Department of Sport Science and Sport, Friedrich-Alexander University Erlangen-Nuremberg, Gebbertstr. 123b, Erlangen D-91058, Germany.
Health Promot Int. 2021 Dec 13;36(Supplement_2):ii93-ii106. doi: 10.1093/heapro/daab159.
German National Recommendations for Physical Activity (PA) and PA Promotion recommend community-based approaches to promote PA at the local level with a focus on health equity. In addition, the German Federal Prevention Act addresses health equity and strengthens setting-based health promotion in communities. However, the implementation of both in the local context remains a challenge. This article describes Phase 1 of the KOMBINE project that aims to co-produce an action-oriented framework for community-based PA promotion focusing on structural change and health equity. (i) In a series of workshops, key stakeholders and researchers discussed facilitators, barriers and needs of community-based PA promotion focusing on health equity. (ii) The research team used an inductive approach to cluster all findings and to identify key components and then (iii) compared the key components with updated literature. (iv) Key components were discussed and incorporated into a gradually co-produced framework by the participants. The first result of the co-production process was a catalog of nine key components regarding PA-related health promotion in German communities. The comparison of key components with scientific evidence showed a high overlap. Finally, a six-phase action-oriented framework including key components for community-based PA promotion was co-produced. The six-phase action-oriented framework integrates practice-based and scientific evidence on PA-related health promotion and health equity. It represents a shared vision for the implementation of National Recommendations for PA and PA Promotion in Germany. The extent to which structural changes and health equity can be achieved is currently being investigated in pilot-studies.
德国国家体力活动(PA)和 PA 促进建议推荐以社区为基础的方法,在地方一级以健康公平为重点促进 PA。此外,德国联邦预防法解决了健康公平问题,并加强了社区内的基于环境的健康促进。然而,在当地环境中实施这两者仍然是一个挑战。本文描述了 KOMBINE 项目的第一阶段,该项目旨在共同制定一个以结构性变革和健康公平为重点的社区体力活动促进的面向行动的框架。(i) 在一系列研讨会上,主要利益攸关方和研究人员讨论了以健康公平为重点的社区体力活动促进的促进因素、障碍和需求。(ii) 研究小组采用归纳方法对所有发现进行聚类,并确定关键组成部分,然后 (iii) 将关键组成部分与最新文献进行比较。(iv) 关键组成部分由参与者进行讨论和纳入逐步共同制定的框架。共同制定过程的第一个结果是一个关于德国社区与 PA 相关的健康促进的九个关键组成部分的目录。关键组成部分与科学证据的比较显示出高度的重叠。最后,共同制定了一个包括社区体力活动促进的关键组成部分的六阶段面向行动的框架。该六阶段面向行动的框架整合了基于实践和科学证据的与 PA 相关的健康促进和健康公平。它代表了在德国实施国家 PA 和 PA 促进建议的共同愿景。目前正在试点研究中调查结构变革和健康公平的程度。
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