ObjectiveTo assess and compare the favourability of healthy public policy options to promote healthy eating from the perspective of members of the general public and policy influencers in two Canadian provinces.DesignThe Chronic Disease Prevention Survey, administered in 2016, required participants to rank their level of support for different evidence-based policy options to promote healthy eating at the population level. Pearson’s χ2 significance testing was used to compare support between groups for each policy option and results were interpreted using the Nuffield Council on Bioethics’ intervention ladder framework.SettingAlberta and Québec, Canada.ParticipantsMembers of the general public (n 2400) and policy influencers (n 302) in Alberta and Québec.ResultsGeneral public and policy influencer survey respondents were more supportive of healthy eating policies if they were less intrusive on individual autonomy. However, in comparing levels of support between groups, we found policy influencers indicated significantly stronger support overall for healthy eating policy options. We also found that policy influencers in Québec tended to show more support for more restrictive policy options than their counterparts from Alberta.ConclusionsThese results suggest that additional knowledge brokering may be required to increase support for more intrusive yet impactful evidence-based policy interventions; and that the overall lower levels of support among members of the public may impede policy influencers from taking action on policies to promote healthy eating.
Introduction
The lack of policy, practice and research action on physical activity and
features of the physical (built and natural) environments in rural, remote and northern
settings is a significant threat to population health equity in Canada. This paper presents
a synthesis of current evidence on the promotion of physical activity in non-urban
settings, outcomes from a national priority-setting meeting, and a preliminary call to
action to support the implementation and success of population-level initiatives targeting
physical activity in non-urban settings.
Methods
We conducted a “synopses of syntheses” scoping review to explore current
evidence on physical activity promotion in rural, remote, northern and natural settings.
Next, we facilitated a collaborative priority-setting conference with 28 Canadian experts
from policy, research and practice arenas to develop a set of priorities on physical activity
in rural, remote and northern communities. These priorities informed the development
of a preliminary Canadian call to action.
Results
We identified a limited number of reviews that focused on physical activity
and the built environment in rural, remote and northern communities. At the prioritysetting
conference, participants representing rural, remote and northern settings identified
top priorities for policy, practice and research action to begin to address the gaps
and issues noted in the literature. These priorities include self-identifying priorities at
the community level; compiling experiences; establishing consistency in research definitions
and methods; and developing mentorship opportunities.
Conclusion
Coordinated action across policy, practice and research domains will be
essential to the success of the recommendations presented in this call to action.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.