Social, economic, political, and geographical context that counts: meta-review of implementation determinants for policies promoting healthy diet and physical activity.
Diet
Implementation
Physical activity
Policy
Social equity
Socioeconomic context
Journal
BMC public health
ISSN: 1471-2458
Titre abrégé: BMC Public Health
Pays: England
ID NLM: 100968562
Informations de publication
Date de publication:
26 05 2022
26 05 2022
Historique:
received:
18
06
2021
accepted:
28
04
2022
entrez:
26
5
2022
pubmed:
27
5
2022
medline:
31
5
2022
Statut:
epublish
Résumé
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. 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. 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%). 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.
Sections du résumé
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.
Identifiants
pubmed: 35619065
doi: 10.1186/s12889-022-13340-4
pii: 10.1186/s12889-022-13340-4
pmc: PMC9137101
doi:
Types de publication
Journal Article
Review
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
1055Informations de copyright
© 2022. The Author(s).
Références
Implement Sci. 2017 Mar 27;12(1):41
pubmed: 28347322
Child Care Health Dev. 2012 May;38(3):321-31
pubmed: 21752064
Int J Environ Res Public Health. 2017 Oct 08;14(10):
pubmed: 28991184
Health Educ Behav. 2019 Apr;46(2):224-250
pubmed: 30173576
Cochrane Database Syst Rev. 2018 Nov 14;11:CD012439
pubmed: 30480770
Health Educ Res. 2006 Dec;21(6):806-25
pubmed: 17041020
Public Health Nutr. 2016 Oct;19(14):2643-53
pubmed: 27034196
Int J Behav Nutr Phys Act. 2019 Jan 14;16(1):5
pubmed: 30642352
BMC Med. 2019 Feb 15;17(1):31
pubmed: 30764826
Implement Sci. 2017 Feb 15;12(1):21
pubmed: 28202031
Appl Psychol Health Well Being. 2019 Nov;11(3):353-381
pubmed: 31290288
BMC Public Health. 2020 Jun 26;20(1):1000
pubmed: 32586301
BMC Public Health. 2015 Dec 17;15:1250
pubmed: 26678996
Implement Sci. 2020 Jan 6;15(1):4
pubmed: 31906983
Med Sci Sports Exerc. 2000 May;32(5):963-75
pubmed: 10795788
Int J Behav Nutr Phys Act. 2019 Nov 21;16(1):108
pubmed: 31752885
BMJ Open. 2018 Sep 21;8(9):e019151
pubmed: 30244204
Prev Med. 2017 Dec;105:197-205
pubmed: 28965755
Health Res Policy Syst. 2015 Mar 14;13:16
pubmed: 25885055
Int J Behav Nutr Phys Act. 2019 Dec 2;16(1):120
pubmed: 31791341
Am J Prev Med. 2009 Oct;37(4):340-57
pubmed: 19765507
Obes Rev. 2015 Jun;16(6):454-72
pubmed: 25824957
J Epidemiol Community Health. 2019 Jun;73(6):481-482
pubmed: 30787038
BMC Public Health. 2015 Jan 21;15:19
pubmed: 25604454
BMJ Glob Health. 2020 Nov;5(11):
pubmed: 33158851
Prev Med. 2015 Mar;72:95-115
pubmed: 25575800
Implement Sci. 2009 Aug 07;4:50
pubmed: 19664226
BMC Public Health. 2013 Dec 17;13:1190
pubmed: 24341605
Am J Community Psychol. 2008 Jun;41(3-4):327-50
pubmed: 18322790
Int J Behav Nutr Phys Act. 2019 Sep 4;16(1):78
pubmed: 31484538
J Clin Epidemiol. 2016 Jan;69:225-34
pubmed: 26092286
Syst Rev. 2015 Jan 01;4:1
pubmed: 25554246
Prev Med. 1999 Dec;29(6 Pt 1):563-70
pubmed: 10600438
Public Health Nutr. 2013 Jun;16(6):1082-100
pubmed: 22850118
Qual Saf Health Care. 2005 Feb;14(1):26-33
pubmed: 15692000
Implement Sci. 2015 Oct 28;10:149
pubmed: 26510493
Implement Sci. 2022 Jan 6;17(1):2
pubmed: 34991624
Obes Rev. 2019 Nov;20 Suppl 2:141-160
pubmed: 31483561
Lancet. 2018 Nov 10;392(10159):1923-1994
pubmed: 30496105
Prev Chronic Dis. 2016 Jan 07;13:E03
pubmed: 26741997
Cochrane Database Syst Rev. 2020 Feb 10;2:CD011779
pubmed: 32036618
BMC Public Health. 2010 Jan 15;10:17
pubmed: 20078858
J Phys Act Health. 2006 Feb;3(s1):S55-S76
pubmed: 28834525
Obes Facts. 2019;12(2):244-258
pubmed: 31030201
J Clin Epidemiol. 2009 Oct;62(10):1006-12
pubmed: 19631508
PLoS One. 2018 Oct 19;13(10):e0205694
pubmed: 30339667
Prev Med. 2018 Feb;107:45-53
pubmed: 29155228