Skip to main content
Top
Published in: Health Research Policy and Systems 1/2015

Open Access 01-12-2015 | Research

Exploring the use of research evidence in health-enhancing physical activity policies

Authors: Riitta-Maija Hämäläinen, Arja R. Aro, Ien van de Goor, Cathrine Juel Lau, Mette Winge Jakobsen, Razvan M. Chereches, Ahmed M Syed, On behalf of the REPOPA Consortium

Published in: Health Research Policy and Systems | Issue 1/2015

Login to get access

Abstract

Background

The gaps observed between the use of research evidence and policy have been reported to be based on the different methods of using research evidence in policymaking by researchers and actual policymakers. Some policies and policymaking processes may therefore be particularly well informed by research evidence compared to others. The aims of the present article are to explore the use of research evidence in health-enhancing physical activity (HEPA) policies, identify when research evidence was used, and find what other types of evidence were employed in HEPA policymaking.

Methods

Multidisciplinary teams from six EU member states analysed the use of research evidence and other kinds of evidence in 21 HEPA policies and interviewed 86 key policymakers involved in the policies. Qualitative content analysis was conducted on both policy documents and interview data.

Results

Research evidence was mostly used to justify the creation of HEPA policies and, generally, implicitly without citation. The policies analysed used many types of evidence other than citable research. The evidence used in HEPA policies was found to fall into the following categories: societal framework, media, everyday knowledge and intuition, research evidence, and other types of evidence.

