scholarly journals Analysis of the local health-enhancing physical activity policies in the French Riviera

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
A N Racine ◽  
J M Garbarino ◽  
B Massiera ◽  
A Vuillemin
Keyword(s):  
Physical Activity ◽  
Policy Analysis ◽  
Environmental Changes ◽  
Local Level ◽  
World Health ◽  
Intersectoral Collaboration ◽  
Local Health ◽  
Analysis Tool ◽  
Key Informants ◽  
Health Enhancing Physical Activity

Abstract Background Policy is one of the levers to initiate structural and environmental changes to foster health-enhancing physical activity (HEPA) promotion. However, little is known about local evidence to support governments in their policies to promote HEPA. This study aims to analyze the local HEPA policies development in French mid-size cities. Methods Mid-size cities from 2 counties of the French South Region were targeted (n = 17). In each city, a local HEPA policy analysis tool, CAPLA-Santé, was administered to key informants heading the departments of sport, health and social. CAPLA-Santé is a local policy analysis tool adapted from the national HEPA policy analysis tool (HEPA PAT version 2) developed by the World Health Organization. Data were collected through semi-structured interviews and documents analysis. Results A total of 10 mid-size cities were volunteered to participate. Key informants from sport (n = 10), health (n = 5) and social (n = 6) departments were interviewed. Several written HEPA policies were formalized in 6 cities, 4 of them based their policies on scientific evidences or a national policy. These policies (n = 14), were mainly from the sport (n = 8) and the health sectors (n = 4). Some cities had a department head to ensure cross-sectoral collaboration (n = 3). Key informants reported that the support of national policies, the commitment of elected officials and an important local stakeholders' network could facilitate the HEPA promotion; whereas lack of intersectoral collaboration and resources could be a limitation. Conclusions The results help to better understand the local HEPA policies, highlighting some barriers, facilitators and perspectives. These findings could be valuable to scale up the HEPA promotion at the local level. Key messages Local policymakers had difficulties to adopt an intersectoral and global approaches in HEPA promotion. Using local HEPA policy analysis tool can provide evidence to support policymakers.

scholarly journals Development of a Local Health-Enhancing Physical Activity Policy Analysis Tool in France: CAPLA-Santé

2020 ◽  
pp. 152483992091646 ◽  
Author(s):  
Antoine Noël Racine ◽  
Aurélie Van Hoye ◽  
Amandine Baron ◽  
Flore Lecomte ◽  
Jean-Marie Garbarino ◽  
...  
Keyword(s):  
Physical Activity ◽  
Local Government ◽  
Policy Analysis ◽  
Local Governments ◽  
Local Level ◽  
Local Government Area ◽  
World Health ◽  
Intersectoral Collaboration ◽  
Analysis Tool ◽  
Health Enhancing Physical Activity

The promotion of health-enhancing physical activity (HEPA) has become a key objective in public health policy. Therefore, based on the national HEPA Policy Audit Tool Version 2 (HEPA PAT v2) of the World Health Organization, a tool was designed to support local governments in assessing HEPA policies. This study aims to describe the adaptation and testing of the HEPA policy analysis tool (CAPLA-Santé) at the local level in France. The work was conducted in three stages: (1) an intersectoral group of experts was constituted, and the group adapted each item of the HEPA PAT v2 tool to the local level; (2) a testing phase with seven local governments helped to collect data and feedback on the tool; and (3) a final workshop was organized to adjust and finalize the tool. The final version of CAPLA-Santé contains 21 items divided into six major sections: overview of HEPA stakeholders in the local government area, policy documents, policy contents, funding and political engagement, studies and measures relating to physical activity in the local government area, and progress achieved and future challenges. CAPLA-Santé allows the collection and in-depth analysis of local level policies to assess the progress in promoting HEPA and intersectoral collaboration as well as identifying successful policy levers and remaining challenges.

scholarly journals Analysis of the Local Health-Enhancing Physical Activity Policies on the French Riviera

2020 ◽  
Author(s):  
Antoine Noël Racine ◽  
Jean-Marie Garbarino ◽  
Bernard Massiera ◽  
Anne Vuillemin
Keyword(s):  
Physical Activity ◽  
Health Services ◽  
Social Services ◽  
Local Governments ◽  
Local Level ◽  
Intersectoral Collaboration ◽  
Local Health ◽  
Key Informants ◽  
Health Enhancing Physical Activity ◽  
French Riviera

