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  • 1
    In: Pediatric Neurology, Elsevier BV, Vol. 49, No. 3 ( 2013-9), p. 213-217
    Type of Medium: Online Resource
    ISSN: 0887-8994
    Language: English
    Publisher: Elsevier BV
    Publication Date: 2013
    detail.hit.zdb_id: 2014321-7
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  • 2
    Online Resource
    Online Resource
    Oxford University Press (OUP) ; 2022
    In:  European Journal of Public Health Vol. 32, No. Supplement_2 ( 2022-08-27)
    In: European Journal of Public Health, Oxford University Press (OUP), Vol. 32, No. Supplement_2 ( 2022-08-27)
    Abstract: The intricacies of cross sector partnerships regarding what may help and what may hinder collaboration and partnerships in the short- or long-term remain largely unknown. The 2018 Global Action Plan for Physical Activity promotes whole-system collaborative approaches and our review contributes to our understanding of the management of cross-sector partnerships and collaborations promoting physical activity. Methods We searched Medline, Embase, PsychINFO, ProQuest Central, SCOPUS and SPORTDiscus to identify published records dating from 1986 to August 2021. Public health interventions using a partnership approach were included, if at least two partners were not from the same sector and their shared goal was to promote or increase population-level physical activity. Eligibility also required records to include information about the context and the barriers and/or facilitators of the partners of the reported cross-sector partnerships. The CASP checklist and the ROBINS-I tool were used to appraise the included records and thematic analysis to summarise and synthesise the findings. Due to the small number of eligible quantitative studies, the study focused on qualitative findings relating to the parameters set out for this systematic review. Results The study included records (n = 32) that described public health interventions or programs aiming to promote physical activity, community sport or active living through cross-sector partnerhips, as part of qualitative (n = 19), quantitative (n = 1) or mixed methods (n = 12) research. The review identified barriers, facilitators and recommendations to overcome common challenges in relation to four broad themes: approaching and selecting partners, funding, building capacity and taking joint action. Conclusion Partners are often urged to collaborate under the limits of time and resources. Agreeing on expectations, gaining momentum and establishing trust requires time and resources early on, before any intervention output can be evidenced. Therefore, investment in the early stages may remove key barriers of partnerships and accelerate joint leadership. Boundary spanners linking sectors, translating differences and consolidating common ground can facilitate whole-systems approaches.
    Type of Medium: Online Resource
    ISSN: 1101-1262 , 1464-360X
    Language: English
    Publisher: Oxford University Press (OUP)
    Publication Date: 2022
    detail.hit.zdb_id: 2033525-8
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  • 3
    Online Resource
    Online Resource
    Oxford University Press (OUP) ; 2022
    In:  European Journal of Public Health Vol. 32, No. Supplement_2 ( 2022-08-27)
    In: European Journal of Public Health, Oxford University Press (OUP), Vol. 32, No. Supplement_2 ( 2022-08-27)
    Abstract: Published in 2018, the World Health Organisation's Global Action Plan for Physical Activity (GAPPA) sets out 20 actions across 4 objectives (Active Societies, Active Environments, Active People, Active Systems) to reduce global inactivity by 15% by 2030. GAPPA takes a whole-systems approach (WSA), calling for cross-sectoral collaboration to address physical inactivity levels. This study sought to explore implementation to date, highlighting progress made and areas that require further focus. Methods A desk-based scoping study, using a systematic, but flexible approach, identified sites and personnel implementing GAPPA or a WSA. Methods of collection included a review of existing literature, snowball sampling of key individuals and internet searches. These methods identified a range of academics and practitioners who were subsequently contacted and interviewed on their use of GAPPA to date. Results Preliminary findings suggest that GAPPA's implementation currently varies greatly internationally. Some nations, including Finland and Scotland have embraced a WSA, taking steps to actively map their PA system. Elsewhere, countries such as Ireland and Australia are exploring practical approaches to implementing a WSA. GAPPA was only published in June 2018 and thus, where action is taking place, these countries offer important implementation evidence and opportunities for transferable learning. Regarding GAPPA's objectives, our review concludes that in nations that have embraced GAPPA, the Active Societies and Active Environments objectives are being actioned or have plans in development for action, while progress towards behaviour and system change objectives (Active People and Active Systems) appear less evident. Conclusions There is some promising evidence drawn from GAPPA's early implementation, although we conclude that if WHO targets are to be reached, wider adoption is needed. It appears that the nations who have best applied GAPPA, are those who arguably have pre-existing cross-sectoral networks in PA and public health. Therefore, perhaps a crucial first step in nationally implementing GAPPA is the establishment of these networks, laying foundations for collaborative action. Furthermore, the generation and dissemination of research by some of the early adopters is crucial to both reinforce knowledge transfer and guide others towards a whole-systems approach.
