Equity-Specific Effects of Interventions to Promote Physical Activity among Middle-Aged and Older Adults: Development of a Collaborative Equity-Specific Re-Analysis Strategy

Gesa Czwikla, Filip Boen, Derek G. Cook, Johan de Jong, Tess Harris, Lisa K. Hilz, Steve Iliffe, Richard Morris, Saskia Muellmann, Denise A. Peels, Claudia R. Pischke, Benjamin Schüz, Martin Stevens, Frank J. van Lenthe, Julie Vanderlinden and Gabriele Bolte
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Gesa Czwikla: Department of Social Epidemiology, Institute of Public Health and Nursing Research, University of Bremen, 28359 Bremen, Germany
Filip Boen: Department of Movement Sciences, Physical Activity, Sports & Health Research Group, KU Leuven, 3001 Leuven, Belgium
Derek G. Cook: Population Health Research Institute, St George’s University of London, London SW17 0RE, UK
Johan de Jong: School of Sports Studies, Hanze University of Applied Sciences, 9747 AS Groningen, The Netherlands
Tess Harris: Population Health Research Institute, St George’s University of London, London SW17 0RE, UK
Lisa K. Hilz: Department of Social Epidemiology, Institute of Public Health and Nursing Research, University of Bremen, 28359 Bremen, Germany
Steve Iliffe: Research Department of Primary Care & Population Health, University College London, London NW3 2PF, UK
Richard Morris: Department of Population Health Sciences, Bristol Medical School, University of Bristol, Bristol BS8 2PS, UK
Saskia Muellmann: Leibniz-Institute for Prevention Research and Epidemiology—BIPS, 28359 Bremen, Germany
Denise A. Peels: Department of Psychology and Educational Sciences, Open University, 6401 DL Heerlen, The Netherlands
Claudia R. Pischke: Institute of Medical Sociology, Centre for Health and Society, Medical Faculty, University of Duesseldorf, 40225 Duesseldorf, Germany
Benjamin Schüz: Health Sciences Bremen, University of Bremen, 28359 Bremen, Germany
Martin Stevens: Department of Orthopedics, University of Groningen, University Medical Center Groningen, 9713 GZ Groningen, The Netherlands
Frank J. van Lenthe: Department of Public Health, Erasmus University Medical Center Rotterdam, 3000 CA Rotterdam, The Netherlands
Julie Vanderlinden: Department of Movement Sciences, Physical Activity, Sports & Health Research Group, KU Leuven, 3001 Leuven, Belgium
Gabriele Bolte: Department of Social Epidemiology, Institute of Public Health and Nursing Research, University of Bremen, 28359 Bremen, Germany

IJERPH, 2019, vol. 16, issue 17, 1-17

Abstract: Reducing social inequalities in physical activity (PA) has become a priority for public health. However, evidence concerning the impact of interventions on inequalities in PA is scarce. This study aims to develop and test the application of a strategy for re-analyzing equity-specific effects of existing PA intervention studies in middle-aged and older adults, as part of an international interdisciplinary collaboration. This article aims to describe (1) the establishment and characteristics of the collaboration; and (2) the jointly developed equity-specific re-analysis strategy as a first result of the collaboration. To develop the strategy, a collaboration based on a convenience sample of eight published studies of individual-level PA interventions among the general population of adults aged ≥45 years was initiated (UK, n = 3; The Netherlands, n = 3; Belgium, n = 1; Germany, n = 1). Researchers from these studies participated in a workshop and subsequent e-mail correspondence. The developed strategy will be used to investigate social inequalities in intervention adherence, dropout, and efficacy. This will allow for a comprehensive assessment of social inequalities within intervention benefits. The application of the strategy within and beyond the collaboration will help to extend the limited evidence regarding the effects of interventions on social inequalities in PA among middle-aged and older adults.

Keywords: physical activity; social inequalities; interventions; intervention-generated inequalities; equity impact assessment; middle-aged adults; older adults (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2019
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