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. 2022 Nov 29;32(Suppl 4):iv50–iv58. doi: 10.1093/eurpub/ckac062

Table 2.

PA-EPI policy domains and statements of good practice (n = 21)

Domains Proposed good practice in each domain Proposed good practice statements
Education (schools) There are public policies implemented that aim to impact on healthy physical activity environments and promote and support physical activity within the school setting.
  • E01—evidence informed, quality mandatory physical education that promotes and supports the ideals of equity, diversity and inclusion and adheres to defined standards is part of the curricula in all schools.

  • E02—national and/or sub-national initiatives are in place to promote and support school-related physical activity both at school and in other settings. These initiatives should employ an inter-sectoral approach and collaborative multi-agency partnerships (e.g. links with out-of-school sports clubs, active breaks/recess and walking clubs).

  • E03—there are shared use agreements that utilize school spaces. Community access is supported by initiatives to promote and support opportunities for physical activity for all persons outside of normal school hours.

  • E04—national and/or sub-national policies are in place to promote and support safe active travel to and from school.

Transport There are public policies to promote and support active mobility for people of all ages and abilities.
  • T01—regulations are in place that provide a variety of infrastructures to support safe walking and/or cycling and/or wheeling, including measures to calm speed, reduce vehicle traffic and enhance active mobility.

  • T02—there is a funded implementation plan, led by the appropriate level/s of government, to achieve improvements in active travel and increased use of public transport.

  • T03—guidelines and tools to support infrastructure for active mobility and/or transport plans and systems that encourage physical activity are promoted and disseminated.

Urban design There are public policies enacted at appropriate level/s of government to ensure that evidence-informed urban design principles are implemented to promote and support physical activity and active mobility for people of all ages and abilities.
  • UD01—policies or regulations that take a ‘health in all’ approach are adopted to reallocate space from motorized transport to active travel and/or recreation purposes.

  • UD02—governments adopt land use policies, and planning processes, consistent with principles of mixed land use, compact urban design and/or provision of green open spaces to support physical activity and reduce motorized transport.

  • UD03—there are guidelines and/or regulations that improve universal and equitable access to safe outdoor and indoor spaces and facilities where people can be physically active.

Healthcare Public policies implemented within healthcare settings promote and support physical activity, e.g. by providing guidelines and regulations, applying digital health technologies and targeting at-risk groups like older adults.
  • H01—guidelines and regulations in healthcare include routine screening for physical activity and, for all insufficiently active patients, brief advice and referral to appropriately trained practitioners and/or physical activity opportunities.

  • H03—there are consistent policies for promoting and supporting physical activity in primary and secondary healthcare settings among at-risk groups, such as people with type 2 diabetes and older adults (e.g. protocols for the assessment of the physical activity capacity; accessible, affordable and tailored physical activity programmes; and training for caregivers for delivering physical activity programmes within residential aged care).

Public education/mass media There are national and/or sub-national public policies implemented to ensure enactment of media/education campaigns that actively promote and support increasing physical activity levels for all ages and abilities.
  • MM01—there are national and/or sub-national public policies in place that ensure media and education campaigns that promote, and support physical activity are sustained and monitored (e.g. by making them part of, or aligning them with, a national action plan on physical activity and the physical activity guidelines).

  • MM02—there are clear, consistent policies to ensure that multiple media modes/channels (e.g. via posters, social media, radio as well as TV) combined with complementary community initiatives are used to promote the benefits of physical activity and disseminate guidelines, which align with the WHO physical activity recommendations.

Community There are policies and programmes that promote and support physical activity for all ages and abilities, consistent with relevant recommendations, e.g. by supporting the implementation of whole-of-community events and approaches and promoting the shared use of public spaces and facilities.
  • C02—public policies are in place to support the implementation of whole-of-community approaches to promote physical activity and networking to strengthen resources and exchange experiences (e.g. WHO Healthy Cities, Active Cities, Partnerships for Healthy Cities).

  • C03—there are public policies in place to foster partnerships for shared use of public spaces and facilities for community-based and community-led physical activity programmes.

Sport & Recreation for All There are evidence-informed public policies implemented to promote and support sport and recreation for all.
  • SP01—there are national and/or sub-national evidence-informed ‘Sport and Recreation for All’ policies that prioritize investment in initiatives that target the least active, as well as disadvantaged groups.

  • SP02—there are national and/or sub-national evidence-informed policies or action plans in place that ensure equitable access to sport and recreation spaces and places for all.

  • SP03—there is government support for programmes designed to encourage sports clubs to promote health-enhancing physical activity and other health behaviours (e.g. ‘sports clubs for health’ and ‘health promoting sport clubs’).

Workplace There are national and/or sub-national policies implemented related to the workplace that promote and support increasing physical activity (e.g. cycle to work initiatives, physically active workplaces) and promote a culture of health for all employees.
  • W01—there are national and/or sub-national policy initiatives and infrastructure development programmes in place to promote and support safe active travel to and from the workplace.

  • W02—there are concepts and regulations for buildings, plots and the environment in place that promote and support employers to create physically active workplace environments through building design and provision of adequate facilities (both indoor and outdoor).