Policy is a lever for initiating the structural and environmental changes that foster health-enhancing physical activity (HEPA) promotion. However, little is known about the evidence in support of local governments regarding their HEPA-promoting policies. This study collected comprehensive information on municipal HEPA policies on the French Riviera to gain an overview of HEPA policy development in this territory. Mid-sized cities from the two counties constituting the French Riviera were targeted (n = 17). In each city, a local tool for HEPA policy analysis, CAPLA-Santé, was used to gain information from key informants heading the departments of sports, health services and social services. Data were collected through semi-structured interviews and document analysis. Ten mid-sized cities volunteered to participate. Key informants from the sports (n = 10), health services (n = 5) and social services (n = 6) departments were interviewed. Written HEPA policy documents were formalized in six cities. These documents (n = 14) were mainly from the sports (n = 8) and health services (n = 4) sectors. The key informants reported that support from that national policy, the commitment of elected officials, and large local stakeholder networks facilitated HEPA promotion, whereas the lack of intersectoral collaboration and limited resources were limitations. The results provide insight into the development of municipal HEPA policies, highlighting some of the barriers, facilitators and perspectives. These findings could be valuable to scale up HEPA promotion at the local level.

scholarly journals Analysis of the Local Health-Enhancing Physical Activity Policies on the French Riviera

2020 ◽  
Vol 18 (1) ◽  
pp. 156
Author(s):  
Antoine Noël Racine ◽  
Jean-Marie Garbarino ◽  
Bernard Massiera ◽  
Anne Vuillemin
Keyword(s):  
Physical Activity ◽  
Health Services ◽  
Social Services ◽  
Local Governments ◽  
Local Level ◽  
Intersectoral Collaboration ◽  
Local Health ◽  
Key Informants ◽  
Health Enhancing Physical Activity ◽  
French Riviera

Policy is a lever for initiating the structural and environmental changes that foster health-enhancing physical activity (HEPA) promotion. However, little is known about the evidence in support of local governments regarding their HEPA-promoting policies. The aim of this study was to collect comprehensive information on municipal HEPA policies on the French Riviera (Alpes-Maritimes and Var counties) to provide an overview of the development of these policies in this territory. Mid-sized cities from the two counties constituting the French Riviera were targeted (n = 17). In each city, a local tool for HEPA policy analysis, CAPLA-Santé, was used to gain information from key informants heading the departments of sports, health services, and social services. Data were collected through semi-structured interviews and document analysis. Ten mid-sized cities volunteered to participate. Key informants from the sports (n = 10), health services (n = 5), and social services (n = 6) departments were interviewed. Written HEPA policy documents were formalized in six cities. These documents (n = 14) were mainly from the sports (n = 8) and health services (n = 4) sectors. The key informants reported that support from national policy, the commitment of elected officials, and large local stakeholder networks facilitated HEPA promotion, whereas the lack of intersectoral collaboration and limited resources were limitations. The results provide insight into the development of municipal HEPA policies, highlighting some of the barriers, facilitators, and perspectives. These findings could be valuable to scale up HEPA promotion at the local level.

scholarly journals Web-Based Dissemination of a Civic Engagement Curriculum to Promote Healthy Eating and Active Living in Rural Towns: The eHEART Study

2020 ◽  
Vol 17 (7) ◽  
pp. 2571
Author(s):  
Rebecca Seguin-Fowler ◽  
Meredith Graham ◽  
Urshila Sriram ◽  
Galen Eldridge ◽  
Jimin Kim ◽  
...  
Keyword(s):  
Physical Activity ◽  
Civic Engagement ◽  
Healthy Eating ◽  
Environmental Changes ◽  
Local Health ◽  
Active Living ◽  
Health Educators ◽  
Rural Environments ◽  
Engagement Interventions ◽  
Physical Activity Environments

Civic engagement interventions aimed at improving food and physical activity environments hold promise in addressing rural health disparities, but ensuring feasible and sustained dissemination remains a challenge. The present study aimed to evaluate the feasibility of a civic engagement curriculum adapted for online dissemination (Healthy Eating and Activity in Rural Towns (eHEART)). The eHEART curriculum and website were developed based on feedback from local health educators and community members. eHEART groups were facilitated by local Extension educators across three rural towns in three U.S. states (Montana, Wisconsin, and Alaska). Implementation feasibility was assessed through monthly project reports and interviews with educators. All eHEART groups successfully completed curriculum activities and met their project goals after nine months (November 2018 to July 2019). Groups ranged in size from 4 to 8 community residents and implemented varied strategies to improve aspects of their local food and/or physical activity environments. Facilitators of implementation included clear guidance on facilitating curriculum activities and the flexible and community-driven nature of eHEART projects. Recommended changes included more guidance on evaluating projects and contacting stakeholders as well as providing online tools and support for project management. Findings from this work have important implications for creating healthier rural environments. Local health educators and other community groups can feasibly use the eHEART curriculum to foster environmental changes that support healthy eating and active living.

