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Equity Impact Assessment of Interventions to Promote Physical Activity among Older Adults: A Logic Model Framework

Reducing social inequalities in health and health determinants, including physical activity (PA), is a major challenge for public health. PA-promoting interventions are increasingly implemented. Little is known, however, about the impact of these interventions on social inequalities. For prioritizin...

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Autores principales: Lehne, Gesa, Voelcker-Rehage, Claudia, Meyer, Jochen, Bammann, Karin, Gansefort, Dirk, Brüchert, Tanja, Bolte, Gabriele
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6388141/
https://www.ncbi.nlm.nih.gov/pubmed/30717136
http://dx.doi.org/10.3390/ijerph16030420
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author Lehne, Gesa
Voelcker-Rehage, Claudia
Meyer, Jochen
Bammann, Karin
Gansefort, Dirk
Brüchert, Tanja
Bolte, Gabriele
author_facet Lehne, Gesa
Voelcker-Rehage, Claudia
Meyer, Jochen
Bammann, Karin
Gansefort, Dirk
Brüchert, Tanja
Bolte, Gabriele
author_sort Lehne, Gesa
collection PubMed
description Reducing social inequalities in health and health determinants, including physical activity (PA), is a major challenge for public health. PA-promoting interventions are increasingly implemented. Little is known, however, about the impact of these interventions on social inequalities. For prioritizing interventions most likely to be effective in reducing inequalities, studies of PA interventions need to conduct equity impact assessments. The aim of this article is to describe the development of a logic model framework for equity impact assessments of interventions to promote PA. The framework was developed within the prevention research network AEQUIPA—Physical activity and health equity: primary prevention for healthy ageing, informed by an equity-focused systematic review, expert interviews, exploratory literature searches, and joint discussions within the network. The framework comprises a general equity-focused logic model to be adapted to specific interventions. The intervention-specific equity-focused logic models illustrate the key elements relevant for assessing social inequalities in study participation, compliance with and acceptance of interventions, as well as the efficacy of interventions. Future work within AEQUIPA will reveal which key elements are most critical for the interventions’ equity impacts. Equity impact assessments are beneficial for prioritizing interventions most likely to be effective in reducing health inequalities.
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spelling pubmed-63881412019-02-27 Equity Impact Assessment of Interventions to Promote Physical Activity among Older Adults: A Logic Model Framework Lehne, Gesa Voelcker-Rehage, Claudia Meyer, Jochen Bammann, Karin Gansefort, Dirk Brüchert, Tanja Bolte, Gabriele Int J Environ Res Public Health Article Reducing social inequalities in health and health determinants, including physical activity (PA), is a major challenge for public health. PA-promoting interventions are increasingly implemented. Little is known, however, about the impact of these interventions on social inequalities. For prioritizing interventions most likely to be effective in reducing inequalities, studies of PA interventions need to conduct equity impact assessments. The aim of this article is to describe the development of a logic model framework for equity impact assessments of interventions to promote PA. The framework was developed within the prevention research network AEQUIPA—Physical activity and health equity: primary prevention for healthy ageing, informed by an equity-focused systematic review, expert interviews, exploratory literature searches, and joint discussions within the network. The framework comprises a general equity-focused logic model to be adapted to specific interventions. The intervention-specific equity-focused logic models illustrate the key elements relevant for assessing social inequalities in study participation, compliance with and acceptance of interventions, as well as the efficacy of interventions. Future work within AEQUIPA will reveal which key elements are most critical for the interventions’ equity impacts. Equity impact assessments are beneficial for prioritizing interventions most likely to be effective in reducing health inequalities. MDPI 2019-02-01 2019-02 /pmc/articles/PMC6388141/ /pubmed/30717136 http://dx.doi.org/10.3390/ijerph16030420 Text en © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Lehne, Gesa
Voelcker-Rehage, Claudia
Meyer, Jochen
Bammann, Karin
Gansefort, Dirk
Brüchert, Tanja
Bolte, Gabriele
Equity Impact Assessment of Interventions to Promote Physical Activity among Older Adults: A Logic Model Framework
title Equity Impact Assessment of Interventions to Promote Physical Activity among Older Adults: A Logic Model Framework
title_full Equity Impact Assessment of Interventions to Promote Physical Activity among Older Adults: A Logic Model Framework
title_fullStr Equity Impact Assessment of Interventions to Promote Physical Activity among Older Adults: A Logic Model Framework
title_full_unstemmed Equity Impact Assessment of Interventions to Promote Physical Activity among Older Adults: A Logic Model Framework
title_short Equity Impact Assessment of Interventions to Promote Physical Activity among Older Adults: A Logic Model Framework
title_sort equity impact assessment of interventions to promote physical activity among older adults: a logic model framework
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6388141/
https://www.ncbi.nlm.nih.gov/pubmed/30717136
http://dx.doi.org/10.3390/ijerph16030420
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