A graphical, computer-based decision-support tool to help decision makers evaluate policy options relating to physical activity.

This pilot study builds on efforts to develop evaluation methods to compare and contrast potential strategies designed to increase population physical activity generally, and to reduce disparities in activity levels more specifically. The study presents a user-friendly, semi-quantitative decision-support tool of intermediate complexity that may better enable quick, flexible first-pass "ballpark" decision making by state and local health agencies instead of traditional evidence-based scientific reviews. The tool produces a summary score from ratings on 18 criteria, adjusted by fixed or variable weights to incorporate salient community contextual factors. Stair use, workplace activity breaks, and school construction siting are presented as samples. This first iteration of the decision-support tool is intended to be refined empirically by the experiences and policy outcomes of agencies adopting the innovation. This decision-support tool may expand the capacity of public health practitioners to conduct first-pass assessments of policy options for physical activity promotion in underserved communities.

[1]  Evidence-based public health: an evolving concept. , 2004 .

[2]  Geraldine Fitzpatrick,et al.  Muddling Through , 1997, Cosmopolitan Conservatisms.

[3]  E. Finkelstein,et al.  Pros and cons of proposed interventions to promote healthy eating. , 2004, American journal of preventive medicine.

[4]  Alison Lesley Weightman,et al.  Grading evidence and recommendationsfor public health interventions: developing and pilotinga framework , 2005 .

[5]  P Howden-Chapman,et al.  Translating research findings into health policy. , 1996, Social science & medicine.

[6]  Yang Gao,et al.  Interventions for preventing obesity in children , 2014, Sao Paulo medical journal = Revista paulista de medicina.

[7]  N. Nagelkerke,et al.  Reducing HIV Transmission in Developing Countries , 2001, Science.

[8]  Laurie M. Anderson,et al.  Evidence-based public health policy and practice: promises and limits. , 2005, American journal of preventive medicine.

[9]  Adetokunbo O. Lucas,et al.  World Report on Knowledge for Better Health: strengthening health systems , 2005 .

[10]  J. Lightwood.  The economics of smoking and cardiovascular disease. , 2003, Progress in cardiovascular diseases.

[11]  L. Blumberg.  Balancing efficiency and equity in the design of coverage expansions for children. , 2003, The Future of children.

[12]  J. Lavis.  Research, public policymaking, and knowledge‐translation processes: Canadian efforts to build bridges , 2006, The Journal of continuing education in the health professions.

[13]  Shiriki K. Kumanyika,et al.  Population-based Interventions Engaging Communities of Color in Healthy Eating and Active Living: A Review , 2003, Preventing chronic disease.

[14]  Brian L Cole,et al.  Health impact assessment: a tool to help policy makers understand health beyond health care. , 2007, Annual review of public health.

[15]  R. Sorian,et al.  Power of information: closing the gap between research and policy. , 2002, Health affairs.

[16]  Tammy O. Tengs,et al.  Cost-effectiveness versus cost-utility analysis of interventions for cancer: does adjusting for health-related quality of life really matter? , 2004, Value in health : the journal of the International Society for Pharmacoeconomics and Outcomes Research.

[17]  P Davies,et al.  The Campbell Collaboration , 2001, BMJ : British Medical Journal.

[18]  S. Kumanyika,et al.  Minisymposium on obesity: overview and some strategic considerations. , 2001, Annual review of public health.

[19]  Laura Kettel Khan,et al.  Recommended community strategies and measurements to prevent obesity in the United States. , 2009, MMWR. Recommendations and reports : Morbidity and mortality weekly report. Recommendations and reports.

[20]  T. Lang,et al.  Overcoming policy cacophony on obesity: an ecological public health framework for policymakers , 2007, Obesity reviews : an official journal of the International Association for the Study of Obesity.

[21]  L. Wang,et al.  Economic analysis of a school-based obesity prevention program. , 2003, Obesity research.

[22]  M. Greaney,et al.  A Site-Specific Literature Review of Policy and Environmental Interventions That Promote Physical Activity and Nutrition for Cardiovascular Health: What Works? , 2005, American journal of health promotion : AJHP.

[23]  C. Lindblom.  THE SCIENCE OF MUDDLING THROUGH , 1959 .

[24]  E. Bass,et al.  Systematic review of literature on the cost-effectiveness of nutrition services. , 2004, Journal of the American Dietetic Association.

[25]  L. Parker,et al.  Local Government Actions to Prevent Childhood Obesity , 2009 .

[26]  R. Ewing,et al.  Researchers and policymakers: travelers in parallel universes. , 2006, American journal of preventive medicine.

[27]  R. Haynes,et al.  What kind of evidence is it that Evidence-Based Medicine advocates want health care providers and consumers to pay attention to? , 2002, BMC health services research.

[28]  S. Woolf.  The meaning of translational research and why it matters. , 2008, JAMA.

[29]  C. Orleans,et al.  Creating physical activity-promoting community environments: time for a breakthrough. , 2009, Preventive medicine.

[30]  P. Crawford,et al.  To what extent have high schools in California been able to implement state-mandated nutrition standards? , 2009, The Journal of adolescent health : official publication of the Society for Adolescent Medicine.

[31]  M. Pratt,et al.  A framework for evaluating community-based physical activity promotion programmes in Latin America , 2006, Promotion & education.

[32]  G. Carrin,et al.  Clarifying Efficiency-Equity Tradeoffs Through Explicit Criteria, With a Focus on Developing Countries , 2005, Health Care Analysis.

[33]  D. Shera,et al.  Cost-effectiveness of a low-carbohydrate diet and a standard diet in severe obesity. , 2005, Obesity research.

[34]  J. Bryce,et al.  Evidence-based public health: moving beyond randomized trials. , 2004, American journal of public health.

[35]  G. E. Who,et al.  Preventing chronic diseases: a vital investment , 2005 .

[36]  C. Scott,et al.  World Report on Knowledge for Better Health: Strengthening Health Systems , 2006 .