Physical Activity Is an Opportunity for the Health of Nations: What Should We Do Next?

Praxis ◽  
2018 ◽  
Vol 107 (17-18) ◽  
pp. 943-949 ◽  
Author(s):  
Boris Gojanovic
Keyword(s):  
Physical Activity ◽  
Action Plan ◽  
Local Level ◽  
Well Being ◽  
World Health ◽  
Challenges And Opportunities ◽  
Global Action ◽  
Health Organization ◽  
Declaration Of Geneva ◽  
Global Action Plan

Abstract. Physical activity provides huge opportunities for the health of nations. Understanding this, the World Health Organization has published a Global Action Plan which aims to provide member states with a framework for action, namely to create active societies, people, environments and systems. The target is set at a 15 % reduction in physical inactivity levels by 2030. We explore in this paper some of the challenges and opportunities that come with it, and give the practitioner some real-world opportunities for relevant action at the local level, as well as for their patients, staying true to the Physician’s Pledge (Declaration of Geneva): “I will attend to my own health, well-being, and abilities in order to provide care of the highest standard.”

scholarly journals Evidence and theory based promotion of health-enhancing physical activity

2001 ◽  
Vol 4 (2b) ◽  
pp. 725-728 ◽  
Author(s):  
Seppo Miilunpalo
Keyword(s):  
Physical Activity ◽  
Local Level ◽  
Empirical Studies ◽  
Well Being ◽  
Reinforcing Factors ◽  
Wide Range ◽  
Related Quality ◽  
Health Related ◽  
Promotion Of Physical Activity ◽  
Health Enhancing Physical Activity

AbstractPhysical activity appears to improve health-related quality of life by enhancing psychological well being and by improving physical functioning, particularly in persons compromised by poor health. Health enhancing physical activity (HEPA) can in addition to, and instead of, structured and planned exercise and sports comprise other forms of physical activity, such as occupational activities, lifestyle activities and recreational activities. However, wide-range and long-term population strategies are needed for the promotion of physical activity in each of the categories of HEPA. It is necessary to create realistic opportunities for different population groups and individuals. The theoretical knowledge of the determinants of the target behaviour has to be translated to a practical form. On the basis of available empirical studies, the Predisposing, Enabling and Reinforcing factors in the PRECEDE –PROCEED model for health promotion, are all relevant and important for the adoption and maintenance of physical activity. In the end, promotional activities are needed where people live and work, i.e. at local level.

scholarly journals Integration of eMental health technologies into traditional community-based interventions

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
K Turmaine ◽  
C Picot Ngo ◽  
A Le Jeannic ◽  
J L Roelandt ◽  
K Chevreul ◽  
...  
Keyword(s):  
Mental Health ◽  
Digital Technology ◽  
Digital Health ◽  
Local Level ◽  
World Health ◽  
Local Network ◽  
Local Health ◽  
Community Based ◽  
Health Technologies ◽  
Health Programmes

Abstract Background Very little research has been conducted to appraise the merits of including municipalities and their local health providers in the promotion of digital health programmes. While more and more municipalities have locally implemented a health strategic plan and have focused on building local network of professionals, how do the latter react to the implementation of innovative e-mental health community-based programmes? Methods In 2018, 42 French municipalities volunteered to promote StopBlues, a digital health tool aimed at preventing mental distress and suicide. In each municipality, a local delegate was responsible for the promotion of the tool. Using observations, questionnaires and interviews with the delegates, we analysed how the promotion of StopBlues® was conducted in each setting. 2/3 of these municipalities started the promotion directly, and in 2019, a second wave of municipalities launched the promotion with a stronger support from the research team backed by the French World Health Organization Collaborating Centre for Research and Training in Mental Health (WHOCC). Results The use of digital technology in the implementation of a mental health programme received a mixed reception from the local health professionals because of its innovative aspect. 2/3 of the delegates declared that they were struggling to create a stronger network of local partners including private medical practioners. 63% of the respondents stated that their municipalities got involved in the programme for networking purposes. Conclusions Digital technologies have initiated a paradigm shift in the way community-based health programmes are set up but need to strengthen their territorial anchorage in order to be accepted and used at the local level. Key messages Digital technology can be a strong lever against health inequities but its effectiveness has to be studied carefully. Digital technolgy has to be implemented in local settings with the collaboration of local actors in order to be accepted and used.

