AssessmentAssurance Evaluation Policy development 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 Regional State National School Worksite Transportation Parks/Public Spaces Health Scale 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 A1 Development of offers A2 Lobbying/ Collaboration with organisations A3 Mobilisation of communities A4 Development of individual competences Infrastructure Services Legislation Administration Organisation Networks Groups Communities Population Individuals Influencing factorsDeterminants Measures Outcome levels Promotion of Physical Activity and Sports 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 Promotion HEPA Promotion Policy Process Physical Activity Behaviour Physical Activity Determinants Programmes & Activities Health Leisure Transport Work/School Domestic

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 Promotion HEPA Promotion Policy Process Physical Activity Behaviour Physical Activity Determinants Programmes & Activities Health Intrapersonal Physical environment Social environment

Modifiable Determinants of Physical Activity Intrapersonal Social environment Physical environment Knowledge, attitudes and values Skills and capabilities Positive expectations Organised sport & exercise Wider social environement Family environment Home & work environment Transport infrastructure Leisure time & sports infrastructure

Physical Activity Non-modifiable determinants Physical environment Social environment Determinants of Physical Activity

Framework for Physical Activity Promotion Policy Process Physical Activity Behaviour Physical Activity Determinants Programmes & Activities Health Development of offers Mobilisation of communities Training & education PR campaigns Construction work Industrial activities etc.

Dimensions of programmes and activities adapted from Schmid et al., 2006 and Cloetta et al, 2005 Local/subnational National International Education Industry/economy Transport Land use/housing Health Scale Elements of programmes and activites Sector Sport Multi-sectoral approach Development of offers Mobilisation of communities Training & education PR campaings Construction work Industrial activities etc. Uni-sectoral approach Environment

Framework for Physical Activity Promotion Policy Process Physical Activity Behaviour Physical Activity Determinants Programmes & Activities Health Legislation Recommendations and guidelines Policy and strategy documents Leadership & strategic planning Networking & committment

Dimensions of the policy process adapted from Schmid et al., 2006 Policy outcomes Policy determinants Local/subnational National International Scale Policy elements Sector Leadership & strategic planning Networking & committment Knowledge base Legislation Recommendations & guidelines Policy & strategy documents Government level Uni-sectoral approach Multi-sectoral approach Social climate Education Industry/economy Transport Land use/housing Health Sport Environment

Physical Activity Behaviour Health Physical Activity Determinants Programmes & Activities Policy Process Framework for Physical Activity Promotion Other Influencing Factors

Framework for Physical Activity Promotion Policy Process Physical Activity Behaviour Physical Activity Determinants Programmes & Activities Health Knowledge Base

Framework for Physical Activity Promotion Monitoring and Evaluation Policy Process Physical Activity Behaviour Physical Activity Determinants Programmes & Activities Health Knowledge Base

Framework for Physical Activity Promotion Evidence Based HEPA Promotion Policy Process Physical Activity Behaviour Physical Activity Determinants Programmes & Activities Health Knowledge Base

Physical Activity Behaviour Health Physical Activity Determinants Programmes & Activities Policy Process Framework for Physical Activity Promotion Evidence Based HEPA Promotion Knowledge Base

Policy Process Physical Activity Behaviour Determinants Programmes & Activities Knowledge Base Policy Process Physical Activity Behaviour Determinants Programmes & Activities Knowledge Base Policy Process Physical Activity Behaviour Determinants Programmes & Activities Knowledge Base Framework for Physical Activity Promotion within a Multi-Dimensional Health Policy Diet Smoking …… Health Policy Process Physical Activity Behaviour Physical Activity Determinants Programmes & Activities Knowledge Base Physical Activity

Policy Process Physical Activity Determinants Programmes & Activities Knowledge Base..... Policy Process Physical Activity Determinants Programmes & Activities Knowledge Base Education Policy Process Physical Activity Determinants Programmes & Activities Knowledge Base Urban Planning Policy Process Physical Activity Determinants Programmes & Activities Knowledge Base Transport Policy Process Physical Activity Determinants Programmes & Activities Knowledge Base Sports Framework for Physical Activity Promotion Multi-Sectoral Approaches Policy Process Physical Activity Determinants Programmes & Activities Knowledge Base Health Physical Activity 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 Promotion Type 1 Evidence Policy Process Physical Activity Behaviour Physical Activity Determinants Programmes & Activities Health Knowledge Base Why should something be done?

Framework for Physical Activity Promotion Type 2 Evidence Policy Process Physical Activity Behaviour Physical Activity Determinants Programmes & Activities Health Knowledge Base What should be done?

Framework for Physical Activity Promotion Policy research Policy Process Physical Activity Behaviour Physical Activity Determinants Programmes & Activities Health Knowledge Base How can be done what 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 Promotion HEPA Promotion Policy Process Physical Activity Behaviour Physical Activity Determinants Programmes & Activities Health

Framework for Physical Activity Promotion HEPA Promotion Policy Process Physical Activity Behaviour Physical Activity Determinants Programmes & Activities Health

Policy Process Physical Activity Behaviour Physical Activity Determinants Programmes & Activities Health Framework for Physical Activity Promotion HEPA Promotion

Policy Process Physical Activity Behaviour Physical Activity Determinants Programmes & Activities Health Framework for Physical Activity Promotion HEPA Promotion

Physical Activity Health HEPA

Non-modifiable determinants Physical environment Social environment Model for HEPA Determinants

Physical Activity Behaviour Health Physical Activity Determinants Programmes & Activities Policy Process Framework for Physical Activity Promotion Other Influencing Factors

Physical Activity Behaviour Health Physical Activity Determinants Programmes & Activities Policy Process Framework for Physical Activity Promotion Evidence Based HEPA Promotion Knowledge Base