Development of a Framework for Scaling Up Community-Based Health Promotion: A Best Fit Framework Synthesis

Philipp Weber, Leonie Birkholz, Simone Kohler, Natalie Helsper, Lea Dippon, Alfred Ruetten, Klaus Pfeifer and Jana Semrau
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Philipp Weber: Department of Sport Science and Sport, Friedrich-Alexander Universität Erlangen-Nürnberg, Gebbertstr. 123b, D-91058 Erlangen, Germany
Leonie Birkholz: Department of Sport Science and Sport, Friedrich-Alexander Universität Erlangen-Nürnberg, Gebbertstr. 123b, D-91058 Erlangen, Germany
Simone Kohler: Department of Sport Science and Sport, Friedrich-Alexander Universität Erlangen-Nürnberg, Gebbertstr. 123b, D-91058 Erlangen, Germany
Natalie Helsper: Department of Sport Science and Sport, Friedrich-Alexander Universität Erlangen-Nürnberg, Gebbertstr. 123b, D-91058 Erlangen, Germany
Lea Dippon: Department of Sport Science and Sport, Friedrich-Alexander Universität Erlangen-Nürnberg, Gebbertstr. 123b, D-91058 Erlangen, Germany
Alfred Ruetten: Department of Sport Science and Sport, Friedrich-Alexander Universität Erlangen-Nürnberg, Gebbertstr. 123b, D-91058 Erlangen, Germany
Klaus Pfeifer: Department of Sport Science and Sport, Friedrich-Alexander Universität Erlangen-Nürnberg, Gebbertstr. 123b, D-91058 Erlangen, Germany
Jana Semrau: Department of Sport Science and Sport, Friedrich-Alexander Universität Erlangen-Nürnberg, Gebbertstr. 123b, D-91058 Erlangen, Germany

IJERPH, 2022, vol. 19, issue 8, 1-17

Abstract: Community-based health promotion with a focus on people with social disadvantages is essential to address persistently existing health inequities. However, achieving an impact on public health requires scaling up such approaches beyond manifold funded pilot projects. The aim of this qualitative review is to provide an overview of scaling-up frameworks in health promotion and to identify key components for scaling up community-based health promotion. First, we conducted a systematic search for scaling-up frameworks for health promotion in PubMed, CINAHL, Scopus, Web of Science, PsycInfo, and SportDiscus. Based on the included frameworks, we created an a priori framework. Second, we searched for primary research studies in the same databases that reported scaling-up processes of community-based health promotion. We coded the data using the a priori framework. From 80 articles, a total of 12 frameworks were eligible, and 5 were included for data extraction. The analysis yielded 10 a priori defined key components: “innovation characteristics”; “clarify and coordinate roles and responsibilities”; “build up skills, knowledge, and capacity”; “mobilize and sustain resources”; “initiate and maintain regular communication”; “plan, conduct, and apply assessment, monitoring, and evaluation”; “develop political commitment and advocacy”; “build and foster collaboration”; “encourage participation and ownership”; and “plan and follow strategic approaches”. We further identified 113 primary research studies; 10 were eligible. No new key components were found, but all a priori defined key components were supported by the studies. Ten key components for scaling up community-based health promotion represent the final framework. We further identified “encourage participation and ownership” as a crucial component regarding health equity.

Keywords: health promotion; health equity; scaling up; community; physical activity promotion (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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