Conclusions

Research evidence seems to be the only type of evidence used in policymaking. Competition between the use of other types of evidence and research evidence is constant due to the various sources of information on the Internet and elsewhere. However, researchers need to understand their role in translating research evidence into policymaking processes.
Literature
1.
go back to reference World Health Organization. Global recommendations on physical activity for health. Geneva: WHO; 2010. World Health Organization. Global recommendations on physical activity for health. Geneva: WHO; 2010.
2.
go back to reference Lee I-M, Shiroma EJ, Lobelo F, Puska P, Blair SN, Katzmarzyk PT, et al. Effect of physical inactivity on major non-communicable diseases worldwide: an analysis of burden of disease and life expectancy. Lancet. 2012;380:9838. Lee I-M, Shiroma EJ, Lobelo F, Puska P, Blair SN, Katzmarzyk PT, et al. Effect of physical inactivity on major non-communicable diseases worldwide: an analysis of burden of disease and life expectancy. Lancet. 2012;380:9838.
3.
go back to reference Woods C, Mutrie N. Putting physical activity on the policy agenda. Quest. 2012;64:7.CrossRef Woods C, Mutrie N. Putting physical activity on the policy agenda. Quest. 2012;64:7.CrossRef
4.
go back to reference World Health Organization. Global strategy on diet, physical activity and health. Geneva: WHO; 2004. World Health Organization. Global strategy on diet, physical activity and health. Geneva: WHO; 2004.
5.
go back to reference Bucksch J, Schlicht W. Health-enhancing physical activity and the prevention of chronic diseases – an epidemiological review. Soz Praventiv Med. 2006;51:5.CrossRef Bucksch J, Schlicht W. Health-enhancing physical activity and the prevention of chronic diseases – an epidemiological review. Soz Praventiv Med. 2006;51:5.CrossRef
6.
go back to reference Proper KI, Singh AS, van Mechelen W, Chinapaw MJ. Sedentary behaviours and health outcomes among adults: a systematic review of prospective studies. Am J Prev Med. 2011;40:2.CrossRef Proper KI, Singh AS, van Mechelen W, Chinapaw MJ. Sedentary behaviours and health outcomes among adults: a systematic review of prospective studies. Am J Prev Med. 2011;40:2.CrossRef
7.
go back to reference Lim SS, Vos T, Flaxman AD, Danaei G, Shibuya K, Adair-Rohani H, et al. A comparative risk assessment of burden of diseases and injury attributable to 67 risk factors. Lancet. 2012;380:9859.CrossRef Lim SS, Vos T, Flaxman AD, Danaei G, Shibuya K, Adair-Rohani H, et al. A comparative risk assessment of burden of diseases and injury attributable to 67 risk factors. Lancet. 2012;380:9859.CrossRef
8.
go back to reference Bull FC, Milton K, Kahlemeier S. National policy on physical activity: the development of a policy audit tool (PAT). J Phys Act Health. 2014;11:2. Bull FC, Milton K, Kahlemeier S. National policy on physical activity: the development of a policy audit tool (PAT). J Phys Act Health. 2014;11:2.
9.
go back to reference Kahlemeier S, Wijnhoven TMA, Alpiger P, Scheweizer C, Breda J, Martin BW. National physical activity recommendations: systematic overview and analysis of the situation in European countries. BMC Public Health. 2015;15:133.CrossRef Kahlemeier S, Wijnhoven TMA, Alpiger P, Scheweizer C, Breda J, Martin BW. National physical activity recommendations: systematic overview and analysis of the situation in European countries. BMC Public Health. 2015;15:133.CrossRef
11.
go back to reference Hanney SR, González-Block MA, Buxton MJ, Kogan M. The utilisation of health research in policy-making: concepts, examples and methods of assessment. Health Res Policy Syst. 2013;1:2.CrossRef Hanney SR, González-Block MA, Buxton MJ, Kogan M. The utilisation of health research in policy-making: concepts, examples and methods of assessment. Health Res Policy Syst. 2013;1:2.CrossRef
12.
go back to reference Dobbins M, DeCorby K, Robeson P, Husson H, Tirilis D, Greco L. A knowledge management tool for public health: health-evidence.ca. BMC Public Health. 2010;10:496.CrossRefPubMedPubMedCentral Dobbins M, DeCorby K, Robeson P, Husson H, Tirilis D, Greco L. A knowledge management tool for public health: health-evidence.ca. BMC Public Health. 2010;10:496.CrossRefPubMedPubMedCentral
13.
go back to reference Lavis JN, Boyko JA, Oxman AD, Lewin S, Fretheim A. SUPPORT Tools for evidence-informed health Policymaking (STP) 14: Organising and using policy dialogues to support evidence – informed policymaking. Health Res Policy Syst. 2009;7 Suppl 1:S14.CrossRefPubMedPubMedCentral Lavis JN, Boyko JA, Oxman AD, Lewin S, Fretheim A. SUPPORT Tools for evidence-informed health Policymaking (STP) 14: Organising and using policy dialogues to support evidence – informed policymaking. Health Res Policy Syst. 2009;7 Suppl 1:S14.CrossRefPubMedPubMedCentral
15.
go back to reference Lavis JN, Ross SE, Hurley JE, Hohenadel JM, Stoddart GL, Woodward CA, et al. Examining the role of health services research in public policymaking. Milbank Q. 2002;80:1.CrossRef Lavis JN, Ross SE, Hurley JE, Hohenadel JM, Stoddart GL, Woodward CA, et al. Examining the role of health services research in public policymaking. Milbank Q. 2002;80:1.CrossRef
