Department of Sociology, Faculty of Social Sciences and Health, Durham University, 32 Old Elvet, Durham, DH1 3HN, UK.
NINE Doctoral Training Partnership, C/O Faculty of Social Sciences and Health, Durham University, Arthur Holmes Building, Durham, DH1 3LE, UK.
BMC Public Health. 2020 Nov 23;20(1):1760. doi: 10.1186/s12889-020-09847-3.
Increasingly, national policy initiatives and programmes have been developed to increase physical activity (PA). However, challenges in implementing and translating these policies into effective local-level programmes have persisted, and change in population PA levels has been small. This may be due to insufficient attention given to the implementation context, and the limited interactions between local policy-makers, practitioners and researchers. In this paper we use a case study of a cross-sectoral network in Northeast England, to identify the local-level challenges and opportunities for implementing PA policies and programmes, particularly the updated 2019 UK PA guidelines.
Five focus groups (n = 59) were conducted with practice partners, local policy-makers and researchers during an initial workshop in April 2018. Through facilitated discussion, participants considered regional priorities for research and practice, along with barriers to implementing this agenda and how these may be overcome. During a second workshop in December 2018, overarching findings from workshop one were fedback to a similar group of stakeholders, along with national policy-makers, to stimulate feedback from delegates on experiences that may support the implementation of the UK PA guidelines locally, focusing on specific considerations for research, evidence and knowledge exchange.
In workshop one, three overarching themes were developed to capture local challenges and needs: (i) understanding complexity and context; (ii) addressing the knowledge and skills gap; and (iii) mismatched timescales and practices. In workshop two, participants' implementation plans encompassed: (i) exploring a systems approach to implementation; (ii) adapting policy to context; and (iii) local prioritising.
Our findings suggest that academics, practitioners and policy-makers understand the complexities of implementing PA strategies, and the challenges of knowledge exchange. The updated UK PA guidelines policy presented an opportunity for multiple agencies to consider context-specific implementation and address enduring tensions between stakeholders. An organically derived implementation plan that prioritises PA, maps links to relevant local policies and supports a context-appropriate communication strategy, within local policy, practice and research networks, will help address these. We present 10 guiding principles to support transferable knowledge exchange activities within networks to facilitate implementation of national PA policy in local contexts.
越来越多的国家政策倡议和计划被制定出来以增加身体活动（PA）。然而，将这些政策转化为有效的地方层面计划的实施和翻译仍然存在挑战，而人口 PA 水平的变化很小。这可能是由于对实施背景的关注不够，以及地方政策制定者、实践者和研究人员之间的互动有限。在本文中，我们使用英格兰东北部一个跨部门网络的案例研究，来确定实施 PA 政策和计划，特别是 2019 年英国 PA 指南更新版的地方层面的挑战和机遇。
2018 年 4 月，在一次初步研讨会上，我们进行了五次焦点小组（n=59），参与者包括实践伙伴、地方政策制定者和研究人员。通过有组织的讨论，参与者考虑了研究和实践的区域重点，以及实施这一议程的障碍，以及如何克服这些障碍。在 2018 年 12 月的第二次研讨会上，我们向类似的利益相关者团体以及国家政策制定者反馈了第一次研讨会的总体结果，以激发代表们就可能支持英国 PA 指南在地方层面实施的经验提供反馈，重点是研究、证据和知识交流的具体考虑因素。
在第一次研讨会上，我们制定了三个总主题来捕捉地方层面的挑战和需求：（i）理解复杂性和背景；（ii）解决知识和技能差距；（iii）时间安排和实践不匹配。在第二次研讨会上，参与者的实施计划包括：（i）探索实施的系统方法；（ii）使政策适应背景；（iii）地方优先化。
我们的研究结果表明，学者、实践者和政策制定者理解实施 PA 策略的复杂性，以及知识交流的挑战。更新后的英国 PA 指南政策为多个机构提供了机会，让他们考虑具体背景下的实施，并解决利益相关者之间长期存在的紧张关系。一个优先考虑 PA 的有机衍生实施计划，将 PA 与相关的地方政策联系起来，并在地方政策、实践和研究网络内支持适当的沟通策略，将有助于解决这些问题。我们提出了 10 条指导原则，以支持网络内可转移知识交流活动，促进国家 PA 政策在地方层面的实施。
