Barriers and facilitators for the implementation and evaluation of community-based interventions to promote physical activity and healthy diet: A mixed methods study in Argentina

Autores
Belizan, Maria; Chaparro, Raul Martin; Santero, Marilina; Elorriaga, Natalia; Kartschmit, Nadja; Rubinstein, Adolfo Luis; Irazola, Vilma
Año de publicación
2019
Idioma
inglés
Tipo de recurso
artículo
Estado
versión publicada
Descripción
Background: Obesogenic environments promote sedentary behavior and high dietary energy intake. The objective of the study was to identify barriers and facilitators to the implementation and impact evaluation of projects oriented to promote physical activity and healthy diet at community level. We analyzed experiences of the projects implemented within the Healthy Municipalities and Communities Program (HMCP) in Argentina. Methods: A mixed methods approach included (1) in-depth semi-structured interviews, with 44 stakeholders; and (2) electronic survey completed by 206 individuals from 96 municipalities across the country. Results: The most important barriers included the lack of: adequate funding (43%); skilled personnel (42%); equipment and material resources (31%); technical support for data management and analysis (20%); training on project designs (12%); political support from local authorities (17%) and acceptance of the proposed intervention by the local community (9%). Facilitators included motivated local leaders, inter-sectorial participation and seizing local resources. Project evaluation was mostly based on process rather than outcome indicators. Conclusions: This study contributes to a better understanding of the difficulties in the implementation of community-based intervention projects. Findings may guide stakeholders on how to facilitate local initiatives. There is a need to improve project evaluation strategies by incorporating process, outcome and context specific indicators.
Fil: Belizan, Maria. Instituto de Efectividad Clínica y Sanitaria; Argentina
Fil: Chaparro, Raul Martin. Instituto de Efectividad Clínica y Sanitaria; Argentina
Fil: Santero, Marilina. Instituto de Efectividad Clínica y Sanitaria; Argentina
Fil: Elorriaga, Natalia. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Centro de Investigaciones en Epidemiología y Salud Pública. Instituto de Efectividad Clínica y Sanitaria. Centro de Investigaciones en Epidemiología y Salud Pública; Argentina. Instituto de Efectividad Clínica y Sanitaria; Argentina
Fil: Kartschmit, Nadja. No especifíca;
Fil: Rubinstein, Adolfo Luis. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Centro de Investigaciones en Epidemiología y Salud Pública. Instituto de Efectividad Clínica y Sanitaria. Centro de Investigaciones en Epidemiología y Salud Pública; Argentina. Instituto de Efectividad Clínica y Sanitaria; Argentina
Fil: Irazola, Vilma. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Centro de Investigaciones en Epidemiología y Salud Pública. Instituto de Efectividad Clínica y Sanitaria. Centro de Investigaciones en Epidemiología y Salud Pública; Argentina. Instituto de Efectividad Clínica y Sanitaria; Argentina
Materia
HEALTH PROMOTION
HEALTHY DIET
HEALTHY ENVIRONMENTS
PHYSICAL ACTIVITY
Nivel de accesibilidad
acceso abierto
Condiciones de uso
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
Repositorio
CONICET Digital (CONICET)
Institución
Consejo Nacional de Investigaciones Científicas y Técnicas
OAI Identificador
oai:ri.conicet.gov.ar:11336/142035
Acceder
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network_acronym_str CONICETDig
repository_id_str 3498
network_name_str CONICET Digital (CONICET)
