National policy on physical activity: the development of a policy audit tool.
BACKGROUND
Physical inactivity is a leading risk factor for noncommunicable disease worldwide. Increasing physical activity requires large scale actions and relevant, supportive national policy across multiple sectors.


METHODS
The policy audit tool (PAT) was developed to provide a standardized instrument to assess national policy approaches to physical activity. A draft tool, based on earlier work, was developed and pilot-tested in 7 countries.


RESULTS
After several rounds of revisions, the final PAT comprises 27 items and collects information on 1) government structure, 2) development and content of identified key policies across multiple sectors, 3) the experience of policy implementation at both the national and local level, and 4) a summary of the PAT completion process.


CONCLUSIONS
PAT provides a standardized instrument for assessing progress of national policy on physical activity. Engaging a diverse international group of countries in the development helped ensure PAT has applicability across a wide range of countries and contexts. Experiences from the development of the PAT suggests that undertaking an audit of health enhancing physical activity (HEPA) policy can stimulate greater awareness of current policy opportunities and gaps, promote critical debate across sectors, and provide a catalyst for collaboration on policy level actions. The final tool is available online.
School of Population Health, The University of Western Australia, Crawley, WA, Australia.
Fiona C
FC
Bull
Karen
K
Milton
Sonja
S
Kahlmeier
D003299:Cooperative Behavior; D006287:Health Planning Guidelines; D006291:Health Policy; D006293:Health Promotion / Q000592:standards*; D006801:Humans; D009043:Motor Activity; D010809:Physical Fitness; D011050:Policy Making; D011594:Psychometrics; D011795:Surveys and Questionnaires