Skip to main content
Top
Published in: Health Research Policy and Systems 1/2012

Open Access 01-12-2012 | Research

Policy assessment and policy development for physical activity promotion: results of an exploratory intervention study in 15 European Nations

Authors: Alfred Rütten, Karim Abu-Omar, Peter Gelius, Susie Dinan-Young, Kerstin Frändin, Marijke Hopman-Rock, Archie Young

Published in: Health Research Policy and Systems | Issue 1/2012

Login to get access

Abstract

Background

Purpose of the study was to test a theoretical model to assess and develop policies for the promotion of physical activity among older people as part of an international intervention study.

Methods

248 semi-standardized interviews with policy-makers were conducted in 15 European nations. The questionnaire assessed policy-makers' perceptions of organizational goals, resources, obligations, as well as organizational, political and public opportunities in the area of physical activity promotion among older people. In order to develop policies, workshops with policy-makers were conducted. Workshop outputs and outcomes were assessed for four nations nine months after the workshops.

Results

Policy assessment: Results of the policy assessment were diverse across nations and policy sectors. For example, organizational goals regarding actions for physical activity promotion were perceived as being most favorably by the sports sector. Organizational obligations for the development of such policies were perceived as being most favorably by the health sector.
Policy development: The workshops resulted in different outputs: a national intersectoral action plan (United Kingdom), a national alliance (Sweden), an integrated policy (the Netherlands), and a continuing dialogue (Germany).

