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Partnerships and Community Engagement Key to Policy, Systems, and Environmental Achievements for Healthy Eating and Active Living: a Systematic Mapping Review
CME ACTIVITY — Volume 19 — August 25, 2022
PEER REVIEWED
The PRISMA chart displays the selection process for the 52 studies included: 455 records were identified from databases, and 18 duplicate records were removed. Titles and abstracts of the remaining 437 were assessed for eligibility. Of these, 198 were excluded because they were not PSE- or HEAL-related, 2 because they dealt with direct education, 85 because no intervention was described, 29 because they were reviews, 16 because they were frameworks or models, 18 because they were commentaries, and 21 because they were conference abstracts, leaving 68 full-text articles, which were assessed for eligibility. Of these, 16 were excluded: 2 described direct education only, 5 did not involve an intervention, 2 because the study was not completed, 6 were reviews, and 1 commentary. The remaining 52 articles were included in the review.
Figure 1.
PRISMA (Preferred Reported Items for Systematic Reviews and Meta-Analyses) diagram for identification of 52 studies included in a systematic mapping review of initiatives dealing primarily with policy, systems, and environmental achievements for healthy eating and active living.
Figure 2.
Number of activities described in 52 studies of PSE HEAL (policy, systems, and environmental healthy eating and active living) initiatives, sorted by the 7 components of the Individual Plus Policy, System, and Environmental Conceptual Framework for Action (I+PSE) (12): 1) strengthen individual knowledge and behavior, 2) promote community engagement and education, 3) educate intermediaries and service providers, 4) facilitate partnerships and multisector collaborations, 5) align organizational policies and practices, 6) sustain physical, natural and social settings, and 7) advance public policies and legislation. Graph A describes healthy eating initiatives (n = 24), B describes active living initiatives (n = 5), and C describes combined healthy eating and active living initiatives (n = 24). Initiatives may include multiple activities.
| Component | Number of intervention activities | Number of evaluation activities |
|---|---|---|
| A. Healthy eating initiative | ||
| 1. Strengthen individual knowledge and behavior | 13 | 10 |
| 2. Promote community engagement and education | 12 | 6 |
| 3. Educate intermediaries and service providers | 15 | 6 |
| 4. Facilitate partnerships and multi-sector collaborations | 13 | 4 |
| 5. Align organizational policies and practices | 16 | 13 |
| 6. Sustain physical, natural, and social settings | 21 | 18 |
| 7. Advance public policies and legislation | 5 | 0 |
| B. Active living initiative | ||
| 1. Strengthen individual knowledge and behavior | 0 | 0 |
| 2. Promote community engagement and education | 1 | 0 |
| 3. Educate intermediaries and service providers | 3 | 1 |
| 4. Facilitate partnerships and multi-sector collaborations | 2 | 1 |
| 5. Align organizational policies and practices | 4 | 3 |
| 6. Sustain physical, natural, and social settings | 5 | 4 |
| 7. Advance public policies and legislation | 1 | 1 |
| C. Combined healthy eating and active living initiatives | ||
| 1. Strengthen individual knowledge and behavior | 5 | 4 |
| 2. Promote community engagement and education | 7 | 5 |
| 3. Educate intermediaries and service providers | 16 | 4 |
| 4. Facilitate partnerships and multi-sector collaborations | 9 | 3 |
| 5. Align organizational policies and practices | 14 | 12 |
| 6. Sustain physical, natural, and social settings | 12 | 10 |
| 7. Advance public policies and legislation | 4 | 2 |
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