Department of Public Health, School of Medicine, Universidad de los Andes, Carrera 1 #18ª-12, Bogotá, Colombia.
Department of Industrial Engineering, School of Engineering, Universidad de los Andes, Carrera 1 #18ª-12, Bogotá, Colombia.
Health Promot Int. 2022 Jun 1;37(3). doi: 10.1093/heapro/daac073.
Benefits of physical activity (PA) in breast cancer survivors (BCS) are well established. However, programs to promote PA among BCS tailored to real-world contexts within low- to middle-income countries are limited. Cross-sector co-creation can be key to effective and scalable programs for BCS in these countries. This study aimed to evaluate the networking process to engage multisector stakeholders in the co-creation of a PA program for Colombian BCS called My Body. We employed a mixed-methods design including semistructured interviews, workshops and a social network analysis of centrality measures to assess stakeholders' engagement, resources and skills enabling the collaborative work, challenges, outcomes and lessons learned. The descriptive analysis and the centrality measures of the network revealed that 19 cross-sector stakeholders engaged in the My Body collaborative network. Through ongoing communication and cooperation, My Body built relationships between the academic lead institutions (local and international), and local and national public, private and academic institutions working in public health, sports and recreation, social sciences and engineering fields. The outcomes included the co-creation of the community-based PA program for BCS, its implementation through cross-sector synergies, increased relationships and communications among stakeholders, and successful dissemination of evidence and project results to the collaboration partners and other relevant stakeholders and community members. The mixed-methods assessment enabled understanding of ways to advance cross-sector co-creation of health promotion programs. The findings can help to enable continued development of sustainable cross-sector co-creation processes aimed at advancing PA promotion.
体育活动（PA）对乳腺癌幸存者（BCS）的益处已得到充分证实。然而，针对中低收入国家实际情况制定的旨在促进 BCS 参与 PA 的方案却有限。跨部门共同创造是这些国家为 BCS 制定有效和可扩展方案的关键。本研究旨在评估网络进程，以吸引多部门利益相关者共同创造名为“My Body”的哥伦比亚 BCS 体育活动方案。我们采用了混合方法设计，包括半结构化访谈、研讨会和社会网络分析中心度措施，以评估利益相关者的参与度、资源和技能，以及合作工作的挑战、结果和经验教训。网络的描述性分析和中心度措施表明，有 19 个跨部门利益相关者参与了“My Body”合作网络。通过持续的沟通与合作，“My Body”建立了学术牵头机构（本地和国际）与当地和国家公共、私营和学术机构之间的关系，这些机构在公共卫生、体育和娱乐、社会科学和工程领域开展工作。结果包括为 BCS 共同创造了基于社区的 PA 方案，通过跨部门协同作用实施该方案，增进了利益相关者之间的关系和沟通，并成功将证据和项目成果传播给合作伙伴以及其他相关利益相关者和社区成员。混合方法评估使我们能够了解推进健康促进方案跨部门共同创造的方法。研究结果有助于促进可持续的跨部门共同创造进程的持续发展，以推进 PA 促进工作。
