Assessment

1. Public Health Action Cycle Policy development 2 1 Assessment Assurance 3 Evaluation 4

2. Causal Model from Formulation of a Policy to Health Outcomes Level Policy Determinants A Policy B Environment C Physical Activity D Health E

3. Physical Activity Policy Framework Outcomes of Policy Policy Develop and Implement Policy Determinants of Policy Identify Policy Regional State National Local Health Scale Parks/Public Spaces Transportation Worksite Sector School

4. Outcome Model of Health Promotion Switzerland Adapted for the Promotion of Physical Activity and Sports Measures Outcome levels Influencing factors Determinants A1 Development of offers B1 – Offers InfrastructureServices C1 – Material environment A2 Lobbying/Collaboration with organisations Legislation Administration Organisation Networks B2 – Strategies in politics and organisation C2 – Social environment Promotion of Physical Activity and Sports A3 Mobilisation of communities B3 – Community potential and committment Groups Communities Population C3 – Personal resources and behavioural patterns A4 Development of individual competences B4 – Individual competences Individuals Adapted from “Anleitung zum Ergebnismodell von Gesundheitsförderung Schweiz, 2004 „

6. Leisure Transport Work/School Domestic Framework for Physical Activity PromotionHEPA Promotion Programmes & Activities Policy Process Health Physical Activity Behaviour Physical Activity Determinants

7. Context Context Context Context Intensity Intensity Intensity Intensity Frequency Frequency Frequency Frequency Duration Duration Duration Duration Specific activity Specific activity Overall … Dimensions of physical activity

8. Context Context Context Context Intensity Intensity Intensity Intensity Frequency Frequency Frequency Frequency Duration Duration Duration Duration Work/School Transport Domestic Leisure Modes of physical activity

9. Social environment Intrapersonal Physical environment Framework for Physical Activity PromotionHEPA Promotion Programmes & Activities Policy Process Health Physical Activity Behaviour Physical Activity Determinants

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

11. Determinants of Physical Activity macro-environment micro-environment intrapersonal determinants Physical environment Social environment PhysicalActivity Non-modifiable determinants

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

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

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

15. Dimensions of the policy processadapted from Schmid et al., 2006 Legislation Policy elements Leadership & strategic planning Recommendations & guidelines Policy outcomes Networking & committment Policy determinants Policy & strategy documents Social climate Knowledge base Local/subnational International National Health Sport Scale Uni-sectoral approach Land use/housing Transport Multi-sectoral approach Environment Government level Sector Industry/economy 17.02.2006 Education

16. Other influencing factors Programmes &Activities Policy Process E.g. Policies and activities of other sectors; public perception Health Physical ActivityBehaviour Physical ActivityDeterminants Framework for Physical Activity PromotionOther Influencing Factors

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

18. Framework for Physical Activity PromotionMonitoring and Evaluation Programmes & Activities Policy Process Knowledge Base Health Physical Activity Behaviour Physical Activity Determinants

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

20. Other influencing factors Programmes &Activities Policy Process E.g. Policies and activities of other sectors; public perception Health Physical ActivityBehaviour Physical ActivityDeterminants Framework for Physical Activity PromotionEvidence Based HEPA Promotion Knowledge Base

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

22. Framework for Physical Activity PromotionMulti-Sectoral Approaches Programmes & Activities Policy Process Programmes & Activities Policy Process Programmes & Activities Policy Process Knowledge Base Programmes & Activities Policy Process Knowledge Base Programmes & Activities Policy Process Knowledge Base Physical Activity Determinants Programmes & Activities Policy Process Knowledge Base Physical Activity Determinants Knowledge Base Health Physical Activity Determinants Knowledge Base Physical Activity Sports Physical Activity Determinants Transport Physical Activity Determinants Urban Planning Physical Activity Determinants Education Other Outcomes .....

23. Types of evidence for Public Health 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?” Cavill et al 2005, adapted from Brownson et al 1999

24. Framework for Physical Activity PromotionType 1 Evidence „Why should something be done?“ Programmes & Activities Policy Process Knowledge Base Health Physical Activity Behaviour Physical Activity Determinants

25. Framework for Physical Activity PromotionType 2 Evidence „What should be done?“ Programmes & Activities Policy Process Knowledge Base Health Physical Activity Behaviour Physical Activity Determinants

26. Framework for Physical Activity PromotionPolicy research „How can be done what should be done?“ Programmes & Activities Policy Process Knowledge Base Health Physical Activity Behaviour Physical Activity Determinants

27. Slides 28 to 35 have not been used directly in the discussion paper, but could be useful for presentations

28. Framework for Physical Activity PromotionHEPA Promotion Programmes & Activities Policy Process Health Physical Activity Behaviour Physical Activity Determinants

29. Framework for Physical Activity PromotionHEPA Promotion Programmes & Activities Policy Process Health Physical Activity Behaviour Physical Activity Determinants

30. Framework for Physical Activity PromotionHEPA Promotion Programmes & Activities Policy Process Health Physical Activity Behaviour Physical Activity Determinants

31. Framework for Physical Activity PromotionHEPA Promotion Programmes & Activities Policy Process Health Physical Activity Behaviour Physical Activity Determinants

32. PhysicalActivity HEPA Health

33. Model for HEPA Determinants macro-environment micro-environment intrapersonal determinants Physical environment Social environment HEPA Non-modifiable determinants

34. Other influencing factors Programmes &Activities Policy Process E.g. Policies and activities of other sectors; public perception Health Physical ActivityBehaviour Physical ActivityDeterminants Framework for Physical Activity PromotionOther Influencing Factors

35. Other influencing factors Programmes &Activities Policy Process E.g. Policies and activities of other sectors; public perception Health Physical ActivityBehaviour Physical ActivityDeterminants Framework for Physical Activity PromotionEvidence Based HEPA Promotion Knowledge Base