spelling Barriers and facilitators for the implementation and evaluation of community-based interventions to promote physical activity and healthy diet: A mixed methods study in ArgentinaBelizan, MariaChaparro, Raul MartinSantero, MarilinaElorriaga, NataliaKartschmit, NadjaRubinstein, Adolfo LuisIrazola, VilmaHEALTH PROMOTIONHEALTHY DIETHEALTHY ENVIRONMENTSPHYSICAL ACTIVITYhttps://purl.org/becyt/ford/3.3https://purl.org/becyt/ford/3Background: Obesogenic environments promote sedentary behavior and high dietary energy intake. The objective of the study was to identify barriers and facilitators to the implementation and impact evaluation of projects oriented to promote physical activity and healthy diet at community level. We analyzed experiences of the projects implemented within the Healthy Municipalities and Communities Program (HMCP) in Argentina. Methods: A mixed methods approach included (1) in-depth semi-structured interviews, with 44 stakeholders; and (2) electronic survey completed by 206 individuals from 96 municipalities across the country. Results: The most important barriers included the lack of: adequate funding (43%); skilled personnel (42%); equipment and material resources (31%); technical support for data management and analysis (20%); training on project designs (12%); political support from local authorities (17%) and acceptance of the proposed intervention by the local community (9%). Facilitators included motivated local leaders, inter-sectorial participation and seizing local resources. Project evaluation was mostly based on process rather than outcome indicators. Conclusions: This study contributes to a better understanding of the difficulties in the implementation of community-based intervention projects. Findings may guide stakeholders on how to facilitate local initiatives. There is a need to improve project evaluation strategies by incorporating process, outcome and context specific indicators.Fil: Belizan, Maria. Instituto de Efectividad Clínica y Sanitaria; ArgentinaFil: Chaparro, Raul Martin. Instituto de Efectividad Clínica y Sanitaria; ArgentinaFil: Santero, Marilina. Instituto de Efectividad Clínica y Sanitaria; ArgentinaFil: Elorriaga, Natalia. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Centro de Investigaciones en Epidemiología y Salud Pública. Instituto de Efectividad Clínica y Sanitaria. Centro de Investigaciones en Epidemiología y Salud Pública; Argentina. Instituto de Efectividad Clínica y Sanitaria; ArgentinaFil: Kartschmit, Nadja. No especifíca;Fil: Rubinstein, Adolfo Luis. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Centro de Investigaciones en Epidemiología y Salud Pública. Instituto de Efectividad Clínica y Sanitaria. Centro de Investigaciones en Epidemiología y Salud Pública; Argentina. Instituto de Efectividad Clínica y Sanitaria; ArgentinaFil: Irazola, Vilma. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Centro de Investigaciones en Epidemiología y Salud Pública. Instituto de Efectividad Clínica y Sanitaria. Centro de Investigaciones en Epidemiología y Salud Pública; Argentina. Instituto de Efectividad Clínica y Sanitaria; ArgentinaMolecular Diversity Preservation International2019-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/resource_type/c_6501info:ar-repo/semantics/articuloapplication/pdfapplication/pdfapplication/pdfapplication/pdfhttp://hdl.handle.net/11336/142035Belizan, Maria; Chaparro, Raul Martin; Santero, Marilina; Elorriaga, Natalia; Kartschmit, Nadja; et al.; Barriers and facilitators for the implementation and evaluation of community-based interventions to promote physical activity and healthy diet: A mixed methods study in Argentina; Molecular Diversity Preservation International; International Journal of Environmental Research and Public Health; 16; 2; 1-2019; 1-141660-4601CONICET DigitalCONICETenginfo:eu-repo/semantics/altIdentifier/url/https://www.mdpi.com/1660-4601/16/2/213info:eu-repo/semantics/altIdentifier/doi/10.3390/ijerph16020213info:eu-repo/semantics/openAccesshttps://creativecommons.org/licenses/by-nc-sa/2.5/ar/reponame:CONICET Digital (CONICET)instname:Consejo Nacional de Investigaciones Científicas y Técnicas2025-10-22T11:46:59Zoai:ri.conicet.gov.ar:11336/142035instacron:CONICETInstitucionalhttp://ri.conicet.gov.ar/Organismo científico-tecnológicoNo correspondehttp://ri.conicet.gov.ar/oai/requestdasensio@conicet.gov.ar; lcarlino@conicet.gov.arArgentinaNo correspondeNo correspondeNo correspondeopendoar:34982025-10-22 11:46:59.532CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicasfalse
