Effective elements of care-physical activity initiatives for citizens with a low socioeconomic status

Research output: Chapter in Book/Report/Conference proceedingAbstractAcademic

Abstract

PURPOSE Care-physical activity (care-PA) initiatives involve collaborations between the primary care and the sports sector, with the aim to stimulate PA among citizens at risk for lifestyle related diseases. Preliminary results of Dutch care-PA initiatives specifically designed for adults with a low socioeconomic status (SES) indicate that these initiatives are successful in lowering body weight and enhancing quality of life among participants. While this is encouraging, insights into the elements that make these initiatives effective would be useful for the development and implementation of new initiatives. Therefore, this research aims to unravel the effective elements of care-PA initiatives for low SES adults.
METHODS Concept Mapping (CM) was used as a tool to identify and cluster the effective elements. Nineteen Dutch health promotion experts participated in the CM procedure. First, each expert individually listed as many elements as they thought were of critical importance to the effectiveness of care-PA initiatives. Next, the researchers created a list of all elements and asked each expert to cluster the elements, and to score them on importance. Then, CS Global MAX software was used to perform multidimensional scaling and a hierarchical cluster analysis to develop a cluster map. Finally, during a group meeting with 11 of the experts, the cluster map was presented, discussed, and refined.
RESULTS The experts came up with 125 unique effective elements of care-PA initiatives for low SES citizens. After multiple adaptations, e.g. merging and splitting of elements and clusters, as result of input from the respondents during the group meeting, 113 unique effective elements were clustered into 11 clusters: 1) intersectoral collaboration, 2) local embedding, 3) barriers experienced during the programme, 4) customisation of the programme to the target population, 5) accessibility of the programme, 6) recruitment of participants, 7) competencies of the professionals, 8) approach of the professional, 9) methods within the programme, 10) actions within the programme, and 11) social support.
CONCLUSIONS The findings provide a valuable overview of the effective elements of care-PA initiatives for low SES citizens. The results can be used to develop and implement additional care-PA initiatives targeted at low SES citizens, and may eventually help to reduce health inequalities between low and high SES citizens.
Original languageEnglish
Title of host publicationHEPA Europe 28-30 August 2019, Odense, Denmark
Pages194-194
Publication statusPublished - 30 Aug 2019
Event15th annual meeting and 10th conference of HEPA Europe (2019) - Odense, Denmark
Duration: 28 Aug 201930 Aug 2019

Conference

Conference15th annual meeting and 10th conference of HEPA Europe (2019)
CountryDenmark
CityOdense
Period28/08/1930/08/19

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