    Type of Medium: Online Resource
    ISSN: 1101-1262 , 1464-360X
    Language: English
    Publisher: Oxford University Press (OUP)
    Publication Date: 2022
    detail.hit.zdb_id: 2033525-8
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  • 4
    Online Resource
    Online Resource
    Springer Science and Business Media LLC ; 2022
    In:  The European Journal of Health Economics Vol. 23, No. 7 ( 2022-09), p. 1079-1083
    In: The European Journal of Health Economics, Springer Science and Business Media LLC, Vol. 23, No. 7 ( 2022-09), p. 1079-1083
    Abstract: A gradual move to proactive illness prevention requires a strategic shift towards population health management by health care systems. Such a shift becomes necessary to improve outcomes, reduce inequalities and manage costs better, as life expectancy increases and chronic illness becomes more prevalent. Health system digitisation and greater focus on virtual health care (VHC) can contribute to active population health management. For that to happen, health systems need to address and overcome several challenges currently preventing the rapid introduction and scale up of VHC for population health; these include implementing changes in care models and focus on digitally enabled population health approaches; addressing culture and mindset barriers; resolving regulatory bottlenecks; overcoming technical limitations, inter-operability and data security issues; and, finally, aligning stakeholder incentives and expectations.
    Type of Medium: Online Resource
    ISSN: 1618-7598 , 1618-7601
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2022
    detail.hit.zdb_id: 2011428-X
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  • 5
    In: BMC Medical Research Methodology, Springer Science and Business Media LLC, Vol. 20, No. 1 ( 2020-12)
    Abstract: Recruitment of research participants poses challenges in socioeconomically deprived areas. The Awareness and Beliefs About Cancer (ABACus) phase 3 Randomised Control Trial recruited adult participants from socioeconomically deprived areas using a combined healthcare/community engagement model. We report the strategies used to successfully recruit and retain our trial participant sample. Methods Community and healthcare settings in areas of high socioeconomic deprivation were identified by lay advisors who recruited participants opportunistically or by appointment. Follow-up was done by telephone or post at 2-weeks and 6-months after recruitment, and all participants were offered financial incentives. Qualitative interviews were conducted with lay advisors regarding their experience and reflections. Results The lay advisors identified and contacted 107 potential recruitment venues across South and West Yorkshire and South East Wales of which 41.1% ( n  = 42) were opened for recruitment. A total of 234 participants were recruited, with 91% ( n  = 212) retention at 2-weeks and 85% ( n  = 199) at 6-months. Community settings yielded 75% ( n  = 176) of participants. Participants had a mean age of 61.3 years and 63.3% ( n  = 148) were female, with 66% ( n  = 154) resident in the most deprived geographical areas. Lay advisors described recruitment as intensive, although engaging participants was easier in community settings. Conclusions The ABACus3 trial achieved recruitment and high retention with a population that is often “hard to reach” or entirely missed in health research. Strategies were specifically tailored to engage the venues and adult residents of highly deprived areas. Future studies recruiting adults living in the most deprived areas might benefit from community recruitment and from collaborating with local gatekeepers who are key to engagement. This study adheres to CONSORT guidelines. Trial registration Retrospectively registered with ISRCTN ( http://www.isrctn.com/ISRCTN16872545 ) on 12.01.2018.