16.
go back to reference Liverani M, Hawkins B, Parkhurst JO. Political and institutional influences on the use of evidence in public health policy. A systematic review PLos One. 2013;8:277404. Liverani M, Hawkins B, Parkhurst JO. Political and institutional influences on the use of evidence in public health policy. A systematic review PLos One. 2013;8:277404.
18.
go back to reference Daugbjerg SB, Kahlmeier S, Racioppi F, Martin-Diener E, Martin B, Oja P, et al. Promotion of physical activity in the European region: content analysis of 27 national policy documents. J Phys Act Health. 2009;6:6.CrossRef Daugbjerg SB, Kahlmeier S, Racioppi F, Martin-Diener E, Martin B, Oja P, et al. Promotion of physical activity in the European region: content analysis of 27 national policy documents. J Phys Act Health. 2009;6:6.CrossRef
19.
go back to reference Bornstein DB, Pate RR, Pratt M. A review of the national physical activity plans of six countries. J Phys Act Health. 2009;6 Suppl 2:S245–64.CrossRefPubMed Bornstein DB, Pate RR, Pratt M. A review of the national physical activity plans of six countries. J Phys Act Health. 2009;6 Suppl 2:S245–64.CrossRefPubMed
20.
go back to reference Cavill N, Foster C, Oja P, Martin BW. An evidence-based approach to physical activity promotion and policy development in Europe: contrasting case studies. Promotion Education. 2006;13:2.CrossRef Cavill N, Foster C, Oja P, Martin BW. An evidence-based approach to physical activity promotion and policy development in Europe: contrasting case studies. Promotion Education. 2006;13:2.CrossRef
21.
go back to reference World Health Organization Regional Office for Europe. Review of physical activity promotion policy development and legislation in European Union Member states. Copenhagen: WHO; 2010. World Health Organization Regional Office for Europe. Review of physical activity promotion policy development and legislation in European Union Member states. Copenhagen: WHO; 2010.
22.
go back to reference Christiansen NV, Kahlmeier S, Racioppi F. Sport promotion policies in the European Union: results of a content analysis. Scand J Med Sci Spor. 2014;24(2):428–38.CrossRef Christiansen NV, Kahlmeier S, Racioppi F. Sport promotion policies in the European Union: results of a content analysis. Scand J Med Sci Spor. 2014;24(2):428–38.CrossRef
23.
go back to reference Falkner G. Policy networks in a multi-level system: convergence towards moderate diversity? West European Politics. 2000;23(4):94–120.CrossRef Falkner G. Policy networks in a multi-level system: convergence towards moderate diversity? West European Politics. 2000;23(4):94–120.CrossRef
24.
go back to reference Scharpf FW. Governing in Europe. Effective and democratic? Oxford: Oxford University Press; 1999.CrossRef Scharpf FW. Governing in Europe. Effective and democratic? Oxford: Oxford University Press; 1999.CrossRef
25.
go back to reference Schmidt VA. Approaches to the study of European politics. ECSA Rev. 1999;XII:2. Schmidt VA. Approaches to the study of European politics. ECSA Rev. 1999;XII:2.
26.
go back to reference Kingdon JW. Agendas, alternatives, and public policies. 2nd ed. Glenview, IL: HarperCollins College Publishers; 1995. Kingdon JW. Agendas, alternatives, and public policies. 2nd ed. Glenview, IL: HarperCollins College Publishers; 1995.
27.
go back to reference Walt G. Health policy: an introduction to process and power. London: Zed Books; 1996. Walt G. Health policy: an introduction to process and power. London: Zed Books; 1996.
28.
go back to reference Fafard P. Evidence and healthy public policy: insights for health and political science. Ottawa: National Collaborating Centre for Healthy Public Policy; 2008. Fafard P. Evidence and healthy public policy: insights for health and political science. Ottawa: National Collaborating Centre for Healthy Public Policy; 2008.
29.
go back to reference Aro AR, Bertram M, Hämäläinen R-M, Van De Goor I, Skovgaard T, Valente A, et al. Integrating research evidence and physical activity policy making – REPOPA project. Health Promot Int. 2015. Ahead of print. Aro AR, Bertram M, Hämäläinen R-M, Van De Goor I, Skovgaard T, Valente A, et al. Integrating research evidence and physical activity policy making – REPOPA project. Health Promot Int. 2015. Ahead of print.
30.
go back to reference Langley A, Mintzberg H, Pitcher P, Posda E, Saint-Macary J. Opening up decision making: the view from the black stool. Organ Sci. 1995;6(3):260–79.CrossRef Langley A, Mintzberg H, Pitcher P, Posda E, Saint-Macary J. Opening up decision making: the view from the black stool. Organ Sci. 1995;6(3):260–79.CrossRef
31.
go back to reference Knott J, Wildawsky A. If dissemination is a solution, what is the problem? Knowledge: creation, diffusion, utilization. Sci Commun. 1980;1:537–8.CrossRef Knott J, Wildawsky A. If dissemination is a solution, what is the problem? Knowledge: creation, diffusion, utilization. Sci Commun. 1980;1:537–8.CrossRef
