Twelfth International Conference on Health, Wellness & Society

Abstract

Contextual factors are commonly accepted as determinants of successful implementation of public policies. The aim of the study is to identify which context-related implementation determinants are reported to be frequently present and impacting the process of implementation of obesity prevention policies, targeting healthy diet and physically active lifestyle. The study is based on a systematic review and analysis of data from 9 databases as well as documentation from 9 major stakeholders involved in the implementation of relevant policies. The review was preregistered (PROSPERO #CRD42019133341). The context-related determinants were considered strongly supported if they were indicated in ≥ 60% of the reviews/stakeholder documents. To assure the quality of the review the research team used both the ROBIS tool and the Methodological Quality Checklist-SP. Results: Out of 57209 documents identified by research team, a total of 42 documents were included in this meta-review. The Context and Implementation of Complex Interventions (CICI) framework was used as the basis for categorizing the determinants. Across documents, 6 determinants from 3 CICI domains received strong support. These were: economic resources at the macro-level (66.7% of analyzed documents) and the meso/micro-level (71.4%); socio-cultural context determinants at the meso/micro-level, referring to knowledge/beliefs/abilities of target groups (69.0%) and implementers (73.8%); political context determinants (interrelated policies supported in 71.4% of analyzed reviews/documents; policies within organizations - 69.0%). The results of meta-review point out to the socio-cultural, economic, and political contexts as potentially affecting the implementation process of healthy diet and physical activity/sedentary behaviors policies.