Campbell Elizabeth J, Lee Olstad Dana, Spence John C, Storey Kate E, Nykiforuk Candace I J
School of Public Health, University of Alberta, Edmonton, Alberta, Canada.
Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.
SSM Popul Health. 2020 Jun 8;11:100612. doi: 10.1016/j.ssmph.2020.100612. eCollection 2020 Aug.
School-based daily physical activity (DPA) policies represent a promising intervention for increasing physical activity levels among children. Between 2005 and 2010, five Canadian provinces adopted and implemented DPA policies. This national case study explored facilitators and challenges to developing, adopting and implementing DPA policies from the perspective of key stakeholders ('policy-influencers') in these five provinces.
Development, adoption and implementation of DPA policies at the provincial level was the phenomenon of interest, with each province constituting a distinct case. Semi-structured interviews were conducted with 15 purposively selected policy-influencers across the five case provinces. Cases were first analyzed separately, and then concurrently in a cross-case comparison. Qualitative content analysis was used to code interviews and develop themes.
Four themes related to the development, adoption, and implementation of DPA policies emerged: ; ; ; and, . Each of these themes encompassed facilitators and challenges related to policy processes surrounding development, adoption and implementation of DPA policies.
These findings can inform development of future health-related polices in schools. Stakeholders can, for instance, remain attuned to the opening of political windows and capitalize on them as an opportunity to advocate for policy change or create communities of practice to enhance coordination among policy stakeholders. Future studies that explore why other jurisdictions have failed to adopt DPA policies might yield novel insights regarding leverage points to support widespread diffusion of DPA policies.
以学校为基础的日常体育活动（DPA）政策是增加儿童体育活动水平的一项有前景的干预措施。2005年至2010年期间，加拿大五个省份采用并实施了DPA政策。这项全国性案例研究从这五个省份的关键利益相关者（“政策影响者”）的角度探讨了制定、采用和实施DPA政策的促进因素和挑战。
省级层面DPA政策的制定、采用和实施是研究的关注现象，每个省份构成一个独特案例。对五个案例省份中15名经过有目的挑选的政策影响者进行了半结构化访谈。案例首先分别进行分析，然后在跨案例比较中同时进行分析。采用定性内容分析法对访谈进行编码并确定主题。
出现了与DPA政策的制定、采用和实施相关的四个主题： ； ； ；以及 。这些主题中的每一个都包含了与DPA政策制定、采用和实施相关政策过程的促进因素和挑战。
这些发现可为未来学校健康相关政策的制定提供参考。例如，利益相关者可以持续关注政治窗口的开启，并将其作为倡导政策变革的机会加以利用，或者创建实践社区以加强政策利益相关者之间的协调。未来探讨其他司法管辖区为何未采用DPA政策的研究可能会产生关于支持DPA政策广泛传播的杠杆点的新颖见解。