dc.title.none.fl_str_mv Barriers and facilitators for the implementation and evaluation of community-based interventions to promote physical activity and healthy diet: A mixed methods study in Argentina
title Barriers and facilitators for the implementation and evaluation of community-based interventions to promote physical activity and healthy diet: A mixed methods study in Argentina
spellingShingle Barriers and facilitators for the implementation and evaluation of community-based interventions to promote physical activity and healthy diet: A mixed methods study in Argentina
Belizan, Maria
HEALTH PROMOTION
HEALTHY DIET
HEALTHY ENVIRONMENTS
PHYSICAL ACTIVITY
title_short Barriers and facilitators for the implementation and evaluation of community-based interventions to promote physical activity and healthy diet: A mixed methods study in Argentina
title_full Barriers and facilitators for the implementation and evaluation of community-based interventions to promote physical activity and healthy diet: A mixed methods study in Argentina
title_fullStr Barriers and facilitators for the implementation and evaluation of community-based interventions to promote physical activity and healthy diet: A mixed methods study in Argentina
title_full_unstemmed Barriers and facilitators for the implementation and evaluation of community-based interventions to promote physical activity and healthy diet: A mixed methods study in Argentina
title_sort Barriers and facilitators for the implementation and evaluation of community-based interventions to promote physical activity and healthy diet: A mixed methods study in Argentina
dc.creator.none.fl_str_mv Belizan, Maria
Chaparro, Raul Martin
Santero, Marilina
Elorriaga, Natalia
Kartschmit, Nadja
Rubinstein, Adolfo Luis
Irazola, Vilma
author Belizan, Maria
author_facet Belizan, Maria
Chaparro, Raul Martin
Santero, Marilina
Elorriaga, Natalia
Kartschmit, Nadja
Rubinstein, Adolfo Luis
Irazola, Vilma
author_role author
author2 Chaparro, Raul Martin
Santero, Marilina
Elorriaga, Natalia
Kartschmit, Nadja
Rubinstein, Adolfo Luis
Irazola, Vilma
author2_role author
author
author
author
author
author
dc.subject.none.fl_str_mv HEALTH PROMOTION
HEALTHY DIET
HEALTHY ENVIRONMENTS
PHYSICAL ACTIVITY
topic HEALTH PROMOTION
HEALTHY DIET
HEALTHY ENVIRONMENTS
PHYSICAL ACTIVITY
purl_subject.fl_str_mv https://purl.org/becyt/ford/3.3
https://purl.org/becyt/ford/3
dc.description.none.fl_txt_mv Background: Obesogenic environments promote sedentary behavior and high dietary energy intake. The objective of the study was to identify barriers and facilitators to the implementation and impact evaluation of projects oriented to promote physical activity and healthy diet at community level. We analyzed experiences of the projects implemented within the Healthy Municipalities and Communities Program (HMCP) in Argentina. Methods: A mixed methods approach included (1) in-depth semi-structured interviews, with 44 stakeholders; and (2) electronic survey completed by 206 individuals from 96 municipalities across the country. Results: The most important barriers included the lack of: adequate funding (43%); skilled personnel (42%); equipment and material resources (31%); technical support for data management and analysis (20%); training on project designs (12%); political support from local authorities (17%) and acceptance of the proposed intervention by the local community (9%). Facilitators included motivated local leaders, inter-sectorial participation and seizing local resources. Project evaluation was mostly based on process rather than outcome indicators. Conclusions: This study contributes to a better understanding of the difficulties in the implementation of community-based intervention projects. Findings may guide stakeholders on how to facilitate local initiatives. There is a need to improve project evaluation strategies by incorporating process, outcome and context specific indicators.
