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Table 1 Evidence from reviews and stakeholder documents supporting the occurrence of context-related implementation determinants for policies promoting a healthy diet and physical activity

From: Social, economic, political, and geographical context that counts: meta-review of implementation determinants for policies promoting healthy diet and physical activity

Context domains

Context-related determinants based on CICI framework

Total

(k = 42) %

Reviews only

(k = 25) %

Stakeholder documents only

(k = 17) %

Diet (k = 12) %

PA/SB

(k = 9) %

Children in schools

(k = 10) %

Employees in the workplace (k = 5) %

Populations at-risk for obesity in clinical/education settings (k = 6) %

Geographical

 Broader physical environment (macro level)*

42.9

36.0

52.9

41.7

44.4

20.0

60.0

50.0

 Infrastructure in the setting (meso/micro level)

52.4

56.0

47.1

33.3

66.7

80.0

60.0

50.0

Epidemiological

 Disease distribution, disease burden, demographics (macro level)

31.0

8.0

64.7

41.7

0

0

0

83.3

 Target group needs (meso/micro level)

38.1

32.0

47.1

33.3

11.1

30.0

20.0

66.7

Sociocultural

 Culture-related ideas, symbols, roles, values (macro level)

54.8

40.0

76.5

58.3

22.2

40.0

20.0

100

 Target group: knowledge, beliefs, abilities (meso/micro level)

69.0

72.0

64.7

75.0

88.9

60.0

60.0

83.3

 Implementers: knowledge, beliefs, abilities (meso/micro level)

73.8

76.0

70.6

75.0

77.8

90.0

20.0

100

Economic

 Economic resources of communities (macro level)

66.7

56.0

82.4

91.7

33.3

50.0

0

100

 Individual/organizational economic resources (meso/micro level)

71.4

68.0

76.5

75.0

55.6

80.0

80.0

83.3

Ethics

 Standards of conduct, ethical norms, stigma (macro level)

7.1

0

17.6

0

0

0

0

16.7

 Target group: standards, norms, stigma (meso/micro level)

0

0

0

0

0

0

0

0

 Implementers: standards, norms, stigma (meso/micro level)

0

0

0

0

0

0

0

0

Political

 Interrelated policies, political pressure (macro level)

71.4

64.0

82.4

91.7

55.6

70.0

0

100

 Policies in organizations involved/partner organizations (meso/micro level)

69.0

64.0

76.5

83.3

55.6

60.0

0

83.3

 Sectorial policies: health care, education, food production and retail system properties (macro level)

57.1

48.0

70.6

75.0

33.3

30.0

0

100

Legal

 Rules/regulations established to protect population rights/societal interests, enforced laws (macro level)

45.2

36.0

58.8

75.0

11.1

20.0

0

66.7

  1. Note: PA physical activity; SB sedentary behavior; % - the percentage or the reviews/stakeholder documents that provided an explicit reference for a significant role/importance of a respective context-related implementation determinant; Total - reviews/stakeholder documents addressing implementation determinants for healthy diet and PA/SB policies; Reviews - reviews addressing implementation determinants for healthy diet and PA/SB policies; Stakeholder - stakeholder documents addressing implementation determinants for healthy diet or PA/SB policies; Diet - reviews/stakeholder documents addressing implementation of healthy diet policies across various populations/settings; PA/SB - reviews/stakeholder documents addressing implementation of PA/SB policies across various populations/settings; Children and schools - reviews/stakeholder documents addressing implementation of healthy diet or PA/SB polices targeting children/adolescents in school settings; Employees at workplaces - reviews/stakeholder documents addressing implementation of healthy diet or PA/SB polices targeting employees in workplace settings; Populations at risk for obesity in clinical/education settings - reviews/stakeholder documents addressing the implementation of healthy diet or PA/SB polices targeting populations at risk for obesity in clinical, educational, or social services settings
  2. * - Context-related implementation determinants might be divided into macro (nationwide), meso (organizational)/micro (individual) levels. The percentage of implementation determinants corroborated in ≥50% of reviews/stakeholder documents (preliminarily supported) are marked in italics. Percentage of implementation determinants corroborated in ≥60% of analyzed reviews/stakeholders (considered strongly supported) are marked in bold font