Equity-specific effects of interventions to promote physical activity among middle-aged and older adults: Development of a collaborative equity-specific re-analysis strategy

Czwikla, Gesa; Boen, Filip; Cook, Derek G; de Jong, Johan; Harris, Tess; Hilz, Lisa K; Iliffe, Steve; Morris, Richard; Muellmann, Saskia; Peels, Denise A; Pischke, Claudia R; Schüz, Benjamin; Stevens, Martin; van Lenthe, Frank J; Vanderlinden, Julie; Bolte, Gabriele

doi:10.3390/ijerph16173195

Equity-specific effects of interventions to promote physical activity among middle-aged and older adults: Development of a collaborative equity-specific re-analysis strategy

Author:

Czwikla, Gesa

Boen, Filip ; Cook, Derek G ; de Jong, Johan ; Harris, Tess ; Hilz, Lisa K ; Iliffe, Steve ; Morris, Richard ; Muellmann, Saskia ; Peels, Denise A ; Pischke, Claudia R ; Schüz, Benjamin ; Stevens, Martin ; van Lenthe, Frank J ; Vanderlinden, Julie ; Bolte, Gabriele

Keywords:

Science & Technology, Life Sciences & Biomedicine, Environmental Sciences, Public, Environmental & Occupational Health, Environmental Sciences & Ecology, physical activity, social inequalities, interventions, intervention-generated inequalities, equity impact assessment, middle-aged adults, older adults, LIVING MODEL GALM, SOCIOECONOMIC POSITION, SOCIAL INEQUALITIES, FITNESS OUTCOMES, HEALTH RESEARCH, MARITAL-STATUS, EFFICACY, MODERATORS, SEDENTARY, HEART, Aged, Belgium, Exercise, Female, Germany, Health Equity, Health Promotion, Humans, Male, Meta-Analysis as Topic, Middle Aged, Netherlands, Public Health, Socioeconomic Factors, Toxicology

Abstract:

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.