Equity Impact Assessment of Interventions to Promote Physical Activity among Older Adults: A Logic Model Framework

Gesa Lehne, Claudia Voelcker-Rehage, Jochen Meyer, Karin Bammann, Dirk Gansefort, Tanja Brüchert and Gabriele Bolte
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Gesa Lehne: Department of Social Epidemiology, Institute of Public Health and Nursing Research, University of Bremen, 28359 Bremen, Germany
Claudia Voelcker-Rehage: Institute of Human Movement Science and Health, Faculty of Behavioral and Social Sciences, Chemnitz University of Technology, 09126 Chemnitz, Germany
Jochen Meyer: OFFIS—Institute for Information Technology, 26121 Oldenburg, Germany
Karin Bammann: Health Sciences Bremen, University of Bremen, 28359 Bremen, Germany
Dirk Gansefort: Leibniz Institute for Prevention Research and Epidemiology—BIPS, 28359 Bremen, Germany
Tanja Brüchert: Department of Social Epidemiology, Institute of Public Health and Nursing Research, University of Bremen, 28359 Bremen, Germany
Gabriele Bolte: Department of Social Epidemiology, Institute of Public Health and Nursing Research, University of Bremen, 28359 Bremen, Germany

IJERPH, 2019, vol. 16, issue 3, 1-17

Abstract: Reducing social inequalities in health and health determinants, including physical activity (PA), is a major challenge for public health. PA-promoting interventions are increasingly implemented. Little is known, however, about the impact of these interventions on social inequalities. For prioritizing interventions most likely to be effective in reducing inequalities, studies of PA interventions need to conduct equity impact assessments. The aim of this article is to describe the development of a logic model framework for equity impact assessments of interventions to promote PA. The framework was developed within the prevention research network AEQUIPA—Physical activity and health equity: primary prevention for healthy ageing, informed by an equity-focused systematic review, expert interviews, exploratory literature searches, and joint discussions within the network. The framework comprises a general equity-focused logic model to be adapted to specific interventions. The intervention-specific equity-focused logic models illustrate the key elements relevant for assessing social inequalities in study participation, compliance with and acceptance of interventions, as well as the efficacy of interventions. Future work within AEQUIPA will reveal which key elements are most critical for the interventions’ equity impacts. Equity impact assessments are beneficial for prioritizing interventions most likely to be effective in reducing health inequalities.

Keywords: equity impact assessment; logic models; framework; physical activity; older adults; interventions; intervention-generated inequalities (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2019
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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