Colorado State University, Food Science and Human Nutrition, 1571 Campus Delivery, 234 Gifford Building, Fort Collins, CO 80523. Email:
Colorado School of Public Health, Community and Behavioral Health, Aurora, Colorado.
Prev Chronic Dis. 2022 Aug 25;19:E54. doi: 10.5888/pcd19.210466.
Policy, systems, and environmental (PSE) change approaches frequently address healthy eating and active living (HEAL) priorities. However, the health effects of PSE HEAL initiatives are not well known because of their design complexity and short duration. Planning and evaluation frameworks can guide PSE activities to generate collective impact. We applied a systematic mapping review to the Individual plus PSE Conceptual Framework for Action (I+PSE) to describe characteristics, achievements, challenges, and evaluation strategies of PSE HEAL initiatives.
We identified peer-reviewed articles published from January 2009 through January 2021 by using CINAHL, Web of Science, MEDLINE, PsycINFO, and CAB Abstracts databases. Articles describing implementation and results of PSE HEAL initiatives were included. Activities were mapped against I+PSE components to identify gaps in evaluation efforts.
Independent reviewers examined 437 titles and abstracts; 52 peer-reviewed articles met all inclusion criteria. Twenty-four focused on healthy eating, 5 on active living, and 23 on HEAL. Descriptive analyses identified federal funding of initiatives (typically 1-3 years), multisector settings, and mixed-methods evaluation strategies as dominant characteristics. Only 11 articles reported on initiatives that used a formal planning and evaluation framework. Achievements focused on partnership development, individual behavior, environmental or policy changes, and provision of technical assistance. Challenges included lack of local coalition and community engagement in initiatives and evaluation activities and insufficient time and resources to accomplish objectives. The review team noted vague or absent descriptions of evaluation activities, resulting in questionable characterizations of processes and outcomes. Although formation of partnerships was the most commonly reported accomplishment, I+PSE mapping revealed a lack of engagement assessment and its contributions toward initiative impact.
PSE HEAL initiatives reported successes in multiple areas but also challenges related to partnership engagement and community buy-in. These 2 areas are essential for the success of PSE HEAL initiatives and need to be adequately evaluated so improvements can be made.
政策、系统和环境（PSE）改变方法通常针对健康饮食和积极生活（HEAL）的重点。然而，由于其设计的复杂性和持续时间较短，PSEHEAL 计划的健康效果并不为人所知。规划和评估框架可以指导 PSE 活动以产生集体影响。我们将系统映射审查应用于个人加 PSE 行动概念框架（I+PSE），以描述 PSEHEAL 计划的特点、成就、挑战和评估策略。
我们使用 CINAHL、Web of Science、MEDLINE、PsycINFO 和 CAB Abstracts 数据库，从 2009 年 1 月至 2021 年 1 月，确定了同行评议的文章。包括描述 PSEHEAL 计划的实施和结果的文章。将活动映射到 I+PSE 组件上，以确定评估工作中的差距。
独立评审员检查了 437 个标题和摘要；符合所有纳入标准的 52 篇同行评议文章。24 篇文章关注健康饮食，5 篇关注积极生活，23 篇关注 HEAL。描述性分析确定了计划的联邦资助（通常为 1-3 年）、多部门环境和混合方法评估策略为主要特征。只有 11 篇文章报告了使用正式规划和评估框架的计划。成就侧重于伙伴关系的发展、个人行为、环境或政策的变化以及技术援助的提供。挑战包括计划和评估活动缺乏当地联盟和社区参与以及完成目标的时间和资源不足。审查小组注意到评估活动的描述模糊或缺失，导致对过程和结果的描述值得怀疑。尽管伙伴关系的形成是最常报告的成就，但 I+PSE 映射显示缺乏对伙伴关系参与及其对计划影响的评估。
PSEHEAL 计划报告在多个领域取得了成功，但也面临着与伙伴关系参与和社区认可相关的挑战。这两个领域是 PSEHEAL 计划成功的关键，需要进行充分评估，以便改进。
