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Assessment Assurance
Evaluation
Policydevelopment
1
2
3
4
Public Health Action Cycle
Causal Model from Formulation of a Policy to Health Outcomes
Policy Determinants
Policy
Environment
Physical Activity
Health
A
C
D
E
B
Level
Physical Activity Policy Framework
Outcomes of Policy
Develop and Implement Policy
Determinants of Policy
Identify Policy
Local RegionalState National
School
Worksite
TransportationParks/Public Spaces
HealthScale
Policy
Sector
B1 – Offers
B2 – Strategies in politics and organisation
B3 – Community potential and committment
B4 – Individual competences
C1 – Material environment
C2 – Social environment
C3 – Personal resources and behavioural patterns
A1Development of offers
A2Lobbying/Collaboration with organisations
A3Mobilisation of communities
A4Development of individual competences
InfrastructureServices
LegislationAdministrationOrganisationNetworks
GroupsCommunitiesPopulation
Individuals
Influencing factors DeterminantsMeasuresOutcome levels Pro
mo
tion
of P
hysical A
ctivity and
Sp
orts
Adapted from “Anleitung zum Ergebnismodell von Gesundheitsförderung Schweiz, 2004 „
Outcome Model of Health Promotion Switzerland Adapted for the Promotion of Physical Activity and Sports
Framework for Physical Activity PromotionHEPA Promotion
Policy Process
Physical ActivityBehaviour
Physical ActivityDeterminants
Programmes &Activities
Health
LeisureTransportWork/SchoolDomestic
Intensity
Duration Frequency
Context
…
Intensity
Duration Frequency
Context
Specific activity
Dimensions of physical activity
Intensity
Duration Frequency
Context
Specific activity
Intensity
Duration Frequency
Context
Overall
Modes of physical activity
Intensity
Duration Frequency
Context
Transport
Intensity
Duration Frequency
Context
Domestic
Intensity
Duration Frequency
Context
Work/School
Intensity
Duration Frequency
Context
Leisure
Framework for Physical Activity PromotionHEPA Promotion
Policy Process
Physical ActivityBehaviour
Physical ActivityDeterminants
Programmes &Activities
Health
IntrapersonalPhysical environment
Social environment
Modifiable Determinants of Physical Activity
Intrapersonal
Social environmentPhysical environment
Knowledge, attitudes and values
Skills and capabilitiesPositive expectations
Organised sport & exercise
Wider socialenvironement
Family environment
Home & work environment
Transport infrastructure
Leisure time &sports infrastructure
PhysicalActivity
Non-modifiable determinants
Physical environment
Social environment
Determinants of Physical Activity
Framework for Physical Activity Promotion
Policy Process
Physical ActivityBehaviour
Physical ActivityDeterminants
Programmes &Activities
Health
Development of offers
Mobilisation of communities
Training & education
PR campaignsConstruction work
Industrial activities
etc.
Dimensions of programmes and activitiesadapted from Schmid et al., 2006 and Cloetta et al, 2005
Local/subnational
NationalInternational
EducationIndustry/economy
TransportLand use/housing
Health
Scale
Elements of programmes and activites
Sector
Sport
Multi-sectoral approach
Development of offers
Mobilisation of communities
Training & education
PR campaingsConstruction work
Industrial activities
etc.
