Social, economic, political, and geographical context that counts: meta-review of implementation determinants for policies promoting healthy diet and physical activity
Abstract Background This meta-review investigated the context-related implementation determinants from seven domains (geographical, epidemiological, sociocultural, economic, ethics-related, political, and legal) that were systematically indicated as occurring during the implementation of obesity pre...
| Main Authors: | , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2022-05-01
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| Series: | BMC Public Health |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12889-022-13340-4 |
| _version_ | 1811254235274149888 |
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| author | Karolina Lobczowska Anna Banik Sarah Forberger Krzysztof Kaczmarek Thomas Kubiak Agnieszka Neumann-Podczaska Piotr Romaniuk Marie Scheidmeir Daniel A. Scheller Juergen M. Steinacker Janine Wendt Marleen P. M. Bekker Hajo Zeeb Aleksandra Luszczynska on behalf of Policy Evaluation Network (PEN) Consortium |
| author_facet | Karolina Lobczowska Anna Banik Sarah Forberger Krzysztof Kaczmarek Thomas Kubiak Agnieszka Neumann-Podczaska Piotr Romaniuk Marie Scheidmeir Daniel A. Scheller Juergen M. Steinacker Janine Wendt Marleen P. M. Bekker Hajo Zeeb Aleksandra Luszczynska on behalf of Policy Evaluation Network (PEN) Consortium |
| author_sort | Karolina Lobczowska |
| collection | DOAJ |
| description | Abstract Background This meta-review investigated the context-related implementation determinants from seven domains (geographical, epidemiological, sociocultural, economic, ethics-related, political, and legal) that were systematically indicated as occurring during the implementation of obesity prevention policies targeting a healthy diet and a physically active lifestyle. Methods Data from nine databases and documentation of nine major stakeholders were searched for the purpose of this preregistered meta-review (#CRD42019133341). Context-related determinants were considered strongly supported if they were indicated in ≥60% of the reviews/stakeholder documents. The ROBIS tool and the Methodological Quality Checklist-SP were used to assess the quality-related risk of bias. Results Published reviews (k = 25) and stakeholder documents that reviewed the evidence of policy implementation (k = 17) were included. Across documents, the following six determinants from three context domains received strong support: economic resources at the macro (66.7% of analyzed documents) and meso/micro levels (71.4%); sociocultural context determinants at the meso/micro level, references to knowledge/beliefs/abilities of target groups (69.0%) and implementers (73.8%); political context determinants (interrelated policies supported in 71.4% of analyzed reviews/documents; policies within organizations, 69.0%). Conclusions These findings indicate that sociocultural, economic, and political contexts need to be accounted for when formulating plans for the implementation of a healthy diet and physical activity/sedentary behavior policies. |
| first_indexed | 2024-04-12T17:03:24Z |
| format | Article |
| id | doaj.art-541e85ed2aa44542bd09eabdcf416ab8 |
| institution | Directory Open Access Journal |
| issn | 1471-2458 |
| language | English |
| last_indexed | 2024-04-12T17:03:24Z |
| publishDate | 2022-05-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Public Health |
| spelling | doaj.art-541e85ed2aa44542bd09eabdcf416ab82022-12-22T03:24:00ZengBMCBMC Public Health1471-24582022-05-0122111710.1186/s12889-022-13340-4Social, economic, political, and geographical context that counts: meta-review of implementation determinants for policies promoting healthy diet and physical activityKarolina Lobczowska0Anna Banik1Sarah Forberger2Krzysztof Kaczmarek3Thomas Kubiak4Agnieszka Neumann-Podczaska5Piotr Romaniuk6Marie Scheidmeir7Daniel A. Scheller8Juergen M. Steinacker9Janine Wendt10Marleen P. M. Bekker11Hajo Zeeb12Aleksandra Luszczynska13on behalf of Policy Evaluation Network (PEN) ConsortiumDepartment of Psychology in Wroclaw, SWPS University of Social Sciences and HumanitiesDepartment of Psychology in Wroclaw, SWPS University of Social Sciences and HumanitiesLeibniz Institute for Prevention Research and Epidemiology – BIPSDepartment of Health Policy, School of Health Sciences in Bytom, Medical University of Silesia in KatowiceJohannes Gutenberg University