Helsper N, Dippon L, Birkholz L, Rütten A, Kohler S, Weber P, Pfeifer K, Semrau J
Department of Sport Science and Sport, Friedrich-Alexander Universität Erlangen-Nürnberg, Gebbertstraße 123b, Erlangen 91058, Germany.
Perspect Public Health. 2025 Sep;145(5):260-271. doi: 10.1177/17579139231186693. Epub 2023 Aug 4.
To follow the need for more research and strategies to enhance the knowledge of sustainable implementation, we examined cases of community-based, multilevel physical activity-related health promotion after initial funding has ceased and aimed to identify factors that influence their sustainable implementation.
Five scientific databases (PubMed; Scopus; Ebsco Host with CINAHL, PsychInfo, and Sportdiscus; ProQuest and Web of Science) were systematically searched for relevant literature in December 2021. Three reviewers performed a title/abstract screening and independently screened the full texts of the remaining papers, followed by a quality assessment. A narrative synthesis method, including qualitative text analysis, was used to synthesise retrieved articles. As starting point, the framework of Schell et al. containing nine domains for sustainability capacity was used and new emerging themes were inductively added.
The search revealed 270 potentially eligible articles out of 27,652 hits. After the systematic review process, 14 studies were included. In the synthesis, 14 factors influencing the sustainablity of community-based, multilevel physical activity-related health promotion were identified of which six are new factors compared to Schell et al. In particular, our findings bring forth a novel understanding of the importance of the factors 'Participation and Partnerships', 'Empowerment and Capacity Building' and 'Community Support'. A dynamic interplay and high connectedness between factors were visible.
The identified factors can help establish a better understanding of sustainability processes within whole-system approaches intervening on multiple levels in the community with the aim of systems change. They are relevant for practitioners, researchers and policy makers alike. Future research should more closely examine based on further theoretical elaboration how an interplay between the factors can promote sustainability and which interdependencies are of particular importance in facilitating sustainable and equitable change.
为了满足对更多研究和策略的需求，以增强对可持续实施的认识，我们研究了在初始资金停止后基于社区的、多层次的与体育活动相关的健康促进案例，并旨在确定影响其可持续实施的因素。
2021年12月，我们系统地检索了五个科学数据库（PubMed；Scopus；包含护理学与健康、心理学文摘和体育文献数据库的EBSCO主机；ProQuest和Web of Science）以查找相关文献。三位评审员进行了标题/摘要筛选，并独立筛选了其余论文的全文，随后进行质量评估。采用包括定性文本分析在内的叙述性综合方法来综合检索到的文章。作为起点，使用了 Schell等人包含九个可持续性能力领域的框架，并归纳添加了新出现的主题。
在27652条命中记录中，搜索发现了270篇潜在符合条件的文章。经过系统综述过程，纳入了14项研究。在综合分析中，确定了14个影响基于社区的、多层次的与体育活动相关的健康促进可持续性的因素，其中6个是与 Schell等人相比的新因素。特别是，我们的研究结果对“参与和伙伴关系”、“赋权和能力建设”以及“社区支持”等因素重要性有了新的认识。各因素之间存在动态相互作用和高度关联性。
所确定的因素有助于更好地理解在社区中进行多层次干预以实现系统变革的全系统方法中的可持续性过程。它们对从业者、研究人员和政策制定者都具有相关性。未来的研究应基于进一步的理论阐述，更密切地研究各因素之间的相互作用如何促进可持续性，以及哪些相互依存关系在促进可持续和公平变革方面尤为重要。
