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BMC Public Health
Published in: BMC Public Health 1/2015

Open Access 01-12-2015 | Research article

Good practice characteristics of diet and physical activity interventions and policies: an umbrella review

Authors: Karolina Horodyska, Aleksandra Luszczynska, Matthijs van den Berg, Marieke Hendriksen, Gun Roos, Ilse De Bourdeaudhuij, Johannes Brug

Published in: BMC Public Health | Issue 1/2015

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Abstract

Background

This umbrella review aimed at eliciting good practice characteristics of interventions and policies aiming at healthy diet, increasing physical activity, and lowering sedentary behaviors. Applying the World Health Organization’s framework, we sought for 3 types of characteristics, reflecting: (1) main intervention/policy characteristics, referring to the design, targets, and participants, (2) monitoring and evaluation processes, and (3) implementation issues. This investigation was undertaken by the DEDPIAC Knowledge Hub (the Knowledge Hub on the DEterminants of DIet and Physical ACtivity), which is an action of the European Union’s joint programming initiative.

Methods

A systematic review of reviews and stakeholder documents was conducted. Data from 7 databases was analyzed (99 documents met inclusion criteria). Additionally, resources of 7 major stakeholders (e.g., World Health Organization) were systematically searched (10 documents met inclusion criteria). Overall, the review yielded 74 systematic reviews, 16 position review papers, and 19 stakeholders’ documents. Across characteristics, 25% were supported by ≥ 4 systematic reviews. Further, 25% characteristics were supported by ≥ 3 stakeholders’ documents. If identified characteristics were included in at least 4 systematic reviews or at least 3 stakeholders’ documents, these good practice characteristics were classified as relevant.

Results

We derived a list of 149 potential good practice characteristics, of which 53 were classified as relevant. The main characteristics of intervention/policy (n = 18) fell into 6 categories: the use of theory, participants, target behavior, content development/management, multidimensionality, practitioners/settings. Monitoring and evaluation characteristics (n = 18) were grouped into 6 categories: costs/funding, outcomes, evaluation of effects, time/effect size, reach, the evaluation of participation and generalizability, active components/underlying processes. Implementation characteristics (n = 17) were grouped into eight categories: participation processes, training for practitioners, the use/integration of existing resources, feasibility, maintenance/sustainability, implementation partnerships, implementation consistency/adaptation processes, transferability.

Conclusions

The use of the proposed list of 53 good practice characteristics may foster further development of health promotion sciences, as it would allow for identification of success vectors in the domains of main characteristics of interventions/policies, their implementation, evaluation and monitoring processes.
Appendix
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Metadata
Title
Good practice characteristics of diet and physical activity interventions and policies: an umbrella review
Authors
Karolina Horodyska
Aleksandra Luszczynska
Matthijs van den Berg
Marieke Hendriksen
Gun Roos
Ilse De Bourdeaudhuij
Johannes Brug
Publication date
01-12-2015
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2015
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-015-1354-9

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BMC Public Health 1/2015 Go to the issue

Research article

Diagnostic accuracy of different body weight and height-based definitions of childhood obesity in identifying overfat among Chinese children and adolescents: a cross-sectional study

Study protocol

Protocol for Get Moving: a randomised controlled trial to assess the effectiveness of three minimal contact interventions to promote fitness and physical activity in working adults

Research article

Antiretroviral treatment coverage in a rural district in Tanzania – a modeling study using empirical data

Research article

Assessment of training and technical assistance needs of Colorectal Cancer Control Program Grantees in the U.S.

Research article

Effectiveness of non-pharmaceutical measures in preventing pediatric influenza: a case–control study

Research article

Increased prevalence and incidence of anemia among adults in transforming rural China: two cross-sectional surveys