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01.12.2015 | Research article | Ausgabe 1/2015 Open Access

BMC Public Health 1/2015

Implementation conditions for diet and physical activity interventions and policies: an umbrella review

Zeitschrift:
BMC Public Health > Ausgabe 1/2015
Autoren:
Karolina Horodyska, Aleksandra Luszczynska, Catherine B. Hayes, Miriam P. O’Shea, Lars J. Langøien, Gun Roos, Matthijs van den Berg, Marieke Hendriksen, Ilse De Bourdeaudhuij, Johannes Brug
Wichtige Hinweise

Electronic supplementary material

The online version of this article (doi:10.​1186/​s12889-015-2585-5) contains supplementary material, which is available to authorized users.

Competing interests

The authors declare that they have no competing interests.

Authors’ contributions

KH contributed to the conception of the study and its design, conducted data search, data extraction, data analysis and synthesis, drafted and revised the manuscript. AL contributed to the conception of the study and its design, conducted data extraction, contributed to data analysis and synthesis, and revised the manuscript. CBH contributed to the conception of the study, its design, conducted data search and data extraction, contributed to data analysis and synthesis, and revised the draft of the manuscript. MOS participated in the conception of the study and its design conducted data search and data extraction, contributed to data analysis and synthesis, and revised the draft of the manuscript. LJL contributed to the conception of the study and its design, conducted data search data extraction, contributed to data analysis and synthesis, and revised the draft of the manuscript. GR participated in the conception of the study and its design and data extraction, contributed to analysis and synthesis, and revised the draft of the manuscript. MvdB participated in the conception of the study and its design, data synthesis, and revised the draft of the manuscript. MH conceived of the study and its design, participated in data synthesis, and revised the draft of the manuscript. IDB contributed to conception of the study and revised the manuscript. HB contributed to conception of the study and revised the manuscript. All authors read and approved the final manuscript.

Abstract

Background

This umbrella review aimed at identifying evidence-based conditions important for successful implementation of interventions and policies promoting a healthy diet, physical activity (PA), and a reduction in sedentary behaviors (SB). In particular, we examined if the implementation conditions identified were intervention-specific or policy-specific. This study was undertaken as part of the DEterminants of DIet and Physical Activity (DEDIPAC) Knowledge Hub, a joint action as part of the European Joint Programming Initiative a Healthy Diet for a Healthy Life.

Methods

A systematic review of reviews and stakeholder documents was conducted. Data from nine scientific literature databases were analyzed (95 documents met the inclusion criteria). Additionally, published documentation of eight major stakeholders (e.g., World Health Organization) were systematically searched (17 documents met the inclusion criteria). The RE-AIM framework was used to categorize elicited conditions. Across the implementation conditions 25 % were identified in at least four documents and were subsequently classified as having obtained sufficient support.

Results

We identified 312 potential conditions relevant for successful implementation; 83 of these received sufficient support. Using the RE-AIM framework eight implementation conditions that obtained support referred to the reach in the target population; five addressed efficacy of implementation processes; 24 concerned adoption by the target staff, setting, or institutions; 43 referred to consistency, costs, and adaptations made in the implementation process; three addressed maintenance of effects over time. The vast majority of implementation conditions (87.9 %; 73 of 83) were supported by documents referring to both interventions and policies. There were seven policy-specific implementation conditions, which focused on increasing complexities of coexisting policies/legal instruments and their consequences for implementation, as well as politicians’ collaboration in implementation.

Conclusions

The use of the proposed list of 83 conditions for successful implementation may enhance the implementation of interventions and policies which pursue identification of the most successful actions aimed at improving diet, PA and reducing SB.
Zusatzmaterial
Additional file 1: PRISMA checklist, quality evaluation criteria for stakeholders’ documents, descriptive data for all reviewed documents and the list of 312 elicited characteristics (with supporting documents). Description of the file: Additional file includes: (a) the PRISMA checklist; (b) the quality evaluation criteria for stakeholders’ documents (Methodological Quality Checklist for Stakeholders’ Documents and Position Papers (MQC-SP); (c) descriptive data retrieved from systematic reviews, stakeholder documents and position review papers included into the umbrella review; (d) the list of 312 implementation characteristics and references to the documents supporting the characteristics. (DOCX 206 kb)
12889_2015_2585_MOESM1_ESM.docx
Literatur
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