Promotion of physical activity in rural, remote and northern settings: a Canadian call to action

Introduction: The lack of policy, practice and research action on physical activity and features of the physical (built and natural) environments in rural, remote and northern settings is a significant threat to population health equity in Canada. This paper presents a synthesis of current evidence on the promotion of physical activity in non-urban settings, outcomes from a national priority-setting meeting, and a preliminary call to action to support the implementation and success of population-level initiatives targeting physical activity in non-urban settings. Methods: We conducted a “synopses of syntheses” scoping review to explore current evidence on physical activity promotion in rural, remote, northern and natural settings. Next, we facilitated a collaborative priority-setting conference with 28 Canadian experts from policy, research and practice arenas to develop a set of priorities on physical activity in rural, remote and northern communities. These priorities informed the development of a preliminary Canadian call to action. Results: We identified a limited number of reviews that focused on physical activity and the built environment in rural, remote and northern communities. At the priority-setting conference, participants representing rural, remote and northern settings identified top priorities for policy, practice and research action to begin to address the gaps and issues noted in the literature. These priorities include self-identifying priorities at the community level; compiling experiences; establishing consistency in research definitions and methods; and developing mentorship opportunities. Conclusion: Coordinated action across policy, practice and research domains will be essential to the success of the recommendations presented in this call to action

Conceptualizing Quality in Participatory Health Research: A Phenomenographic Inquiry

Participatory approaches to research are gaining popularity in health and wellness disciplines because of their potential to bridge gaps between research and practice and promote health equity. A number of guidelines have been developed to help research-practitioners gauge the quality of participatory health research (PHR). In light of the increasing popularization of this approach in the field of public health, there is a need to check in with current practitioners to see if their practices are still reflective of past guidelines. The aim of this study was to understand how research-practitioners currently conceptualize the quality of participatory health research in particular. Using phenomenographic inquiry, we interviewed 13 researchers who described their experience of PHR. We identified 15 categories of description and visually represented the relationship between the categories using an outcome space. Our findings suggest that conceptualizations of what is considered high quality PHR have remained consistent. This reliability bodes well for the development of quality criteria for participatory health research. We discuss implications for scaling up this study to compare quality criteria beyond a North American context. URN: http://nbn-resolving.de/urn:nbn:de:0114-fqs160227

Conceptualizing quality in participatory health research: a phenomenographic inquiry

Participatory approaches to research are gaining popularity in health and wellness disciplines because of their potential to bridge gaps between research and practice and promote health equity. A number of guidelines have been developed to help research-practitioners gauge the quality of participatory health research (PHR). In light of the increasing popularization of this approach in the field of public health, there is a need to check in with current practitioners to see if their practices are still reflective of past guidelines. The aim of this study was to understand how research-practitioners currently conceptualize the quality of participatory health research in particular. Using phenomenographic inquiry, we interviewed 13 researchers who described their experience of PHR. We identified 15 categories of description and visually represented the relationship between the categories using an outcome space. Our findings suggest that conceptualizations of what is considered high quality PHR have remained consistent. This reliability bodes well for the development of quality criteria for participatory health research. We discuss implications for scaling up this study to compare quality criteria beyond a North American context. (author's abstract)Partizipative Ansätze erfreuen sich in den Gesundheitswissenschaften zunehmender Beliebtheit infolge ihres Potenzials, Forschung und Praxis näher zusammenzubringen. In diesem Zusammenhang sind verschiedene Leitlinien entwickelt worden, um Forschenden zu helfen, die Qualität partizipativer Gesundheitsforschung (PGF) zu bewerten. Hiervon ausgehend entsteht ein Bedarf, die Güte dieser Leitlinien im Lichte aktueller Forschung zu reflektieren. Wir wollten deshalb wissen, wie die Qualität von PGF im Feld selbst konzeptualisiert wird und haben 13 Forschende in einer phänomenografischen Studie zu ihren Erfahrungen mit PGF befragt. Insgesamt haben wir 15 Kategorien identifiziert, deren Beziehung wir in diesem Beitrag auch visuell zu veranschaulichen versuchen. Die Ergebnisse legen nahe, dass die Dimensionen, die für die Zuschreibung hoher Qualität verantwortlich sind, vergleichsweise stabil (geblieben) sind. Diese Verlässlichkeit ist u.E. vielversprechend mit Blick auf die Entwicklung von Qualitätskriterien für PGF. Wir diskutieren abschließend auch Implikationen, die bedacht werden müssen, wenn Untersuchungen außerhalb des nordamerikanischen Kontextes mit dem Ziel eines internationalen Vergleichs stattfinden sollen. (Autorenreferat

