Obstacles and Enablers on the Way towards Integrated Physical Activity Policies for Childhood Obesity Prevention: An Exploration of Local Policy Officials' Views.
Background. Limited physical activity (PA) is a risk factor for childhood obesity. In Netherlands, as in many other countries worldwide, local policy officials bear responsibility for integrated PA policies, involving both health and nonhealth domains. In practice, its development seems hampered. We explore which obstacles local policy officials perceive in their effort.Methods. Fifteen semistructured interviews were held with policy officials from health and nonhealth policy domains, working at strategic, tactic, and operational level, in three relatively large municipalities. Questions focused on exploring perceived barriers for integrated PA policies. The interviews were deductively coded by applying the Behavior Change Ball framework.Findings. Childhood obesity prevention appeared on the governmental agenda and all officials understood the multicausal nature. However, operational officials had not yet developed a tradition to develop integrated PA policies due to insufficient boundary-spanning skills and structural and cultural differences between the domains. Tactical level officials did not sufficiently support intersectoral collaboration and strategic level officials mainly focused on public-private partnerships.Conclusion. Developing integrated PA policies is a bottom-up innovation process that needs to be supported by governmental leaders through better guidingorganizational processesleading to such policies. Operational level officials can assist in this by making progress in intersectoral collaboration visible.
Academic Collaborative Centre for Public Health Limburg, Regional Public Health Service, Geleen, Netherlands; Department of Health Promotion, School of Public Health and Primary Care (CAPHRI), Maastricht University, Maastricht, Netherlands.
Anna-Marie
0000-0002-2157-6792
AM
Hendriks
Scientific Center for Care and Welfare (TRANZO), Tilburg University, Tilburg, Netherlands.
Jolanda M
JM
Habraken
Department of Health Promotion, School of Nutrition and Translational Research in Metabolism (NUTRIM), Maastricht University, Maastricht, Netherlands.
Stef P J
SP
Kremers
Academic Collaborative Centre for Public Health Limburg, Regional Public Health Service, Geleen, Netherlands; Department of Health Services Research, School of Public Health and Primary Care (CAPHRI), Maastricht University, Maastricht, Netherlands.
Maria W J
0000-0002-1843-139X
MW
Jansen
Scientific Center for Care and Welfare (TRANZO), Tilburg University, Tilburg, Netherlands; National Institute for Public Health and the Environment, Bilthoven, Netherlands.
Hans
H
van Oers
National Institute for Public Health and the Environment, Bilthoven, Netherlands; Department of Health Sciences and EMGO Institute for Health and Care Research, Vrije Universiteit, Amsterdam, Netherlands.
Albertine J
AJ
Schuit
Health Res Policy Syst. 2014 Sep 23;12:55
25248956
Am J Prev Med. 2012 Jun;42(6):563-70
22608371
J Public Health Policy. 2009;30 Suppl 1:S161-76
19190572
J Obes. 2013;2013:632540
24490059
Health Promot Int. 2012 Jun;27(2):261-74
21421579
Prev Chronic Dis. 2013 Oct 24;10:E174
24157077
Health Promot Int. 2016 Jun;31(2):290-302
25500994
Health Policy. 2011 Jun;101(1):11-9
21030107
Med Sci Sports Exerc. 2008 Jan;40(1):181-8
18091006
BMJ. 2000 Jan 8;320(7227):114-6
10625273
Implement Sci. 2011 Dec 15;6:128
22172049
Health Res Policy Syst. 2012 Jul 02;10:21
22748169
Global Health. 2009 Jul 28;5:5
19638196
Health Policy. 2011 Dec;103(2-3):130-40
22019297
Res Q Exerc Sport. 2011 Sep;82(3):521-35
21957711
Obes Res Clin Pract. 2014 Jul-Aug;8(4):e388-98
25091361
Obes Rev. 2011 Dec;12 (12 ):1022-30
21831231
Prev Med. 2012 May;54 Suppl:S38-41
22178469
Biomed Res Int. 2015;2015:926159
26380307
Int J Pediatr Obes. 2011 Oct;6(5-6):342-60
21838570
Health Promot Int. 2011 Mar;26(1):55-64
20739326
Health Promot Int. 2014 Jun;29 Suppl 1:i92-102
25217361
Lancet. 2015 Jun 13;385(9985):2422-31
25703113
Health Promot Int. 2016 Sep;31(3):735-7
25983331
J Public Health Policy. 2009 Apr;30(1):102-16
19367304
Aust New Zealand Health Policy. 2009 Aug 23;6:20
19698170
Lancet. 2015 Jun 13;385(9985):2400-9
25703111
Int J Health Plann Manage. 2006 Jan-Mar;21(1):75-88
16604850
Implement Sci. 2013 Apr 18;8:46
23597122
Br J Nutr. 2014 Oct;112 Suppl 2:S65-74
25267247
Am J Prev Med. 2012 Dec;43(6):643-9
23159260
Lancet. 2014 Aug 30;384(9945):766-81
24880830
Obesity (Silver Spring). 2013 Mar;21(3):E280-93
23592682
Health Policy. 2014 Feb;114(2-3):163-73
24309298
Health Policy. 2013 May;110(2-3):186-97
23506799
BMJ Open. 2014 Jul 25;4(7):e004787
25063459
Health Promot Int. 2014 Jun;29 Suppl 1:i143-51
25217351
Obes Rev. 2007 Mar;8 Suppl 1:vi-ix
17316292
Health Policy. 2014 Feb;114(2-3):174-82
24210088
BMJ. 2010 Feb 23;340:c785
20179126
Health Policy. 2012 May;105(2-3):288-95
22405487
J Public Health Policy. 2015 May;36(2):231-43
25611892
Health Promot Int. 2015 Dec;30(4):987-97
24915736