    Type of Medium: Online Resource
    ISSN: 1471-2288
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2020
    detail.hit.zdb_id: 2041362-2
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  • 6
    In: BMC Public Health, Springer Science and Business Media LLC, Vol. 19, No. 1 ( 2019-12)
    Type of Medium: Online Resource
    ISSN: 1471-2458
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2019
    detail.hit.zdb_id: 2041338-5
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  • 7
    Online Resource
    Online Resource
    Medwin Publishers ; 2023
    In:  Public Health Open Access Vol. 7, No. 1 ( 2023), p. 1-4
    In: Public Health Open Access, Medwin Publishers, Vol. 7, No. 1 ( 2023), p. 1-4
    Abstract: Public health is a field that is occupied with the notion of health and how health can be preserved, protected and promoted for populations. One way to do this is with wide interventions that aim to promote public health, aiming at certain aspects of life such as weight gain, physical activity, mental health, substance use etc.
    Type of Medium: Online Resource
    ISSN: 2578-5001
    Uniform Title: Why is Critical Realism and Realistic Evaluation Important in Public Health Programs for Prevention of Obesity?
    URL: Issue
    Language: Unknown
    Publisher: Medwin Publishers
    Publication Date: 2023
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  • 8
    Online Resource
    Online Resource
    Oxford University Press (OUP) ; 2023
    In:  European Journal of Public Health Vol. 33, No. Supplement_1 ( 2023-09-11)
    In: European Journal of Public Health, Oxford University Press (OUP), Vol. 33, No. Supplement_1 ( 2023-09-11)
    Abstract: We aimed to investigate partnership-working across sectors through the example of the Wales Physical Activity Partnership (WPAP). Three national organisations specialising in sport, environment and public health formed a strategic alliance under the Welsh Government’s direction to support the long-term innovative legislation of the Wellbeing of Future Generations (Wales) Act 2015 (WBFGA). Methods We completed in-depth semi-structured interviews with WPAP members (n = 9, August 2021 to March 2022) involved in the leadership, management and work-stream levels of the partnership. The leadership group members were interviewed twice, with 12 months between interviews, to follow-up progress of the partnership and changes in strategic direction. The interviews were transcribed and analysed in NVivo using Braun & Clarke’s (2014) thematic analysis. Results The participants had experiences of operating in leadership, management and working group roles within the partnership, each representing their organisation. The major themes were related to the partners sudden change in short-term priorities and the efforts to maintain momentum in line with the long-term direction of their alliance. The Covid-19 pandemic was felt to accentuate underlying issues, by limiting capacity and halting momentum in the developing the partners’ shared agenda. The leadership group remained confident of the added value to their organisations by connecting sport, environment and public health and recognised the shared responsibility of their organisation in supporting the Welsh Government to increase physical activity across Wales. The working group members felt that the governance structure and division of work-streams diluted the potential of the three partners, and often felt “compartmentalised” and there was limited communication between work-streams. Conclusions The impact from the Covid-19 pandemic was a barrier to building and maintaining momentum in this partnership between sport environment and public health. Wales is the first country to impose that public organisations bear a legislative duty to evidence their contribution towards the long-term strategy to improve physical activity, health and wellbeing via the WBFGA. Innovative legislation has provided a foundation for organisations in diverse sectors to shift their agendas to evidence long-term contributions but short-term pressures, such as the Covid-19 pandemic, may dilute the commitment and strategic intent.
