seven electronic databases were searched for studies published 2016–2021. Eligible studies targeted at least one of four NCD behavioural risk factors (physical inactivity, tobacco use, alcohol consumption, diet), or described evaluation of an intervention planned for or scaled up. Studies were categorised as having a (i) high, (ii) moderate, or (iii) no use of a systems approach. A narrative synthesis of how systems approaches had been operationalised in scale up, following PRISMA guidelines. Results Twenty-one intervention studies were included. Only 19% (n = 4) of interventions explicitly used systems thinking to inform intervention design, implementation and scale up (targeting all four risk factors n = 2, diet n = 1, tobacco use n = 1). Five studies (‘high use’) planned and implemented scale up with an explicit focus on relations between system elements and used system changes to drive impact at scale. Seven studies (‘moderate use’) considered systems elements impacting scale-up processes or outcomes but did not require achieving system-level changes from the outset. Nine studies (‘no use’) were designed to work at multiple levels among multiple agencies in an intervention setting, but the complexity of the system and relations between system elements was not articulated. We synthesised reported barriers and facilitators to scaling up, and how studies within each group conceptualised and used systems approaches, and methods, frameworks and principles for scaling up. Conclusion In physical activity research, and NCD prevention more broadly, the use of systems approaches in scale up remains in its infancy. For researchers, practitioners and policymakers wishing to adopt systems approaches to intervention implementation at scale, guidance is needed on how to communicate and operationalise systems approaches in research and in practice. Trial registration PROSPERO (CRD42021287265).

show abstract

Advocating for Implementation of the Global Action Plan on Physical Activity: Challenges and Support Requirements

Cited by 2 publications

References 23 publications

Benefits, risks, barriers, and facilitators to cycling: a narrative review

Benefits, risks, barriers, and facilitators to cycling: a narrative review

Systems approaches to scaling up: a systematic review and narrative synthesis of evidence for physical activity and other behavioural non-communicable disease risk factors

Contact Info

Product

Resources

About