Evidence synthesis - Promotion of physical activity in rural, remote and northern settings: a Canadian call to action

Introduction: The lack of policy, practice and research action on physical activity and features of the physical (built and natural) environments in rural, remote and northern settings is a significant threat to population health equity in Canada. This paper presents a synthesis of current evidence on the promotion of physical activity in non-urban settings, outcomes from a national priority-setting meeting, and a preliminary call to action to support the implementation and success of population-level initiatives targeting physical activity in non-urban settings. Methods: We conducted a “synopses of syntheses” scoping review to explore current evidence on physical activity promotion in rural, remote, northern and natural settings. Next, we facilitated a collaborative priority-setting conference with 28 Canadian experts from policy, research and practice arenas to develop a set of priorities on physical activity in rural, remote and northern communities. These priorities informed the development of a preliminary Canadian call to action. Results: We identified a limited number of reviews that focused on physical activity and the built environment in rural, remote and northern communities. At the prioritysetting conference, participants representing rural, remote and northern settings identified top priorities for policy, practice and research action to begin to address the gaps and issues noted in the literature. These priorities include self-identifying priorities at the community level; compiling experiences; establishing consistency in research definitions and methods; and developing mentorship opportunities. Conclusion: Coordinated action across policy, practice and research domains will be essential to the success of the recommendations presented in this call to action

Synthèse des données probantes - Promotion de l’activité physique en milieu rural ou éloigné et dans les régions du Nord : un appel pancanadien à l’action

Introduction. L’absence d’interventions en matière de recherche, de pratiques et de politiques relativement à l’activité physique et les particularités de l’environnement physique (bâti et naturel) en milieu rural ou éloigné et dans les régions du Nord constituent des freins importants à l’équité en santé de la population au Canada. Cet article présente une synthèse des données probantes pertinentes sur l’activité physique en milieu non urbain, les résultats d’une rencontre sur l’établissement de priorités nationales ainsi qu’un appel préliminaire à l’action en vue de favoriser la mise en place et la réussite, à l’échelle de la population, d’initiatives axées sur l’activité physique en milieu non urbain. Méthodologie. Nous avons d’abord réalisé un examen de la portée des synopsis de synthèses pour étudier les données probantes pertinentes en lien avec la promotion de l’activité physique en milieu rural, éloigné ou naturel et dans les régions du Nord. Nous avons ensuite organisé une conférence à laquelle ont pris part 28 experts canadiens spécialisés en politiques, en recherche et en pratiques, afin de concevoir de manière concertée un ensemble de priorités sur l’activité physique en milieu rural ou éloigné et dans les régions du Nord. À la suite de cette rencontre, nous avons rédigé un appel à l’action préliminaire pour tout le Canada. Résultats. Nous avons relevé relativement peu de travaux axés sur l’activité physique et l’environnement bâti en milieu rural ou éloigné et dans les régions du Nord. Lors de la conférence sur l’établissement de priorités, des participants représentant des milieux ruraux ou éloignés et des collectivités du Nord ont formulé les grandes priorités d’action en matière de politiques, de pratiques et de recherche pour commencer à réduire les écarts et résoudre les problèmes soulevés dans la littérature : le besoin d’identification au niveau communautaire; la compilation d’expériences; l’assurance d’une cohésion dans les définitions et les méthodes de recherche et enfin la création de possibilités de mentorat. Conclusion. Une action concertée entre les domaines des politiques, des pratiques et de la recherche est essentielle au succès des recommandations formulées dans cet appel à l’action