Fil: Belizan, Maria. Instituto de Efectividad Clínica y Sanitaria; Argentina
Fil: Chaparro, Raul Martin. Instituto de Efectividad Clínica y Sanitaria; Argentina
Fil: Santero, Marilina. Instituto de Efectividad Clínica y Sanitaria; Argentina
Fil: Elorriaga, Natalia. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Centro de Investigaciones en Epidemiología y Salud Pública. Instituto de Efectividad Clínica y Sanitaria. Centro de Investigaciones en Epidemiología y Salud Pública; Argentina. Instituto de Efectividad Clínica y Sanitaria; Argentina
Fil: Kartschmit, Nadja. No especifíca;
Fil: Rubinstein, Adolfo Luis. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Centro de Investigaciones en Epidemiología y Salud Pública. Instituto de Efectividad Clínica y Sanitaria. Centro de Investigaciones en Epidemiología y Salud Pública; Argentina. Instituto de Efectividad Clínica y Sanitaria; Argentina
Fil: Irazola, Vilma. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Centro de Investigaciones en Epidemiología y Salud Pública. Instituto de Efectividad Clínica y Sanitaria. Centro de Investigaciones en Epidemiología y Salud Pública; Argentina. Instituto de Efectividad Clínica y Sanitaria; Argentina
description Background: Obesogenic environments promote sedentary behavior and high dietary energy intake. The objective of the study was to identify barriers and facilitators to the implementation and impact evaluation of projects oriented to promote physical activity and healthy diet at community level. We analyzed experiences of the projects implemented within the Healthy Municipalities and Communities Program (HMCP) in Argentina. Methods: A mixed methods approach included (1) in-depth semi-structured interviews, with 44 stakeholders; and (2) electronic survey completed by 206 individuals from 96 municipalities across the country. Results: The most important barriers included the lack of: adequate funding (43%); skilled personnel (42%); equipment and material resources (31%); technical support for data management and analysis (20%); training on project designs (12%); political support from local authorities (17%) and acceptance of the proposed intervention by the local community (9%). Facilitators included motivated local leaders, inter-sectorial participation and seizing local resources. Project evaluation was mostly based on process rather than outcome indicators. Conclusions: This study contributes to a better understanding of the difficulties in the implementation of community-based intervention projects. Findings may guide stakeholders on how to facilitate local initiatives. There is a need to improve project evaluation strategies by incorporating process, outcome and context specific indicators.
publishDate 2019
dc.date.none.fl_str_mv 2019-01
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
http://purl.org/coar/resource_type/c_6501
info:ar-repo/semantics/articulo
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/11336/142035
Belizan, Maria; Chaparro, Raul Martin; Santero, Marilina; Elorriaga, Natalia; Kartschmit, Nadja; et al.; Barriers and facilitators for the implementation and evaluation of community-based interventions to promote physical activity and healthy diet: A mixed methods study in Argentina; Molecular Diversity Preservation International; International Journal of Environmental Research and Public Health; 16; 2; 1-2019; 1-14
1660-4601
CONICET Digital
CONICET
url http://hdl.handle.net/11336/142035
identifier_str_mv Belizan, Maria; Chaparro, Raul Martin; Santero, Marilina; Elorriaga, Natalia; Kartschmit, Nadja; et al.; Barriers and facilitators for the implementation and evaluation of community-based interventions to promote physical activity and healthy diet: A mixed methods study in Argentina; Molecular Diversity Preservation International; International Journal of Environmental Research and Public Health; 16; 2; 1-2019; 1-14
1660-4601
CONICET Digital
CONICET
dc.language.none.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv info:eu-repo/semantics/altIdentifier/url/https://www.mdpi.com/1660-4601/16/2/213
info:eu-repo/semantics/altIdentifier/doi/10.3390/ijerph16020213
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
eu_rights_str_mv openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
dc.format.none.fl_str_mv application/pdf
application/pdf
application/pdf
application/pdf
dc.publisher.none.fl_str_mv Molecular Diversity Preservation International
publisher.none.fl_str_mv Molecular Diversity Preservation International
dc.source.none.fl_str_mv reponame:CONICET Digital (CONICET)
instname:Consejo Nacional de Investigaciones Científicas y Técnicas
reponame_str CONICET Digital (CONICET)
collection CONICET Digital (CONICET)
instname_str Consejo Nacional de Investigaciones Científicas y Técnicas
repository.name.fl_str_mv CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicas
repository.mail.fl_str_mv dasensio@conicet.gov.ar; lcarlino@conicet.gov.ar
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score 12.982451

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