Uni-sectoral approach
Environment
Framework for Physical Activity Promotion
Policy Process
Physical ActivityBehaviour
Physical ActivityDeterminants
Programmes &Activities
Health
Legislation
Recommendations and guidelines
Policy and strategy documents
Leadership & strategic planning
Networking & committment
Dimensions of the policy processadapted from Schmid et al., 2006
Policy outcomesPolicy
determinants
Local/subnational
NationalInternational
Scale
Policy elements
Sector
Leadership & strategic planning
Networking &committment
Knowledge base
Legislation
Recommendations & guidelines
Policy & strategy documents
17.02.2006
Government level
Uni-sectoral approach
Multi-sectoral approach
Social climate
EducationIndustry/economy
TransportLand use/housing
HealthSport
Environment
Physical ActivityBehaviour
Health
Physical ActivityDeterminants
Programmes &ActivitiesPolicy Process
Framework for Physical Activity PromotionOther Influencing Factors
Framework for Physical Activity Promotion
Policy Process
Physical ActivityBehaviour
Physical ActivityDeterminants
Programmes &Activities
HealthKnowledge
Base
Framework for Physical Activity PromotionMonitoring and Evaluation
Policy Process
Physical ActivityBehaviour
Physical ActivityDeterminants
Programmes &Activities
HealthKnowledge
Base
Framework for Physical Activity Promotion Evidence Based HEPA Promotion
Policy Process
Physical ActivityBehaviour
Physical ActivityDeterminants
Programmes &Activities
HealthKnowledge
Base
Physical ActivityBehaviour
Health
Physical ActivityDeterminants
Programmes &ActivitiesPolicy Process
Framework for Physical Activity Promotion Evidence Based HEPA Promotion
KnowledgeBase
Policy Process
Physical ActivityBehaviour Determinants
Programmes &Activities
KnowledgeBase
Policy Process
Physical ActivityBehaviour Determinants
Programmes &Activities
KnowledgeBase
Policy Process
Physical ActivityBehaviour Determinants
Programmes &Activities
KnowledgeBase
Framework for Physical Activity Promotionwithin a Multi-Dimensional Health Policy
Diet
Smoking……
Health
Policy Process
Physical ActivityBehaviour
Physical ActivityDeterminants
Programmes &Activities
KnowledgeBase
Physical Activity
Policy Process
Physical ActivityDeterminants
Programmes &Activities
KnowledgeBase
.....
Policy Process
Physical ActivityDeterminants
Programmes &Activities
KnowledgeBase
Education
Policy Process
Physical ActivityDeterminants
Programmes &Activities
KnowledgeBase
Urban Planning
Policy Process
Physical ActivityDeterminants
Programmes &Activities
KnowledgeBase
Transport
Policy Process
Physical ActivityDeterminants
Programmes &Activities
KnowledgeBase
Sports
Framework for Physical Activity PromotionMulti-Sectoral Approaches
Policy Process
Physical ActivityDeterminants
Programmes &Activities
KnowledgeBase
HealthPhysicalActivity
Other Outcomes
Type I evidence
Disease risk factor (e.g. physical inactivity)
“Why should something be done?”
Type II evidence
Intervention prevalence of risk factor
“What should be done?”
Types of evidence for Public Health
Cavill et al 2005, adapted from Brownson et al 1999
Framework for Physical Activity PromotionType 1 Evidence
Policy Process
Physical ActivityBehaviour
Physical ActivityDeterminants
Programmes &Activities
HealthKnowledge
Base
„Why should something be done?“
Framework for Physical Activity PromotionType 2 Evidence
Policy Process
Physical ActivityBehaviour
Physical ActivityDeterminants
Programmes &Activities
HealthKnowledge
Base
„What should be done?“
Framework for Physical Activity PromotionPolicy research
Policy Process
Physical ActivityBehaviour
Physical ActivityDeterminants
Programmes &Activities
HealthKnowledge
Base
„How can be donewhat should be done?“
Slides 28 to 35 have not been used directly in the discussion paper,
but could be useful for presentations
Framework for Physical Activity PromotionHEPA Promotion
Policy Process
Physical ActivityBehaviour
Physical ActivityDeterminants
Programmes &Activities
Health
Framework for Physical Activity PromotionHEPA Promotion
Policy Process
Physical ActivityBehaviour
Physical ActivityDeterminants
Programmes &Activities
Health
Policy Process
Physical ActivityBehaviour
Physical ActivityDeterminants
Programmes &Activities
Health
Framework for Physical Activity PromotionHEPA Promotion
Policy Process
Physical ActivityBehaviour
Physical ActivityDeterminants
Programmes &Activities
Health
Framework for Physical Activity PromotionHEPA Promotion
PhysicalActivity
Health
HEPA
HEPA
Non-modifiable determinants
Physical environment
Social environment
Model for HEPA Determinants
Physical ActivityBehaviour
Health
Physical ActivityDeterminants
Programmes &ActivitiesPolicy Process
Framework for Physical Activity PromotionOther Influencing Factors
Physical ActivityBehaviour
Health
Physical ActivityDeterminants
Programmes &ActivitiesPolicy Process
Framework for Physical Activity Promotion Evidence Based HEPA Promotion
KnowledgeBase