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      Maximising the impact of global and national physical activity guidelines: the critical role of communication strategies

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          Abstract

          Objectives

          Physical activity guidelines are evidence-based statements on recommended physical activity levels for good health. Guidelines, in isolation, are unlikely to increase population levels of physical activity; appropriate and effective communication is fundamental to maximising their impact. The aim of this paper is to provide a planning framework for physical activity guideline communication, including an overview of key audiences, aims and approaches.

          Methods

          All authors considered and agreed on the three broad issues to address by consensus. We identified key sources of evidence through scoping of the literature and our knowledge of the research area.

          Results

          Whether guidelines are global or national, communication of the physical activity guidelines should be informed by: (1) a situational analysis that considers the context in which the communication will take place and (2) a stakeholder analysis to determine the key target audiences for the communication and their values, needs and preferences. Audiences include policy-makers within and outside the health sector, other key stakeholders, the general public, specific population subgroups, health professionals and non-health professionals with a role in physical activity promotion. The aims and approach to communication will differ depending on the target audience.

          Conclusion

          Communication to raise awareness and knowledge of the physical activity guidelines must be supported by policies, environments and opportunities for physical activity. Besides the intrinsic value of the physical activity guidelines, it is essential that substantial effort is put in to diligently planning, funding and implementing their communication from the outset.

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          Most cited references40

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          Use of mass media campaigns to change health behaviour.

          Mass media campaigns are widely used to expose high proportions of large populations to messages through routine uses of existing media, such as television, radio, and newspapers. Exposure to such messages is, therefore, generally passive. Such campaigns are frequently competing with factors, such as pervasive product marketing, powerful social norms, and behaviours driven by addiction or habit. In this Review we discuss the outcomes of mass media campaigns in the context of various health-risk behaviours (eg, use of tobacco, alcohol, and other drugs, heart disease risk factors, sex-related behaviours, road safety, cancer screening and prevention, child survival, and organ or blood donation). We conclude that mass media campaigns can produce positive changes or prevent negative changes in health-related behaviours across large populations. We assess what contributes to these outcomes, such as concurrent availability of required services and products, availability of community-based programmes, and policies that support behaviour change. Finally, we propose areas for improvement, such as investment in longer better-funded campaigns to achieve adequate population exposure to media messages. Copyright © 2010 Elsevier Ltd. All rights reserved.
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            Why is changing health-related behaviour so difficult?

            To demonstrate that six common errors made in attempts to change behaviour have prevented the implementation of the scientific evidence base derived from psychology and sociology; to suggest a new approach which incorporates recent developments in the behavioural sciences.
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              Evidence-based intervention in physical activity: lessons from around the world.

              Promotion of physical activity is a priority for health agencies. We searched for reviews of physical activity interventions, published between 2000 and 2011, and identified effective, promising, or emerging interventions from around the world. The informational approaches of community-wide and mass media campaigns, and short physical activity messages targeting key community sites are recommended. Behavioural and social approaches are effective, introducing social support for physical activity within communities and worksites, and school-based strategies that encompass physical education, classroom activities, after-school sports, and active transport. Recommended environmental and policy approaches include creation and improvement of access to places for physical activity with informational outreach activities, community-scale and street-scale urban design and land use, active transport policy and practices, and community-wide policies and planning. Thus, many approaches lead to acceptable increases in physical activity among people of various ages, and from different social groups, countries, and communities.
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                Author and article information

                Journal
                Br J Sports Med
                Br J Sports Med
                bjsports
                bjsm
                British Journal of Sports Medicine
                BMJ Publishing Group (BMA House, Tavistock Square, London, WC1H 9JR )
                0306-3674
                1473-0480
                December 2020
                23 November 2020
                : 54
                : 24
                : 1463-1467
                Affiliations
                [1 ] departmentNorwich Medical School , University of East Anglia , Norwich, UK
                [2 ] departmentSydney School of Public Health , University of Sydney , Sydney, New South Wales, Australia
                [3 ] University of British Columbia , Vancouver, British Columbia, Canada
                [4 ] departmentInstitute for Social Marketing , University of Stirling , Stirling, UK
                [5 ] departmentPhysical Activity for Health Research Centre , The University of Edinburgh , Edinburgh, UK
                Author notes
                [Correspondence to ] Dr Karen Milton, Norwich Medical School, University of East Anglia Faculty of Medicine and Health Sciences, Norwich NR4 7TJ, UK; k.milton@ 123456uea.ac.uk
                Author information
                http://orcid.org/0000-0002-0506-2214
                http://orcid.org/0000-0003-2148-7586
                http://orcid.org/0000-0003-1946-9848
                Article
                bjsports-2020-102324
                10.1136/bjsports-2020-102324
                7719904
                33239351
                7c53eb5a-a81b-44e7-8c54-5eb17ac33598
                © Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.

                This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See:  http://creativecommons.org/licenses/by-nc/4.0/.

                History
                : 17 August 2020
                Categories
                Review
                1506
                2314
                Custom metadata
                unlocked

                Sports medicine
                public health,physical activity
                Sports medicine
                public health, physical activity

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