    Type of Medium: Online Resource
    ISSN: 1101-1262 , 1464-360X
    Language: English
    Publisher: Oxford University Press (OUP)
    Publication Date: 2023
    detail.hit.zdb_id: 2033525-8
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  • 9
    Online Resource
    Online Resource
    Hindawi Limited ; 2022
    In:  Advances in Public Health Vol. 2022 ( 2022-8-30), p. 1-13
    In: Advances in Public Health, Hindawi Limited, Vol. 2022 ( 2022-8-30), p. 1-13
    Abstract: Rich literature abounds concerning the clinical effectiveness of programs aiming to produce weight gain/obesity prevention outcomes. However, there is very little evidence on how these outcomes are produced, and what interplay of factors made those programs effective (or not) in the environment that produced those effects. This study aims to describe the application of realistic evaluation in the field of obesity prevention, as an approach to unravel those components that influence the capacity of a program to produce its effects and to examine its significance in an effort to understand those components. The concepts of critical realism have informed the development of an interview topic guide, while three European programs were selected as case studies after a rigorous selection process. In total, 26 in-depth semi-structured interviews were taken, paired with personal observation and secondary data research. Several grounded context-mechanisms-outcomes (CMO) configurations were described within the respective context of each location, with the mechanisms introduced from each project resulting in distinctive outcomes. This study highlights the potential of realistic evaluation as a comprehensive framework to explain in which contextual circumstances of each program’s effects are produced, how certain underlying mechanisms produce those effects, and how to explicitly connect the context and the acting mechanisms into distinct outcome patterns, which will ultimately form unique configuration sets for each of the analyzed projects.
    Type of Medium: Online Resource
    ISSN: 2314-7784 , 2356-6868
    Language: English
    Publisher: Hindawi Limited
    Publication Date: 2022
    detail.hit.zdb_id: 2798104-6
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  • 10
    Online Resource
    Online Resource
    Oxford University Press (OUP) ; 2023
    In:  European Journal of Public Health Vol. 33, No. Supplement_1 ( 2023-09-11)
    In: European Journal of Public Health, Oxford University Press (OUP), Vol. 33, No. Supplement_1 ( 2023-09-11)
    Abstract: We aimed to explore the challenges and opportunities to developing and implementing a strategic long-term national physical activity, health and wellbeing strategy. Wales has created innovative legislation through the Wellbeing of Future Generations (Wales) Act 2015 (WBFGA) and continues to drive progress on long-term strategies for health and wellbeing, with physical activity as a key outcome. Methods Senior stakeholders (n = 11) that held leadership roles within the sport, environment, central/ local government, healthcare and public health participated in semi-structured, in-depth interviews (July - September 2022). The interviews were transcribed and analysed through Braun & Clarke’s (2014) thematic analysis using NVivo software. Results The major themes related to: influencing within and outside the leaders’ own organisation; advocating long-term health strategies; protecting the allocated resources to long-term health outcomes from short-term pressures; and disruptive changes such as Covid-19 and government election cycles. The participants felt that physical activity is relevant to multiple strategies and departments within government, so resources should be “pooled together” across central government budgets to meet the needs of the populations and deliver on long-term strategies. Spanning sector and organisation boundaries was viewed as essential by all senior leaders and some noted that partnerships should be led with purpose and authenticity. The innovative WBFGA was mentioned as the key facilitator for creating shared accountability and a shared vision for Wales. The relatively small size of Wales was noted as an additional facilitator to forging positive and long-standing relationships with individuals and organisations. The participants recognised a key element of their leadership role which was engaging and collaborating with strong intent and authenticity. Conclusions The value and role of spanning boundaries to promote and establish long-term strategies for physical activity, health and wellbeing remains largely uncaptured and not well understood. This study contributed to understanding the perspectives of senior leaders, from diverse sectors, on developing and implementing long-term health strategies. The contemporary shift towards whole systems approaches and long-term partnerships to deliver healthier future generations, will require better understanding of what works for engaging wider stakeholders and maintaining momentum to a shared agenda.
    Type of Medium: Online Resource
    ISSN: 1101-1262 , 1464-360X
    Language: English
    Publisher: Oxford University Press (OUP)
    Publication Date: 2023
    detail.hit.zdb_id: 2033525-8
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