Built Environment Implementation Strategies to Promote Physical Activity: Expert Consensus for Local Implementation of Physical Activity Policy, Systems, and Environment (ECLIPPSE).

IF 1.9 4区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Stephenie C Lemon, Karin Valentine Goins, Julien Leider, Christiaan G Abildso, Mark Fenton, Cynthia K Perry, Sandy J Slater, Jamie F Chriqui
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Abstract

Context: Despite evidence supporting the role of the built environment in promoting physical activity, there is limited guidance on how to implement recommended built environment changes at the local level.

Objectives: The objective of this project was to develop a compilation of implementation strategies that hold promise for aiding communities in implementing built environment changes that support active transportation and leisure-time physical activity, titled "Expert Consensus for Local Implementation of Physical Activity Policy, Systems, and Environment (ECLIPPSE)."

Design: A modified Delphi Technique using 3 web-based survey rounds was conducted from 2024 to 2025.

Setting: A multidisciplinary national expert panel was recruited to participate in this online panel.

Participants: The panel consisted of 23 professionals with expertise in the implementation of built environment changes to support physical activity at the local level.

Main outcome measure: The Round 1 and 2 surveys utilized a rating process to establish a compilation of potentially promising strategies for aiding communities in implementing physical activity-supportive built environment changes. The Round 3 survey involved rating these strategies on potential feasibility and impact and endorsing the final compilation.

Results: Fifty-five strategies emerged in 2 broad domains. The first domain, "Get Ready," included 4 categories: (1) Partnerships and collaboration (5 strategies); (2) staffing (5 strategies); (3) training and education (4 strategies), and (4) interactive assistance (2 strategies). The second domain, "Take Action," included 6 categories: (1) Data and community informed prioritization (6 strategies); (2) evaluative (8 strategies); (3) community awareness and demand (8 strategies); (4) engagement with decision-making processes (5 strategies); (5) funding (7 strategies); and (6) pilots or demonstration projects (5 strategies). The final compilation was endorsed by 95% of respondents.

Conclusions: The ECLIPPSE strategies can be used to aid implementation of built environment changes at the local level to support physical activity.

促进体育活动的建筑环境实施策略:体育活动政策、系统和环境(ECLIPPSE)的地方实施专家共识。
背景:尽管有证据支持建筑环境在促进身体活动方面的作用,但关于如何在地方层面实施建议的建筑环境变化的指导有限。目标:该项目的目标是制定一套实施策略汇编,以帮助社区实施建筑环境变化,支持主动交通和休闲时间的体育活动,名为“体育活动政策、系统和环境的地方实施专家共识(ECLIPPSE)”。设计:采用改进的德尔菲法,从2024年到2025年进行了3轮基于网络的调查。设置:一个多学科的国家专家小组被招募参加这个在线小组。参与者:小组由23名专业人士组成,他们在实施建筑环境变化以支持地方一级的体育活动方面具有专业知识。主要结果测量:第1轮和第2轮调查利用评级过程建立了一个潜在的有前途的战略汇编,以帮助社区实施有利于体育活动的建筑环境变化。第三轮调查涉及对这些战略的潜在可行性和影响进行评级,并核准最后的汇编。结果:55个策略出现在两大领域。第一个领域,“准备好”,包括4个类别:(1)伙伴关系和协作(5个战略);(2)人员配置(5个策略);(3)培训和教育(4个策略)和(4)互动协助(2个策略)。第二个领域,“采取行动”,包括6个类别:(1)数据和社区知情优先排序(6个策略);(2)评价性(8个策略);(3)社区意识和需求(8个策略);(4)参与决策过程(5种策略);(5)资金(7个策略);(6)试点或示范项目(5个战略)。最终的汇编得到了95%的受访者的认可。结论:ECLIPPSE策略可用于帮助在地方层面实施建筑环境变化以支持体育活动。
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来源期刊
Journal of Public Health Management and Practice
Journal of Public Health Management and Practice PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
3.40
自引率
9.10%
发文量
287
期刊介绍: Journal of Public Health Management and Practice publishes articles which focus on evidence based public health practice and research. The journal is a bi-monthly peer-reviewed publication guided by a multidisciplinary editorial board of administrators, practitioners and scientists. Journal of Public Health Management and Practice publishes in a wide range of population health topics including research to practice; emergency preparedness; bioterrorism; infectious disease surveillance; environmental health; community health assessment, chronic disease prevention and health promotion, and academic-practice linkages.
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