Paulsen Lisa, Benz Lea, Bojkowska Izabela, Domokos Bruno, Müller Christina, Wallmann-Sperlich Birgit, Bucksch Jens
Abteilung Prävention und Gesundheitsförderung, Fakultät für Natur- und Gesellschaftswissenschaften, Pädagogische Hochschule Heidelberg, Heidelberg, Deutschland.
Institut für Sportwissenschaft, Julius-Maximilians-Universität Würzburg, Würzburg, Deutschland.
Pravent Gesundh. 2023 Apr 29:1-10. doi: 10.1007/s11553-023-01036-5.
BACKGROUND: Physical activity can be understood in terms of socioecological determinants, which are prerequisites to successfully promote physical activity. Communities play an important role in this context, as they can create health-protective conditions. However, the design, implementation, and evaluation of socioecological approaches often do not follow a systematic and theory-driven approach. Changes in environmental conditions are determined by the behavior and decisions of so-called change agents or local decision-makers, such as mayors. Therefore, it is important to identify the determinants that influence decision-making processes to be able to change the decisional behavior of change agents to promote physical activity in their communities. In addition, there is a need for multipliers (e.g., employees in health offices) to be qualified to systematically implement socioecological-based interventions in communities. OBJECTIVES AND PROJECT PROCESS: The research project "Systematic planning and implementation of decision-making and implementation processes of socioecological-based physical activity promotion in the community to reduce social inequity" (with the German acronym EUBeKo) was funded within the framework of the funding scheme "Physical Activity and Physical Activity Promotion" of the German Federal Ministry of Health. It takes both the local change agents and multipliers into account and is inspired by intervention mapping. This article describes the project EUBeKo with its two research questions on the role and competences of multipliers, and on the factors influencing local decision-making processes as well as the planning and implementation of socioecological-based physical activity promotion in two model communities, and the dissemination strategies (e.g., project website). DISCUSSION AND CONCLUSIONS: The strengths of the project include the systematic and theory-based preparation and implementation of a process of socioecological-based physical activity promotion in the community with a special focus on planning and decision-making processes as well as on the target groups of local multipliers and decision-makers. Challenges are found in the theory-practice transfer and the impact of the coronavirus disease 2019 (COVID-19) pandemic on project implementation.
背景:身体活动可从社会生态决定因素的角度来理解,这些因素是成功促进身体活动的先决条件。在这方面,社区发挥着重要作用,因为它们能够创造有利于健康的条件。然而,社会生态方法的设计、实施和评估往往缺乏系统性且未以理论为导向。环境条件的变化取决于所谓的变革推动者或地方决策者(如市长)的行为和决策。因此,识别影响决策过程的决定因素,以便能够改变变革推动者的决策行为,从而在其社区促进身体活动,这一点很重要。此外,需要让传播者(如卫生办公室的工作人员)具备在社区系统实施基于社会生态的干预措施的能力。 目标与项目过程:“社区中基于社会生态的身体活动促进决策与实施过程的系统规划与实施,以减少社会不平等”(德语缩写为EUBeKo)这一研究项目是在德国联邦卫生部“身体活动与身体活动促进”资助计划框架内获得资助的。该项目兼顾了地方变革推动者和传播者,并受到干预映射法的启发。本文介绍了EUBeKo项目,包括其关于传播者的作用和能力、影响地方决策过程的因素以及在两个示范社区基于社会生态的身体活动促进的规划与实施的两个研究问题,以及传播策略(如项目网站)。 讨论与结论:该项目的优势包括在社区中基于社会生态的身体活动促进过程的系统性和基于理论的准备与实施,特别关注规划和决策过程以及地方传播者和决策者等目标群体。在理论与实践的转化以及2019冠状病毒病(COVID - 19)大流行对项目实施的影响方面存在挑战。
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