Co-production of a physical activity referral scheme in the German healthcare system
Geidl W, Klamroth S, Mino E, Weißenfels A, Naber I, Gelius P, Abu-Omar K, Pfeifer K (2024)
Publication Language: English
Publication Type: Conference contribution, Abstract of lecture
Publication year: 2024
Series: Accelerating policy and practice to ensure physical activity for all
Event location: Paris
URI: https://congress2024.ispah.org/sessions/co-creating-interventions/
Abstract
Background: Physical activity referral schemes (PARS) have the potential to promote physical activity (PA) among the mostly inactive primary care population with non-communicable diseases (NCD). No PARS has yet been structurally implemented in the German primary care system.
Purpose: The research project BewegtVersorgt aims to develop, implement and evaluate a PARS to promote PA for persons with NCD within the German healthcare system.
Methods: The PARS was developed using a co-production approach which integrated twelve organizations from different sectors (health insurances, physicians, exercise professionals, patients’ representatives). Three co-production meetings were applied where individual ideas and current evidence were combined, and different PARS models were elaborated. Finally, all stakeholders agreed on one PARS for implementation as a regional model project and seven stakeholders were purposefully selected for interviews to evaluate the co-production process.
Results: The co-produced PARS starts with the primary care physician who
offers PA advice and afterward refers patients to an exercise
professional. The exercise professional delivers the remaining
components of the intervention: initial assessment, six 1-hour
individual PA counselling sessions, final assessment.
From stakeholder perspective, the following factors were highlighted as
facilitators of the development process: co-production approach, process
of co-production, multi-sector stakeholder group, possibility of active
participation, coordinating role of researchers, communication,
atmosphere and interaction. In contrast, differences in roles and
hierarchy, merging of different perspectives, clarification of
intervention costs, and competition and conflicting interests were
pointed out as challenges.
Conclusions: By using the co-production approach, it was possible to develop a new PARS and implement it as regional model project in routine practice.
Practical implications: Co-production is a beneficial approach for the development of PARS intended for integration into healthcare systems.
Support/Funding Source: The study is funded by the Federal Ministry of Health based on a resolution of the German ‘Bundestag’ by the federal government.
Authors with CRIS profile
Wolfgang Geidl
Philosophische Fakultät und Fachbereich Theologie
Sarah Klamroth
Lehrstuhl für Sportwissenschaft mit dem Schwerpunkt Bewegung und Gesundheit
Eriselda Mino
Lehrstuhl für Sportwissenschaft mit dem Schwerpunkt Bewegung und Gesundheit
Anja Weißenfels
Lehrstuhl für Sportwissenschaft mit dem Schwerpunkt Bewegung und Gesundheit
Inga Naber
Lehrstuhl für Sportwissenschaft mit dem Schwerpunkt Bewegung und Gesundheit
Peter Gelius
Lehrstuhl für Sportwissenschaft mit dem Schwerpunkt Bewegung und Gesundheit
Karim Abu-Omar
Philosophische Fakultät und Fachbereich Theologie
Klaus Pfeifer
Lehrstuhl für Sportwissenschaft mit dem Schwerpunkt Bewegung und Gesundheit
Related research project(s)
How to cite
APA:
Geidl, W., Klamroth, S., Mino, E., Weißenfels, A., Naber, I., Gelius, P.,... Pfeifer, K. (2024, October). Co-production of a physical activity referral scheme in the German healthcare system. Paper presentation at International Society for Physical Activity and Health (ISPAH) Congress 2024, Paris, FR.
MLA:
Geidl, Wolfgang, et al. "Co-production of a physical activity referral scheme in the German healthcare system." Presented at International Society for Physical Activity and Health (ISPAH) Congress 2024, Paris 2024.
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