Citation

Gelius P, Rutten A. Health Promot. Int. 2018; 33(4): 657-664.

Affiliation

Institute of Sport Science and Sport, Friedrich-Alexander University, Gebbertstraße 123b, 91058 Erlangen, Germany.

Copyright

(Copyright © 2018, Oxford University Press)

DOI

10.1093/heapro/dax006

PMID

28334852

Abstract

As recently discussed in the public health literature, many questions concerning 'structural' approaches in health promotion seem to remain unanswered. We argue that, before attempting to provide answers, it is essential to clarify the underlying theoretical assumptions in order to arrive at the right questions one should ask. To this end, we introduce into the current debate an existing theoretical framework that helps conceptualize structural and individual aspects of health promotion interventions at different levels of action. Using an example from the field of physical activity promotion, we illustrate how an integrated framework can help researchers and health promoters rethink important issues and design better interventions. In particular, such an approach may help overcome perceived distinctions between different types of approaches, re-conceptualize ideas about the effectiveness of interventions, and appropriately address issues of health disparities.

© The Author 2017. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

Language: en

Keywords

evidence-based health promotion; physical activity; structural change; tailored intervention