Liverpool Active City 2005–2010: Increasing Population Physical Activity Levels Through Intersectoral Action

Dawson, Jon; Huikuri, Suvi; Armada, Francisco

doi:10.1123/jpah.2013-0397

Cited by 8 publications

(17 citation statements)

References 2 publications

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“…But the Rockhampton (Brown et al, 2006) and Ghent (De Cocker et al, 2007) examples demonstrate replicability of general principles of multilevel intervention across very different settings, as do the 14 case studies of multilevel, multi-year bicycle interventions (Pucher et al, 2010). The Liverpool evaluation provides process evaluation results that can help improve the practice of future multilevel, multisector interventions, despite limitations of the outcome evaluation (Dawson et al, 2015). There is a growing literature on appropriate study designs and evaluation methods for complex interventions that extend more traditional quasi-experimental evaluation approaches, such as regression discontinuity designs, interrupted time series, and propensity score analysis (Shadish & Galindo, 2010).…”

Section: Study Designs and Methodsmentioning

confidence: 99%

“…In Rockhampton, the intervention yielded significant increases in steps among women (Brown et al, 2006), and in Ghent, population-wide increases were documented, compared with the control city (De Cocker et al, 2007). A third study in Liverpool, England, evaluated an even more ambitious 5-year community intervention led by a multisectoral coalition of health and sport governmental agencies and nonprofit organization (Dawson, Huikuri, & Armada, 2015). Intervention strategies were mainly implemented by participating organizations and included a variety of communication modes targeting individuals, organizational changes to prioritize physical activity promotion, increased availability of physical activity programs throughout the city, and improvements to sidewalks, parks, and sports facilities.…”

Section: Evidence Supporting Multilevel Interventions To Promote Physmentioning

confidence: 99%

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Needs and Challenges Related to Multilevel Interventions: Physical Activity Examples

Sallis

2018

Health Educ Behav

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The theme of this commentary is to discuss the need for, and challenges of, conceptualizing, implementing, and evaluating multilevel health behavior change interventions. Ecological models, recommendations from national and international authoritative groups, and growing evidence all support the need for interventions designed to change multiple levels of influence, including individuals, social environments, organizations, built environments, and policies, to achieve population improvements in public health. Though multilevel interventions are becoming more common in practice, they are still under-used, and research on multilevel interventions is relatively rare. Drawing on examples from physical activity, several types of evidence are summarized to demonstrate that multilevel interventions are feasible and can be effective. Serious challenges to implementing and evaluating multilevel interventions include the need for teams with diverse expertise, lack of control over intervention implementation, unpredictability of timelines, managing complex teams over extended periods, and need to apply unfamiliar and less-rigorous study designs and methods. Recommendations are offered for changes in training, funding priorities, and academic incentives that could lead to more and better multilevel interventions.

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Section: Study Designs and Methodsmentioning

confidence: 99%

Section: Evidence Supporting Multilevel Interventions To Promote Physmentioning

confidence: 99%

Needs and Challenges Related to Multilevel Interventions: Physical Activity Examples

Sallis

2018

Health Educ Behav

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“…Health promotion initiatives aimed at tackling childhood obesity in Liverpool have also since been terminated. These included, but are not limited to, initiatives such as the Liverpool City Council’s Active City [25] and Taste for Health strategies [26] and the SportsLinx project [27]. These social and economic changes have impacted at the individual family level too by decreasing household budgets (combination of rising food and fuel prices and stagnating wages and welfare benefits), which has led to fewer families (especially the most socially disadvantaged) being able to provide a balanced diet for children [28,29,30,31].…”

Section: Introductionmentioning

confidence: 99%

Prevalence of Childhood Overweight and Obesity in Liverpool between 2006 and 2012: Evidence of Widening Socioeconomic Inequalities

Noonan

2018

IJERPH

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The primary aim of this study was to describe the prevalence of childhood overweight and obesity in Liverpool between 2006 and 2012. A secondary aim was to examine the extent to which socioeconomic inequalities relating to childhood overweight and obesity in Liverpool changed during this six-year period. A sample of 50,125 children was created using data from the National Child Measurement Program (NCMP) in Liverpool. The prevalence of overweight and obesity was calculated for Reception and Year 6 aged children in Liverpool for each time period by gender and compared against published averages for England. Logistic regression analyses examined the likelihood of children in Liverpool being classified as overweight and obese based on deprivation level for each time period. Analyses were conducted separately for Reception and Year 6 aged children and were adjusted for gender. The prevalence of overweight and obesity among Reception and Year 6 aged children in Liverpool increased between 2006 and 2012. During the same period, socioeconomic disparities in overweight and obesity prevalence between children living in the most deprived communities in Liverpool and those living in less deprived communities in Liverpool, widened. This study evidences rising rates of overweight and obesity among Liverpool children and widening socioeconomic health inequalities within Liverpool, England’s most deprived city between 2006 and 2012.

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“…Initiatives that CAPAS-City fosters, such as the ITB activity, also seem to illustrate promising strategies at multiple levels of influence to promote cycling in the city, one of the most healthy and sustainable PA behaviours. Given that the most common barrier to PA is lack of time, both in youth and adults [57], cycling in the city has been considered an excellent opportunity to save time, while simultaneously incorporating PA into people’s everyday lives [58]. The long-term post-intervention effects of these multiple PA interventions will allow to evaluate their sustainability and cost-effectiveness and, consequently, the impact of CAPAS-City.…”

Section: Discussionmentioning

confidence: 99%

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 Interventions

Casterad

Sevil‐Serrano

Bois

et al. 2019

IJERPH

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This study describes a Pyrenean cross-cultural structure called Centre for the Promotion of Physical Activity and Health (CAPAS-City) that was created to promote physical activity (PA) in Huesca (Spain) and Tarbes (France). The main aim of this centre is to lead the way in the design, implementation, and evaluation of multilevel PA interventions to improve their efficacy and sustainability inside the city. CAPAS-City responds to the main challenges related to multilevel PA interventions, through six guiding principles: (1) promoting sustainability, (2) playing a leadership role, (3) promoting multisectoral partnerships, (4) using evidence-based strategies, (5) promoting integrated knowledge translation, and (6) using a participatory research approach. Five multilevel PA interventions were designed in both cities by CAPAS-City with these principles in mind. Through the example of the Annual MOT Test adapted to bikes, we also illustrate one practical application of the use of these principles, following the Social-Ecological approach, in which the main agents of influence are involved at different levels to encourage cycling. According to the promising results found in this study, CAPAS-City appears to be a structure that is able to respond to the main needs and challenges of multilevel interventions to increase PA levels in the whole population of both cities.

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Liverpool Active City 2005–2010: Increasing Population Physical Activity Levels Through Intersectoral Action

Cited by 8 publications

References 2 publications

Needs and Challenges Related to Multilevel Interventions: Physical Activity Examples

Needs and Challenges Related to Multilevel Interventions: Physical Activity Examples

Prevalence of Childhood Overweight and Obesity in Liverpool between 2006 and 2012: Evidence of Widening Socioeconomic Inequalities

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 Interventions

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