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Open AccessArticle

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

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Department of Social Epidemiology, Institute of Public Health and Nursing Research, University of Bremen, 28359 Bremen, Germany
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Health Sciences Bremen, University of Bremen, 28359 Bremen, Germany
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Department of Movement Sciences, Physical Activity, Sports & Health Research Group, KU Leuven, 3001 Leuven, Belgium
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Population Health Research Institute, St George’s University of London, London SW17 0RE, UK
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School of Sports Studies, Hanze University of Applied Sciences, 9747 AS Groningen, The Netherlands
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Research Department of Primary Care & Population Health, University College London, London NW3 2PF, UK
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Department of Population Health Sciences, Bristol Medical School, University of Bristol, Bristol BS8 2PS, UK
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Leibniz-Institute for Prevention Research and Epidemiology—BIPS, 28359 Bremen, Germany
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Department of Psychology and Educational Sciences, Open University, 6401 DL Heerlen, The Netherlands
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Institute of Medical Sociology, Centre for Health and Society, Medical Faculty, University of Duesseldorf, 40225 Duesseldorf, Germany
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Department of Prevention and Health Promotion, Institute of Public Health and Nursing Research, University of Bremen, 28359 Bremen, Germany
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Department of Orthopedics, University of Groningen, University Medical Center Groningen, 9713 GZ Groningen, The Netherlands
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Department of Public Health, Erasmus University Medical Center Rotterdam, 3000 CA Rotterdam, The Netherlands
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2019, 16(17), 3195; https://doi.org/10.3390/ijerph16173195
Received: 12 July 2019 / Revised: 23 August 2019 / Accepted: 28 August 2019 / Published: 1 September 2019
(This article belongs to the Collection Physical Activity and Public Health)
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. View Full-Text
Keywords: physical activity; social inequalities; interventions; intervention-generated inequalities; equity impact assessment; middle-aged adults; older adults physical activity; social inequalities; interventions; intervention-generated inequalities; equity impact assessment; middle-aged adults; older adults
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Czwikla, G.; Boen, F.; Cook, D.G.; de Jong, J.; Harris, T.; Hilz, L.K.; Iliffe, S.; Morris, R.; Muellmann, S.; Peels, D.A.; Pischke, C.R.; Schüz, B.; Stevens, M.; van Lenthe, F.J.; Vanderlinden, J.; Bolte, G. Equity-Specific Effects of Interventions to Promote Physical Activity among Middle-Aged and Older Adults: Development of a Collaborative Equity-Specific Re-Analysis Strategy. Int. J. Environ. Res. Public Health 2019, 16, 3195.

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