Bauman Adrian E, Nelson David E, Pratt Michael, Matsudo Victor, Schoeppe Stephanie
Centre for Physical Activity and Health, Sydney University, Sydney New South Wales, Australia.
Am J Prev Med. 2006 Oct;31(4 Suppl):S57-65. doi: 10.1016/j.amepre.2006.06.026.
The concepts of dissemination can be applied to the international challenges of promoting physical activity. With the 2004 release of the World Health Organization Global Strategy for Diet and Physical Activity, risk factor reduction and noncommunicable disease control are of global health interest. A six-step framework is proposed for understanding the attributes of successful international dissemination. These include the development of clear and evidence based resources or innovations, defining the target audience, selecting communication channels, engaging decision makers, and developing evaluation frameworks around dissemination. Four case studies to illustrate aspects of the framework are presented: (1) learning from dissemination of effective tobacco control initiatives, (2) the experience of developing global measures and surveillance systems for physical activity, (3) case study of disseminating the Agita program-an effective community wide intervention, and (4) disseminating the World Health Organization Global Strategy on Diet and Physical Activity. Substantial similarities across the experiences described in these case studies suggest underlying common themes for international dissemination, but developing a stronger evidence base for dissemination efforts remains a research priority.
传播的概念可应用于促进身体活动的国际挑战。随着世界卫生组织《饮食与身体活动全球战略》于2004年发布，降低风险因素和控制非传染性疾病成为全球健康关注的焦点。本文提出了一个六步框架，用于理解成功的国际传播的属性。这些属性包括开发清晰且基于证据的资源或创新成果、界定目标受众、选择传播渠道、吸引决策者参与，以及围绕传播制定评估框架。本文还介绍了四个案例研究，以说明该框架的各个方面：（1）从有效的烟草控制倡议传播中学习；（2）制定全球身体活动测量和监测系统的经验；（3）传播阿吉塔项目——一项有效的社区范围干预措施的案例研究；（4）传播世界卫生组织《饮食与身体活动全球战略》。这些案例研究中所描述的经验存在大量相似之处，表明国际传播存在潜在的共同主题，但为传播努力建立更强大的证据基础仍是一个研究重点。