32.
go back to reference Dobbins M, Jack S, Thomas H, Kothari A. Public health decision-makers’ informational needs and preferences for receiving research evidence. Worldviews Evid Based Nur. 2007;4:3. Dobbins M, Jack S, Thomas H, Kothari A. Public health decision-makers’ informational needs and preferences for receiving research evidence. Worldviews Evid Based Nur. 2007;4:3.
33.
go back to reference Brownson RC, Fielding JE, Maylahn CM. Evidence-based public health: a fundamental concept for public health practice. Annu Rev Publ Health. 2009;30:175–201.CrossRef Brownson RC, Fielding JE, Maylahn CM. Evidence-based public health: a fundamental concept for public health practice. Annu Rev Publ Health. 2009;30:175–201.CrossRef
34.
go back to reference Weiss C. The many meanings of research utilization. Public Admin Rev. 1979;39:5.CrossRef Weiss C. The many meanings of research utilization. Public Admin Rev. 1979;39:5.CrossRef
35.
go back to reference Strauss SE, Tetroe J, Graham I. Defining knowledge translation. Can Med Assoc. 2009;181:3–4. Strauss SE, Tetroe J, Graham I. Defining knowledge translation. Can Med Assoc. 2009;181:3–4.
36.
go back to reference Graham ID, Logan J, Harrison MB, Straus SE, Tetroe J, Caswell W, et al. Lost in knowledge translation: time for a map? J Contin Educ Health. 2006;26:1.CrossRef Graham ID, Logan J, Harrison MB, Straus SE, Tetroe J, Caswell W, et al. Lost in knowledge translation: time for a map? J Contin Educ Health. 2006;26:1.CrossRef
37.
go back to reference Kothari A, MacLean L, Edwards N. Increasing capacity for knowledge translation: understanding how some researchers engage policy makers. Evidence Policy. 2009;5(1):33–51.CrossRef Kothari A, MacLean L, Edwards N. Increasing capacity for knowledge translation: understanding how some researchers engage policy makers. Evidence Policy. 2009;5(1):33–51.CrossRef
38.
go back to reference Orton L, Lloyd-Williams F, Taylor-Robinson D, O’Flaherty M, Capewell S. The use of research evidence in public health decision making processes: systematic review. PLoS One. 2011;6(7), e21704.CrossRefPubMedPubMedCentral Orton L, Lloyd-Williams F, Taylor-Robinson D, O’Flaherty M, Capewell S. The use of research evidence in public health decision making processes: systematic review. PLoS One. 2011;6(7), e21704.CrossRefPubMedPubMedCentral
39.
go back to reference Ritchie J, Spencer L. Qualitative data analysis for applied policy research. In: Bryman A, Burges RG, editors. Analyzing qualitative data. Taylor & Francis e-Library. 2002. p. 173–94. Ritchie J, Spencer L. Qualitative data analysis for applied policy research. In: Bryman A, Burges RG, editors. Analyzing qualitative data. Taylor & Francis e-Library. 2002. p. 173–94.
41.
go back to reference Lavis JN, Robertson D, Woodside JM, McLeod CB, Abelson J. Knowledge Transfer Study Group. How can research organizations more effectively transfer research knowledge to decision makers? Milbank Q. 2003;81:2.CrossRef Lavis JN, Robertson D, Woodside JM, McLeod CB, Abelson J. Knowledge Transfer Study Group. How can research organizations more effectively transfer research knowledge to decision makers? Milbank Q. 2003;81:2.CrossRef
42.
go back to reference Lavis JN, Wilson MG, Oxman AD, Lewin S, Fretheim A. SUPPORT Tools for evidence-informed health Policymaking (STP) 4: using research evidence to clarify a problem. Health Res Policy Syst. 2009;7 Suppl 1:S4.CrossRefPubMedPubMedCentral Lavis JN, Wilson MG, Oxman AD, Lewin S, Fretheim A. SUPPORT Tools for evidence-informed health Policymaking (STP) 4: using research evidence to clarify a problem. Health Res Policy Syst. 2009;7 Suppl 1:S4.CrossRefPubMedPubMedCentral
43.
go back to reference Bouckaert G. Dissemination of scientific knowledge on reforming public administration: some changing mechanisms. In: Virtanen P, Stenvall J, Rannisto P-H, editors. Tiedolla johtaminen (Management by knowledge). Tampere: Tampere University Press; 2015. Bouckaert G. Dissemination of scientific knowledge on reforming public administration: some changing mechanisms. In: Virtanen P, Stenvall J, Rannisto P-H, editors. Tiedolla johtaminen (Management by knowledge). Tampere: Tampere University Press; 2015.
44.
go back to reference Best A, Holmes B. Systems thinking, knowledge and action: towards better models and methods. Evidence Policy. 2010;6(2):145–59.CrossRef Best A, Holmes B. Systems thinking, knowledge and action: towards better models and methods. Evidence Policy. 2010;6(2):145–59.CrossRef
Metadata
Title
Exploring the use of research evidence in health-enhancing physical activity policies
Authors
Riitta-Maija Hämäläinen
Arja R. Aro
Ien van de Goor
Cathrine Juel Lau
Mette Winge Jakobsen
Razvan M. Chereches
Ahmed M Syed
On behalf of the REPOPA Consortium
Publication date
01-12-2015
Publisher
BioMed Central
Published in
Health Research Policy and Systems / Issue 1/2015
Electronic ISSN: 1478-4505
DOI
https://doi.org/10.1186/s12961-015-0047-2

Other articles of this Issue 1/2015

Health Research Policy and Systems 1/2015 Go to the issue