scholarly journals Physical Activity Participation During the COVID-19 Pandemic

2020 ◽  
Vol 1 (1) ◽  
pp. 32-34
Author(s):  
Taemin Ha ◽  
Brian Dauenhauer
Keyword(s):  
Physical Activity ◽  
Vigorous Physical Activity ◽  
World Health ◽  
Moderate Intensity ◽  
Sedentary Behaviors ◽  
Unhealthy Lifestyle ◽  
Increased Risk ◽  
The World ◽  
Health Organization ◽  
Health Enhancing Physical Activity

Physical activity is a significant factor in enhancing quality of life due to its various physical and mental benefits. According to the World Health Organization (WHO, 2010), the recommended amount of physical activity for adults (>17 years old) is a minimum of 150 minutes of moderate-intensity activity or 75 minutes of vigorous-intensity activity every week, while the recommended amount for children and adolescents (5-17 years old) is at least 60 minutes of moderate-to-vigorous physical activity daily. However, when coronavirus disease 2019 (COVID-19) was declared a pandemic on March 11th, 2020 (WHO, 2020a), people around the world had to adapt to new lifestyles involving shelter-in-place and social distancing orders. This phenomenon has disrupted the ability to reach the recommended amount of physical activity for people of all ages (Carvalho & Gois, 2020). The sedentary behaviors adopted during this unprecedented time could, for many people, give rise to an unhealthy lifestyle, which by extension may lead to an increased risk of coronavirus. The purpose of this paper is to review the issue and discuss ways to participate in health-enhancing physical activity during the COVID-19 pandemic.

scholarly journals Perspective of Doctors for COVID-19 Pandemic Readiness in Government Hospitals of Nepal

2020 ◽  
Vol 18 (2) ◽  
pp. 166-171
Author(s):  
Pawan Kumar Hamal ◽  
Nabin Pokhrel ◽  
Dipendra Pandey ◽  
Pragya Malla ◽  
Ritesh Lamsal
Keyword(s):  
Critical Care ◽  
Online Survey ◽  
Local Level ◽  
Health Centers ◽  
World Health ◽  
Local Health ◽  
Medical Doctors ◽  
Care Providers ◽  
Hands On ◽  
Government Hospitals

Background: The study assesses the perspective of doctors working in government hospitals of Nepal regarding hospital preparedness for infection prevention measures, isolation services provisions, critical care service readiness, and training of staff for COVID-19 pandemic management. Methods: This cross-sectional study was done in central, provincial, and local level health centers of the Government of Nepal to assess the perspective of medical doctors regarding COVID-19 pandemic readiness in their facility. Nonprobability sampling was used to collect 56 responses from doctors working in different hospitals of Nepal. An online survey was performed using a questionnaire tool, which was adapted from the guidelines of the World Health Organization and the Centers for Disease Control and Prevention.Results: Most of the participants were medical officers with an MBBS degree (32) followed by anesthesiologists (10). Thirteen participants worked in central hospitals (23.2%), 24 in provincial hospitals (42.8%) and 19 in local health centers (33.92%). The availability of adequate facemask was 84% in central hospitals, which was higher than provincial hospitals (66.7%), and local level health centers (77.8%). There were only 53.8% trained critical care providers in central hospitals and 29.2% in provincial hospitals. Nearly 38.5% (5) of central hospitals had measures for airborne isolation in place, whereas this was only found in 8.3% (2) of provincial hospitals surveyed for critical care facilities. Overall, only 2 hospitals had the provision of a negative pressure room with air exchanges. Only 8 participants working in central hospitals (61.5%) and 14 working in provincial hospitals (58.3%) had performed hands-on training for donning and doffing personal protective equipment. Conclusions: The majority of medical doctors working in government hospitals of Nepal perceive that provision of facemask distribution, airborne isolation rooms, critical care preparedness, and hands-on training to staff were not adequate.Keywords: COVID-19; Government of Nepal; pandemic; readiness.

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