Development of a National Physical Activity Plan for the United States

2014 ◽  
Vol 11 (3) ◽  
pp. 463-469 ◽  
Author(s):  
Daniel B. Bornstein ◽  
Russell R. Pate ◽  
David M. Buchner
Keyword(s):  
Physical Activity ◽  
Private Sector ◽  
The United States ◽  
Evidence Base ◽  
Lessons Learned ◽  
Policy And Practice ◽  
National State ◽  
State And Local ◽  
Local Levels ◽  
National Physical Activity

Background:Efforts to increase population levels of physical activity are increasingly taking the form of strategic plans at national, state/regional, and local levels. The processes employed for developing such plans have not been described previously. The purpose of this article is to chronicle the processes employed in and lessons learned from developing the US National Physical Activity Plan (NPAP).Methods:The Coordinating Committee oversaw development of the NPAP. Key steps in the process included creating a private–public coalition based in the private sector, organizing the NPAP around 8 societal sectors, reviewing the evidence base for promotion of physical activity in each sector, conducting a national conference to initiate development of the NPAP’s core content, ensuring broad participation in developing and refining the NPAP, and launching the NPAP through a press event that attracted national attention.Results and Conclusion:The 3-year effort to develop the NPAP was guided by a private–public collaborative partnership involving private sector organizations and government agencies. Launched in May 2010, the NPAP included more than 250 evidence-based recommendations for changes to policy and practice at the national, state, and local levels across 8 societal sectors.

scholarly journals Sector Activities and Lessons Learned Around Initial Implementation of the United States National Physical Activity Plan

2014 ◽  
Vol 11 (6) ◽  
pp. 1120-1128 ◽  
Author(s):  
Kelly R. Evenson ◽  
Sara B. Satinsky
Keyword(s):  
Physical Activity ◽  
United States ◽  
Organizational Support ◽  
National Level ◽  
The United States ◽  
Lessons Learned ◽  
Community Dynamic ◽  
Positive Experiences ◽  
Intervention Policy ◽  
National Physical Activity

Background:National plans are increasingly common but infrequently evaluated. The 2010 United States National Physical Activity Plan (NPAP) provided strategies to increase population levels of physical activity. This paper describes (i) the initial accomplishments of the NPAP sector teams, and (ii) results from a process evaluation to determine how the sectors operated, their cross-sector collaboration, challenges encountered, and positive experiences.Methods:During 2011, a quarterly reporting system was developed to capture sector-level activities. A year-end interview derived more detailed information. Interviews with 12 sector leads were recorded, transcribed verbatim, and analyzed for common themes.Results:The 6 sectors worked on goals from the implementation plan that focused broadly on education, promotion, intervention, policy, collaboration, and evaluation. Through year-end interviews, themes were generated around operations, goal setting, and cross-sector collaboration. Challenges to the NPAP work included lack of funding and time, the need for marketing and promotion, and organizational support. Positive experiences included collaboration, efficiency of work, enhanced community dynamic, and accomplishments toward NPAP goals.Conclusions:These initial results on the NPAP sector teams can be used as a baseline assessment for future monitoring. The lessons learned may be useful to other practitioners developing evaluations around state- or national-level plans.

Local Adaptation of the National Physical Activity Plan: Creation of the Active Living Plan for a Healthier San Antonio

2014 ◽  
Vol 11 (3) ◽  
pp. 470-477 ◽  
Author(s):  
Laura A. Esparza ◽  
Katherine S. Velasquez ◽  
Annette M. Zaharoff
Keyword(s):  
Physical Activity ◽  
Local Adaptation ◽  
San Antonio ◽  
Health Department ◽  
Steering Committee ◽  
Lessons Learned ◽  
Local Context ◽  
Active Living ◽  
State And Local ◽  
National Physical Activity

Background:Physical inactivity and related health consequences are serious public health threats. Effective strategies to facilitate and support active-living opportunities must be implemented at national, state, and local levels. San Antonio, Texas, health department officials launched the Active Living Council of San Antonio (ALCSA) to engage the community in developing a 3- to 5-year plan to promote active living.Methods:A steering committee set preliminary ALCSA aims and established a multisector membership structure modeled after the US National Physical Activity Plan (NPAP). ALCSA adopted governance standards, increased knowledge of physical activity and health, and engaged in an 18-month collaborative master plan writing process.Results:ALCSA selected overarching strategies and evidence-based strategies for each societal sector and adapted strategies to the local context, including tactics, measures of success, and timelines. Community and expert engagement led to a localized plan reflecting national recommendations, the Active Living Plan for a Healthier San Antonio.Conclusion:Multisector collaborations among governmental agencies and community organizations, which were successfully developed in this case to produce the first-ever local adaptation of the NPAP, require clearly defined expectations. Lessons learned in ALCSA’s organizational and plan development can serve as a model for future community-driven efforts to increase active living.

