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From Delivery to Adoption of Physical Activity Guidelines: Realist Synthesis

Author

Listed:
  • Liliana Leone

    (CEVAS Center for Research and Evaluation, 00175 Rome, Italy)

  • Caterina Pesce

    (Department of Movement, Human and Health Sciences, University of Rome “Foro Italico”, 00135 Rome, Italy)

Abstract

Background: Evidence-based guidelines published by health authorities for the promotion of health-enhancing physical activity (PA), continue to be implemented unsuccessfully and demonstrate a gap between evidence and policies. This review synthesizes evidence on factors influencing delivery, adoption and implementation of PA promotion guidelines within different policy sectors (e.g., health, transport, urban planning, sport, education). Methods: Published literature was initially searched using PubMed, EBSCO, Google Scholar and continued through an iterative snowball technique. The literature review spanned the period 2002–2017. The realist synthesis approach was adopted to review the content of 39 included studies. An initial programme theory with a four-step chain from evidence emersion to implementation of guidelines was tested. Results: The synthesis furthers our understanding of the link between PA guidelines delivery and the actions of professionals responsible for implementation within health services, school departments and municipalities. The main mechanisms identified for guidance implementation were scientific legitimation, enforcement, feasibility, familiarity with concepts and PA habits. Threats emerged to the successful implementation of PA guidelines at national/local jurisdictional levels. Conclusions: The way PA guidelines are developed may influence their adoption by policy-makers and professionals. Useful lessons emerged that may inform synergies between policymaking and professional practices, promoting win-win multisectoral strategies.

Suggested Citation

  • Liliana Leone & Caterina Pesce, 2017. "From Delivery to Adoption of Physical Activity Guidelines: Realist Synthesis," IJERPH, MDPI, vol. 14(10), pages 1-19, October.
    • Handle: RePEc:gam:jijerp:v:14:y:2017:i:10:p:1193-:d:114298
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    References listed on IDEAS

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    1. Sally Nguyen & Anna-Luisa Häcker & Melanie Henderson & Tracie Barnett & Marie-Eve Mathieu & Linda Pagani & Jean-Luc Bigras, 2016. "Physical Activity Programs with Post-Intervention Follow-Up in Children: A Comprehensive Review According to Categories of Intervention," IJERPH, MDPI, vol. 13(7), pages 1-17, June.
    2. Brownson, R.C. & Ballew, P. & Brown, K.L. & Elliott, M.B. & Haire-Joshu, D. & Heath, G.W. & Kreuter, M.W., 2007. "The effect of disseminating evidence-based interventions that promote physical activity to health departments," American Journal of Public Health, American Public Health Association, vol. 97(10), pages 1900-1907.
    3. Elisabeth Fosse & Marit Helgesen, 2017. "Advocating for Health Promotion Policy in Norway: The Role of the County Municipalities," Societies, MDPI, vol. 7(2), pages 1-10, April.
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    Cited by:

    1. Emiliano Mazzoli & Wei-Peng Teo & Jo Salmon & Caterina Pesce & Jason He & Tal Dotan Ben-Soussan & Lisa M. Barnett, 2019. "Associations of Class-Time Sitting, Stepping and Sit-to-Stand Transitions with Cognitive Functions and Brain Activity in Children," IJERPH, MDPI, vol. 16(9), pages 1-20, April.
    2. Amri, Michelle & Chatur, Ali & O'Campo, Patricia, 2022. "An umbrella review of intersectoral and multisectoral approaches to health policy," Social Science & Medicine, Elsevier, vol. 315(C).

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