Conclusions

Theory-driven policy assessment and policy-maker workshops might be an important means of scientific engagement in policy development for health promotion.
Appendix
Available only for authorised users
Literature
1.
go back to reference World Health Organisation: Health Promotion Glossary. 1997, Geneva World Health Organisation: Health Promotion Glossary. 1997, Geneva
2.
go back to reference Muckian J: Influencing policy development: the whirling dervish of the autism in-home program. J Pediatr Nurs. 2007, 22 (3): 223-230. 10.1016/j.pedn.2007.03.001.CrossRefPubMed Muckian J: Influencing policy development: the whirling dervish of the autism in-home program. J Pediatr Nurs. 2007, 22 (3): 223-230. 10.1016/j.pedn.2007.03.001.CrossRefPubMed
3.
go back to reference Scheel IB, Hagen KB, Oxman AD: The unbearable lightness of healthcare policy making: a description of a process aimed at giving it some weight. J Epidemiol Community Health. 2003, 57: 483-487. 10.1136/jech.57.7.483.CrossRefPubMedPubMedCentral Scheel IB, Hagen KB, Oxman AD: The unbearable lightness of healthcare policy making: a description of a process aimed at giving it some weight. J Epidemiol Community Health. 2003, 57: 483-487. 10.1136/jech.57.7.483.CrossRefPubMedPubMedCentral
4.
go back to reference Fafard P: Evidence and healthy public policy: insights from health and political sciences. 2008, Québec: National Collaborating Centre for Healthy Public Policy Fafard P: Evidence and healthy public policy: insights from health and political sciences. 2008, Québec: National Collaborating Centre for Healthy Public Policy
5.
go back to reference Weiss CH: The many meanings of research utilization. Public Adm Rev. 1979, 39: 426-431. 10.2307/3109916.CrossRef Weiss CH: The many meanings of research utilization. Public Adm Rev. 1979, 39: 426-431. 10.2307/3109916.CrossRef
6.
go back to reference Thiétart RA, Forgues B: Chaos theory and organisation. Organ Sci. 1995, 6 (1): 19-31. 10.1287/orsc.6.1.19.CrossRef Thiétart RA, Forgues B: Chaos theory and organisation. Organ Sci. 1995, 6 (1): 19-31. 10.1287/orsc.6.1.19.CrossRef
7.
go back to reference Simonsen-Rehn N, Ovretveit J, Laamanen R: Determinants of health promotion action: comparative analysis of local voluntary associations in four municipalities in Finland. Health Promot Int. 2006, 21: 274-283. 10.1093/heapro/dal026.CrossRefPubMed Simonsen-Rehn N, Ovretveit J, Laamanen R: Determinants of health promotion action: comparative analysis of local voluntary associations in four municipalities in Finland. Health Promot Int. 2006, 21: 274-283. 10.1093/heapro/dal026.CrossRefPubMed
8.
go back to reference Hoeijmakers M, De Leeuw E, Kenis P, De Vries NK: Local health policy development in the Netherlands: an expanded toolbox for health promotion. Health Promot Internat. 2007, 2 (2): 112-121.CrossRef Hoeijmakers M, De Leeuw E, Kenis P, De Vries NK: Local health policy development in the Netherlands: an expanded toolbox for health promotion. Health Promot Internat. 2007, 2 (2): 112-121.CrossRef
9.
go back to reference Brownson RC, Ballew P, Dieffenderfer B: Evidence-Based Interventions to Promote Physical Activity. What Contributes to Dissemination by State Health Departments. Am J Prev Med. 2007, 33 (Suppl 1): 66-78.CrossRef Brownson RC, Ballew P, Dieffenderfer B: Evidence-Based Interventions to Promote Physical Activity. What Contributes to Dissemination by State Health Departments. Am J Prev Med. 2007, 33 (Suppl 1): 66-78.CrossRef
10.
go back to reference Shiffman J, Smith S: Generation of political priority for global health initiatives: a framework and case study of maternal mortality. Lancet. 2007, 370: 1370-1379. 10.1016/S0140-6736(07)61579-7.CrossRefPubMed Shiffman J, Smith S: Generation of political priority for global health initiatives: a framework and case study of maternal mortality. Lancet. 2007, 370: 1370-1379. 10.1016/S0140-6736(07)61579-7.CrossRefPubMed
11.
go back to reference Saxena S, Lora A, Ommeren M: WHO's assessment instrument for mental health systems: collecting essential information for policy and service delivery. Psychiatr Serv. 2007, 58 (6): 816-821. 10.1176/appi.ps.58.6.816.CrossRefPubMed Saxena S, Lora A, Ommeren M: WHO's assessment instrument for mental health systems: collecting essential information for policy and service delivery. Psychiatr Serv. 2007, 58 (6): 816-821. 10.1176/appi.ps.58.6.816.CrossRefPubMed
12.
go back to reference Countdown Working Group on Health Policy and Health Systems: Assessment of the health system and policy environment as a critical complement to tracking intervention coverage for maternal, newborn, and child health. Lancet. 2008, 371: 1284-1293.CrossRef Countdown Working Group on Health Policy and Health Systems: Assessment of the health system and policy environment as a critical complement to tracking intervention coverage for maternal, newborn, and child health. Lancet. 2008, 371: 1284-1293.CrossRef
