J Phys Act Health. 2019 Nov 1;16(11):1029-1038. doi: 10.1123/jpah.2019-0122. Epub 2019 Sep 1.
The value of a systems thinking approach to tackling population physical inactivity is increasingly recognized. This study used conceptual systems thinking to develop a cognitive map for physical activity (PA) influences and intervention points, which informed a standardized approach to the coding and notation of PA-related policies in Australia.
Policies were identified through desktop searches and input from 33 nominated government representatives attending 2 national PA policy workshops. Documents were audited using predefined criteria spanning policy development, strategic approaches to PA, implementation processes, and evaluation. Data were analyzed using descriptive statistics.
The audit included 110 policies, mainly led by the health or planning/infrastructure sectors (n = 54, 49%). Most policies purporting to promote PA did so as a cobenefit of another objective that was not focused on PA (n = 63, 57%). An intention to monitor progress was indicated in most (n = 94, 85%); however, fewer than half (n = 52, 47%) contained evaluable goals/actions relevant to PA. Descriptions of resourcing/funding arrangements were generally absent or lacked specific commitment (n = 67, 61%).
This study describes current PA-relevant policy in Australia and identifies opportunities for improving coordination, implementation, and evaluation to strengthen a whole-of-system and cross-agency approach to increasing population PA.
越来越多的人认识到采用系统思维方法解决人口身体活动不足问题的价值。本研究使用概念系统思维方法为身体活动（PA）影响和干预点构建认知图，为澳大利亚 PA 相关政策的编码和标记提供了标准化方法。
通过桌面搜索和参加 2 次全国 PA 政策研讨会的 33 名指定政府代表的意见，确定了政策。使用涵盖政策制定、PA 战略方法、实施过程和评估的预定义标准对文件进行审核。使用描述性统计分析数据。
审核包括 110 项政策，主要由卫生或规划/基础设施部门（n = 54，49%）牵头。大多数声称促进 PA 的政策都是作为另一项目标（非聚焦于 PA）的附带好处（n = 63，57%）。大多数政策（n = 94，85%）表示有意监测进展情况；但只有不到一半（n = 52，47%）包含与 PA 相关的可评估目标/行动。资源/资金安排的描述通常缺失或缺乏具体承诺（n = 67，61%）。
本研究描述了澳大利亚当前与 PA 相关的政策，并确定了改善协调、实施和评估的机会，以加强全系统和跨机构的方法，提高人口 PA。
