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- Title
Social, economic, political, and geographical context that counts: meta-review of implementation determinants for policies promoting healthy diet and physical activity.
- Authors
Lobczowska, Karolina; Banik, Anna; Forberger, Sarah; Kaczmarek, Krzysztof; Kubiak, Thomas; Neumann-Podczaska, Agnieszka; Romaniuk, Piotr; Scheidmeir, Marie; Scheller, Daniel A.; Steinacker, Juergen M.; Wendt, Janine; Bekker, Marleen P. M.; Zeeb, Hajo; Luszczynska, Aleksandra; Policy Evaluation Network (PEN) Consortium
- Abstract
<bold>Background: </bold>This meta-review investigated the context-related implementation determinants from seven domains (geographical, epidemiological, sociocultural, economic, ethics-related, political, and legal) that were systematically indicated as occurring during the implementation of obesity prevention policies targeting a healthy diet and a physically active lifestyle.<bold>Methods: </bold>Data from nine databases and documentation of nine major stakeholders were searched for the purpose of this preregistered meta-review (#CRD42019133341). Context-related determinants were considered strongly supported if they were indicated in ≥60% of the reviews/stakeholder documents. The ROBIS tool and the Methodological Quality Checklist-SP were used to assess the quality-related risk of bias.<bold>Results: </bold>Published reviews (k = 25) and stakeholder documents that reviewed the evidence of policy implementation (k = 17) were included. Across documents, the following six determinants from three context domains received strong support: economic resources at the macro (66.7% of analyzed documents) and meso/micro levels (71.4%); sociocultural context determinants at the meso/micro level, references to knowledge/beliefs/abilities of target groups (69.0%) and implementers (73.8%); political context determinants (interrelated policies supported in 71.4% of analyzed reviews/documents; policies within organizations, 69.0%).<bold>Conclusions: </bold>These findings indicate that sociocultural, economic, and political contexts need to be accounted for when formulating plans for the implementation of a healthy diet and physical activity/sedentary behavior policies.
- Publication
BMC Public Health, 2022, Vol 22, Issue 1, p1
- ISSN
1471-2458
- Publication type
journal article
- DOI
10.1186/s12889-022-13340-4