13.
go back to reference World Health Organization: Global strategy on diet, physical activity and health. 2004, 57 th World Health Assembly Resolution No 57.17 World Health Organization: Global strategy on diet, physical activity and health. 2004, 57 th World Health Assembly Resolution No 57.17
14.
go back to reference World Health Organization: European Charter on Counteracting Obesity. 2006, WHO European Ministerial Conference on Counteracting Obesity, EUR/06/5062700/8 World Health Organization: European Charter on Counteracting Obesity. 2006, WHO European Ministerial Conference on Counteracting Obesity, EUR/06/5062700/8
15.
go back to reference European Commission: Green Paper Promoting healthy diets and physical activity: a European dimension for the prevention of overweight, obesity and chronic diseases. 2005, Commission of the European Communities, COM(2005) 637 final European Commission: Green Paper Promoting healthy diets and physical activity: a European dimension for the prevention of overweight, obesity and chronic diseases. 2005, Commission of the European Communities, COM(2005) 637 final
16.
go back to reference European Commission: White Paper on Sport. 2007, Commission of the European Communities, COM(2007) 391 final European Commission: White Paper on Sport. 2007, Commission of the European Communities, COM(2007) 391 final
18.
go back to reference Landry R, Amara N, Lamari M: Utilization of social science research knowledge in Canada. Research Policy. 2001, 30: 333-349. 10.1016/S0048-7333(00)00081-0.CrossRef Landry R, Amara N, Lamari M: Utilization of social science research knowledge in Canada. Research Policy. 2001, 30: 333-349. 10.1016/S0048-7333(00)00081-0.CrossRef
19.
go back to reference Rütten A, Gelius P, Abu-Omar K: Policy development and implementation in health promotion-from theory to practice: the ADEPT model. Health Promot Int. 2011, 26 (3): 322-329. 10.1093/heapro/daq080.CrossRefPubMed Rütten A, Gelius P, Abu-Omar K: Policy development and implementation in health promotion-from theory to practice: the ADEPT model. Health Promot Int. 2011, 26 (3): 322-329. 10.1093/heapro/daq080.CrossRefPubMed
20.
go back to reference von Wright GH: Determinism and the study of man. Essays on Explanation and Understanding. Edited by: Manninen J, Tuomela R. 1976, Dordrecht: D Reide, 415-435.CrossRef von Wright GH: Determinism and the study of man. Essays on Explanation and Understanding. Edited by: Manninen J, Tuomela R. 1976, Dordrecht: D Reide, 415-435.CrossRef
21.
go back to reference Rütten A, Lüschen G, von Lengerke T: Health Promotion Policy in Europe. Rationality, Impact, and Evaluation. 2000, Munich: Oldenbourg Rütten A, Lüschen G, von Lengerke T: Health Promotion Policy in Europe. Rationality, Impact, and Evaluation. 2000, Munich: Oldenbourg
22.
go back to reference Rütten A, Abel T, von Lengerke T: Self reported physical activity, public health, and perceived environment: results from a comparative European study. J Epidemiol Community Health. 2001, 55 (2): 139-146. 10.1136/jech.55.2.139.CrossRefPubMedPubMedCentral Rütten A, Abel T, von Lengerke T: Self reported physical activity, public health, and perceived environment: results from a comparative European study. J Epidemiol Community Health. 2001, 55 (2): 139-146. 10.1136/jech.55.2.139.CrossRefPubMedPubMedCentral
23.
go back to reference Rütten A, Lüschen G, von Lengerke T: Determinants of health policy impact: a theoretical framework for policy analysis. Soz Praventivmed. 2003, 48: 293-300. 10.1007/s00038-003-2118-3.CrossRefPubMed Rütten A, Lüschen G, von Lengerke T: Determinants of health policy impact: a theoretical framework for policy analysis. Soz Praventivmed. 2003, 48: 293-300. 10.1007/s00038-003-2118-3.CrossRefPubMed
24.
go back to reference Bownen SK, Saunders RP, Richter DL, Hussey J, Elder K, Lindley L: Assessing levels of adaptation during implementation of evidence-based interventions: introducing the Rogers-Rütten framework. Health Educ Behav. 2010, 37 (6): 815-830. 10.1177/1090198110366002.CrossRef Bownen SK, Saunders RP, Richter DL, Hussey J, Elder K, Lindley L: Assessing levels of adaptation during implementation of evidence-based interventions: introducing the Rogers-Rütten framework. Health Educ Behav. 2010, 37 (6): 815-830. 10.1177/1090198110366002.CrossRef
25.
go back to reference Rütten A, Röger U, Abu-Omar K, Frahsa A: Assessment of organizational readiness for health promotion policy implementation: test of a theoretical model. Health Promot Int. 2009, 24 (3): 243-251. 10.1093/heapro/dap016.CrossRefPubMed Rütten A, Röger U, Abu-Omar K, Frahsa A: Assessment of organizational readiness for health promotion policy implementation: test of a theoretical model. Health Promot Int. 2009, 24 (3): 243-251. 10.1093/heapro/dap016.CrossRefPubMed
26.