Mainz, Institute of PsychologyDepartment of Palliative Medicine, Poznan University of Medical SciencesDepartment of Health Policy, School of Health Sciences in Bytom, Medical University of Silesia in KatowiceJohannes Gutenberg University Mainz, Institute of PsychologyDepartment of Internal Medicine, Division of Sports and Rehabilitation Medicine, University Hospital UlmDepartment of Internal Medicine, Division of Sports and Rehabilitation Medicine, University Hospital UlmDepartment of Internal Medicine, Division of Sports and Rehabilitation Medicine, University Hospital UlmWageningen University and Research, Health and Society Group, Center for Space, Place and SocietyLeibniz Institute for Prevention Research and Epidemiology – BIPSDepartment of Psychology in Wroclaw, SWPS University of Social Sciences and HumanitiesAbstract Background This meta-review investigated the context-related implementation determinants from seven domains (geographical, epidemiological, sociocultural, economic, ethics-related, political, and legal) that were systematically indicated as occurring during the implementation of obesity prevention policies targeting a healthy diet and a physically active lifestyle. Methods Data from nine databases and documentation of nine major stakeholders were searched for the purpose of this preregistered meta-review (#CRD42019133341). Context-related determinants were considered strongly supported if they were indicated in ≥60% of the reviews/stakeholder documents. The ROBIS tool and the Methodological Quality Checklist-SP were used to assess the quality-related risk of bias. Results Published reviews (k = 25) and stakeholder documents that reviewed the evidence of policy implementation (k = 17) were included. Across documents, the following six determinants from three context domains received strong support: economic resources at the macro (66.7% of analyzed documents) and meso/micro levels (71.4%); sociocultural context determinants at the meso/micro level, references to knowledge/beliefs/abilities of target groups (69.0%) and implementers (73.8%); political context determinants (interrelated policies supported in 71.4% of analyzed reviews/documents; policies within organizations, 69.0%). Conclusions These findings indicate that sociocultural, economic, and political contexts need to be accounted for when formulating plans for the implementation of a healthy diet and physical activity/sedentary behavior policies.https://doi.org/10.1186/s12889-022-13340-4PolicyImplementationDietPhysical activitySocioeconomic contextSocial equity |
| spellingShingle | Karolina Lobczowska Anna Banik Sarah Forberger Krzysztof Kaczmarek Thomas Kubiak Agnieszka Neumann-Podczaska Piotr Romaniuk Marie Scheidmeir Daniel A. Scheller Juergen M. Steinacker Janine Wendt Marleen P. M. Bekker Hajo Zeeb Aleksandra Luszczynska on behalf of Policy Evaluation Network (PEN) Consortium Social, economic, political, and geographical context that counts: meta-review of implementation determinants for policies promoting healthy diet and physical activity BMC Public Health Policy Implementation Diet Physical activity Socioeconomic context Social equity |
| title | Social, economic, political, and geographical context that counts: meta-review of implementation determinants for policies promoting healthy diet and physical activity |
| title_full | Social, economic, political, and geographical context that counts: meta-review of implementation determinants for policies promoting healthy diet and physical activity |
| title_fullStr | Social, economic, political, and geographical context that counts: meta-review of implementation determinants for policies promoting healthy diet and physical activity |
| title_full_unstemmed | Social, economic, political, and geographical context that counts: meta-review of implementation determinants for policies promoting healthy diet and physical activity |
| title_short | Social, economic, political, and geographical context that counts: meta-review of implementation determinants for policies promoting healthy diet and physical activity |
| title_sort | social economic political and geographical context that counts meta review of implementation determinants for policies promoting healthy diet and physical activity |
| topic | Policy Implementation Diet Physical activity Socioeconomic context Social equity |
| url | https://doi.org/10.1186/s12889-022-13340-4 |
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