Tilburg University, Tilburg School of Social and Behavioral Sciences, Department Tranzo, Scientific Center for Care and Welfare, PO Box 90153, 5000 LE Tilburg, The Netherlands.
Implement Sci. 2011 Dec 15;6:128. doi: 10.1186/1748-5908-6-128.
Although multi-sector policy is a promising strategy to create environments that stimulate physical activity among children, little is known about the feasibility of such a multi-sector policy approach. The aims of this study were: to identify a set of tangible (multi-sector) policy measures at the local level that address environmental characteristics related to physical activity among children; and to assess the feasibility of these measures, as perceived by local policy makers.
In four Dutch municipalities, a Delphi study was conducted among local policy makers of different policy sectors (public health, sports, youth and education, spatial planning/public space, traffic and transportation, and safety). In the first Delphi round, respondents generated a list of possible policy measures addressing three environmental correlates of physical activity among children (social cohesion, accessibility of facilities, and traffic safety). In the second Delphi round, policy makers weighted different feasibility aspects (political feasibility, cultural/community acceptability, technical feasibility, cost feasibility, and legal feasibility) and assessed the feasibility of the policy measures derived from the first round. The third Delphi round was aimed at reaching consensus by feedback of group results. Finally, one overall feasibility score was calculated for each policy measure.
Cultural/community acceptability, political feasibility, and cost feasibility were considered most important feasibility aspects. The Delphi studies yielded 16 feasible policy measures aimed at physical and social environmental correlates of physical activity among children. Less drastic policy measures were considered more feasible, whereas environmental policy measures were considered less feasible.
This study showed that the Delphi technique can be a useful tool in reaching consensus about feasible multi-sector policy measures. The study yielded several feasible policy measures aimed at physical and social environmental correlates of physical activity among children and can assist local policy makers in designing multi-sector policies aimed at an activity-friendly environment for children.
尽管多部门政策是创造激发儿童身体活动环境的一种有前景的策略，但对于这种多部门政策方法的可行性知之甚少。本研究的目的是：确定一套有形的（多部门）政策措施，以解决与儿童身体活动相关的环境特征；并评估这些措施的可行性，即当地政策制定者的看法。
在四个荷兰城市，对不同政策部门（公共卫生、体育、青年和教育、空间规划/公共空间、交通和运输以及安全）的地方政策制定者进行了德尔菲研究。在第一轮德尔菲研究中，受访者提出了一系列可能的政策措施，以解决与儿童身体活动相关的三个环境关联因素（社会凝聚力、设施可达性和交通安全）。在第二轮德尔菲研究中，政策制定者对不同的可行性方面（政治可行性、文化/社区可接受性、技术可行性、成本可行性和法律可行性）进行了加权，并评估了第一轮得出的政策措施的可行性。第三轮德尔菲研究旨在通过小组结果的反馈达成共识。最后，为每个政策措施计算了一个整体可行性得分。
文化/社区可接受性、政治可行性和成本可行性被认为是最重要的可行性方面。德尔菲研究产生了 16 项针对儿童身体活动和社会环境关联因素的可行政策措施。较不激进的政策措施被认为更可行，而环境政策措施则被认为不太可行。
本研究表明，德尔菲技术可以成为达成共识的有用工具，即可行的多部门政策措施。该研究提出了一些针对儿童身体活动的物理和社会环境关联因素的可行政策措施，可以帮助地方政策制定者设计多部门政策，以营造适合儿童活动的环境。
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