Regionalism and Regionalisation in Britain and North America

2003 ◽  
Vol 5 (1) ◽  
pp. 74-101 ◽  
Author(s):  
Howard Elcock
Keyword(s):  
United States ◽  
North America ◽  
The United States ◽  
Business Leaders ◽  
Governance Structures ◽  
Regional Government ◽  
Bottom Up ◽  
State And Local ◽  
The Government ◽  
Local Levels

Regionalism: the development of governments and governance structures intermediate between state and local levels has become increasingly significant in the government of both Britain and the United States. Functional issues concerned with the regeneration of rustbelt areas or controlling growth in prosperous areas have resulted in searches for regionalist solutions on both sides of the Atlantic. However, in Britain there are additional pressures from regions with distinctive cultures, as well as from the increasingly influential ‘Europe of the Regions’. Demands for regional government and governance may be generated from the bottom up by a region's politicians, business leaders and others but they are unlikely to be successful unless they are encouraged by higher levels of government, at state, national or supranational levels.

Promises, Promises: Advertising Directors Look at Questionable Political Claims

1994 ◽  
Vol 15 (1) ◽  
pp. 82-90
Author(s):  
Billy I. Ross ◽  
Alan Fletcher ◽  
John C. Schweitzer
Keyword(s):  
Political Advertising ◽  
National State ◽  
Daily Newspapers ◽  
State And Local ◽  
Local Levels ◽  
Public Criticism

Amidst growing public criticism of political advertising at national, state and local levels, directors of advertising in 73 daily newspapers reflect concern for acceptability of current political advertising in newspapers.

The “Amnesty” Aftermath: Current Policy Issues Stemming from the Legalization Programs of the 1986 Immigration Reform and Control Act

1997 ◽  
Vol 31 (1) ◽  
pp. 5-27 ◽  
Author(s):  
Susan González Baker
Keyword(s):  
Immigration Policy ◽  
Local Politics ◽  
The United States ◽  
Immigration Reform ◽  
Public Attention ◽  
Family Ties ◽  
Early Implementation ◽  
State And Local ◽  
And Control ◽  
Local Levels

The 1986 Immigration Reform and Control Act (IRCA) created two one-time only legalization programs affecting nearly 3 million undocumented immigrants. Legalization has produced important changes among immigrants and in immigration policy. These changes include new patterns of immigrant social and economic adaptation to the United States and new immigrant flows through family ties to IRCA-legalized aliens. The heightened salience of immigration, produced in part by legalization, has also generated a wave of “backlash” policymaking at the state and local levels in high-immigration sites. This article combines data from a longitudinal survey of the IRCA-legalized population with qualitative field data on current immigration issues from key informants in eight high-immigration metropolitan areas. It reviews the political evolution and early implementation of legalization, the current socioeconomic position of legalized aliens, and changes in the immigration “policy space” resulting from legalization. Aldiough restrictive policies have again captured public attention, legalization has also sparked renewed efforts at immigration advocacy, particularly where immigrants who adjust to U.S. citizenship hold the potential for influencing local politics.

scholarly journals Is there sufficient evidence regarding signage-based stair use interventions? A sequential meta-analysis

BMJ Open ◽  
2017 ◽  
Vol 7 (11) ◽  
pp. e012459 ◽  
Author(s):  
Adrian Bauman ◽  
Karen Milton ◽  
Maina Kariuki ◽  
Karla Fedel ◽  
Mary Lewicka
Keyword(s):  
Physical Activity ◽  
Meta Analysis ◽  
Population Level ◽  
Evidence Base ◽  
Effect Sizes ◽  
Sufficient Evidence ◽  
Small Scale ◽  
Research Translation ◽  
Policy And Practice ◽  
Stair Use

ObjectiveThe proliferation of studies using motivational signs to promote stair use continues unabated, with their oft-cited potential for increasing population-level physical activity participation. This study examined all stair use promotional signage studies since 1980, calculating pre-estimates and post-estimates of stair use. The aim of this project was to conduct a sequential meta-analysis to pool intervention effects, in order to determine when the evidence base was sufficient for population-wide dissemination.DesignUsing comparable data from 50 stair-promoting studies (57 unique estimates) we pooled data to assess the effect sizes of such interventions.ResultsAt baseline, median stair usage across interventions was 8.1%, with an absolute median increase of 2.2% in stair use following signage-based interventions. The overall pooled OR indicated that participants were 52% more likely to use stairs after exposure to promotional signs (adjusted OR 1.52, 95% CI 1.37 to 1.70). Incremental (sequential) meta-analyses using z-score methods identified that sufficient evidence for stair use interventions has existed since 2006, with recent studies providing no further evidence on the effect sizes of such interventions.ConclusionsThis analysis has important policy and practice implications. Researchers continue to publish stair use interventions without connection to policymakers' needs, and few stair use interventions are implemented at a population level. Researchers should move away from repeating short-term, small-scale, stair sign interventions, to investigating their scalability, adoption and fidelity. Only such research translation efforts will provide sufficient evidence of external validity to inform their scaling up to influence population physical activity.

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