卫生当局发布的循证指南,旨在促进增进健康的体育锻炼(PA),继续实施不成功,并显示证据和政策之间存在差距。这篇综述综合了影响分娩的因素的证据,在不同的政策部门采用和实施PA促进准则(例如,健康,运输,城市规划,运动,education).
发表的文献最初是使用PubMed搜索的,EBSCO,GoogleScholar并继续使用迭代雪球技术。文献综述涵盖了2002-2017年。采用现实主义综合方法对39项纳入研究的内容进行综述。测试了从证据出现到实施指南的四步链的初始计划理论。
该综合报告进一步加深了我们对PA指南交付与卫生服务中负责实施的专业人员的行动之间联系的理解。学校部门和市政当局。确定的指导实施的主要机制是科学合法化,强制执行,可行性,熟悉概念和PA习惯。在国家/地方管辖一级成功实施巴勒斯坦权力机构准则面临威胁。
PA指南的制定方式可能会影响决策者和专业人士对其的采纳。出现了有益的经验教训,可以为决策和专业实践之间的协同作用提供信息,促进双赢的多部门战略。
Evidence-based
guidelines published by health authorities for the promotion of health-enhancing physical activity (PA), continue to be implemented unsuccessfully and demonstrate a gap between evidence and policies. This review synthesizes evidence on factors influencing delivery, adoption and implementation of PA promotion guidelines within different policy sectors (e.g., health, transport, urban planning, sport, education).
Published literature was initially searched using PubMed, EBSCO, Google Scholar and continued through an iterative snowball technique. The literature review spanned the period 2002-2017. The realist synthesis approach was adopted to review the content of 39 included studies. An initial programme theory with a four-step chain from evidence emersion to implementation of
guidelines was tested.
The synthesis furthers our understanding of the link between PA
guidelines delivery and the actions of professionals responsible for implementation within health services, school departments and municipalities. The main mechanisms identified for guidance implementation were scientific legitimation, enforcement, feasibility, familiarity with concepts and PA habits. Threats emerged to the successful implementation of PA
guidelines at national/local jurisdictional levels.
The way PA
guidelines are developed may influence their adoption by policy-makers and professionals. Useful lessons emerged that may inform synergies between policymaking and professional practices, promoting win-win multisectoral strategies.