go back to reference Brownson RC, Chriqui JF, Stamatakis KA: Understanding evidence-based public health policy. Am J Public Health. 2009, 99 (9): 1576-1582. 10.2105/AJPH.2008.156224.CrossRefPubMedPubMedCentral Brownson RC, Chriqui JF, Stamatakis KA: Understanding evidence-based public health policy. Am J Public Health. 2009, 99 (9): 1576-1582. 10.2105/AJPH.2008.156224.CrossRefPubMedPubMedCentral
27.
go back to reference Theories of the Policy Process. Edited by: Sabatier PA. 2007, Boulder: Westview Press Theories of the Policy Process. Edited by: Sabatier PA. 2007, Boulder: Westview Press
28.
go back to reference Kiser L, Ostrom E: The three worlds of action: a metatheoretical synthesis of institutional approaches. Strategies of Political Inquiry. Edited by: Ostrom E. 1982, Beverly Hills: Sage, 179-222. Kiser L, Ostrom E: The three worlds of action: a metatheoretical synthesis of institutional approaches. Strategies of Political Inquiry. Edited by: Ostrom E. 1982, Beverly Hills: Sage, 179-222.
29.
go back to reference Ostrom E: Understanding Institutional Diversity. 2005, Princeton, New York: Princeton University Press Ostrom E: Understanding Institutional Diversity. 2005, Princeton, New York: Princeton University Press
30.
go back to reference Ostrom E: Challenges and growth: The development of the interdisciplinary field of institutional analysis. Journal of Institutional Economics. 2007, 3 (3): 239-264.CrossRef Ostrom E: Challenges and growth: The development of the interdisciplinary field of institutional analysis. Journal of Institutional Economics. 2007, 3 (3): 239-264.CrossRef
31.
go back to reference Kingdon J: Agendas, Alternatives, and Public Policies. 2003, New York: Longman Kingdon J: Agendas, Alternatives, and Public Policies. 2003, New York: Longman
32.
go back to reference Zahariadis N: The Multiple Streams Framework. Structure, Limitations, Prospects. Theories of the Policy Process. Edited by: Sabatier P. 2007, Boulder: Westview, 65-92. Zahariadis N: The Multiple Streams Framework. Structure, Limitations, Prospects. Theories of the Policy Process. Edited by: Sabatier P. 2007, Boulder: Westview, 65-92.
33.
go back to reference Hupe PL, Hill ML: The three action levels of governance: reframing the policy process beyond the stages model. Handbook of Public Policy. Edited by: Guy BP, Pierre J. 2006, London: Sage, 13-30.CrossRef Hupe PL, Hill ML: The three action levels of governance: reframing the policy process beyond the stages model. Handbook of Public Policy. Edited by: Guy BP, Pierre J. 2006, London: Sage, 13-30.CrossRef
34.
go back to reference Przeworski A, Teune H: The logic of comparative social inquiry. 1970, Malabar: Krieger Publishing Przeworski A, Teune H: The logic of comparative social inquiry. 1970, Malabar: Krieger Publishing
35.
go back to reference Rütten A, von Lengerke T, Abel T: Policy, competence and participation: empirical evidence for a multilevel health promotion model. Health Promot Int. 2000, 15 (1): 35-47.CrossRef Rütten A, von Lengerke T, Abel T: Policy, competence and participation: empirical evidence for a multilevel health promotion model. Health Promot Int. 2000, 15 (1): 35-47.CrossRef
36.
go back to reference Esping-Andersen G: The three worlds of welfare capitalism. 1990, Cambridge: Polity Press Esping-Andersen G: The three worlds of welfare capitalism. 1990, Cambridge: Polity Press
37.
go back to reference Goldthorpe JH: Current issues in comparative macrosociology: A debate on methodological issues. Comp Soc Res. 1997, 16: 1-26. Goldthorpe JH: Current issues in comparative macrosociology: A debate on methodological issues. Comp Soc Res. 1997, 16: 1-26.
38.
go back to reference Weber M: Gesammelte Aufsätze zur Wissenschaftslehre. 1985, Tübingen: Reclam Weber M: Gesammelte Aufsätze zur Wissenschaftslehre. 1985, Tübingen: Reclam
39.
go back to reference Lewin K: Action research and minority problems. J Soc Issues. 1946, 2 (4): 34-46. 10.1111/j.1540-4560.1946.tb02295.x.CrossRef Lewin K: Action research and minority problems. J Soc Issues. 1946, 2 (4): 34-46. 10.1111/j.1540-4560.1946.tb02295.x.CrossRef
40.
go back to reference World Health Organisation: Global strategy on diet, physical activity and health. A framework to monitor and evaluate implementation. 2006 World Health Organisation: Global strategy on diet, physical activity and health. A framework to monitor and evaluate implementation. 2006
Metadata
Title
Policy assessment and policy development for physical activity promotion: results of an exploratory intervention study in 15 European Nations
Authors
Alfred Rütten
Karim Abu-Omar
Peter Gelius
Susie Dinan-Young
Kerstin Frändin
Marijke Hopman-Rock
Archie Young
Publication date
01-12-2012
Publisher
BioMed Central
Published in
Health Research Policy and Systems / Issue 1/2012
Electronic ISSN: 1478-4505
DOI
https://doi.org/10.1186/1478-4505-10-14

Other articles of this Issue 1/2012

Health Research Policy and Systems 1/2012 Go to the issue