Toronto, ON - DECEMBER 2011

Active Canada 20/20 Consultation: Toronto, Ontario

December 5, 2011

C. Costas-Bradstreet
S. Grundy
L. Daw
J. Cowie Bonne


Overall Comments

  • Active 2010 – piggyback on existing provincial strategy, not a new idea
  • Key words: “coordinate” and “all” – we are talking about it in many places, but not together.

Pillars (Areas of Focus)

Pillar 1 – Policy Change and Implementation

Overall Comments

  • Yes to the pillar.
  • Policy / environment sometimes “sparks” investment. Policy drives environment etc. How to reflect this in the paper? More interconnected model?
  • This pillar will take longest to see change
  • Sample policy for official plans should be shared
  • Canadians – how can they reinforce the message; key channel for communications
  • Policy – need to ensure tracking and monitoring and accountability
  • $ to health care vs. prevention
  • All levels – need to have inter-govt. dept. particularly at municipal level
  • Provincial policy statement – growth plan – planning act
  • How to recognize provincial / local variation in policy

Action 1 – A special task force of F/P/T governments should be immediately established to lead the development of a Canadian Physical Activity Policy, led by Health/Sport, Physical Activity and Recreation Ministers. (This would be a distinct but parallel process to the Canadian Sport Policy and would be in consultation with F/P/T departments concerned with health, transportation, human resources, infrastructure, environments, business, heritage and tourism).

  • Missing “partnerships” that need to be developed between policy makers (coalitions)
  • Consider alignment with National Recreation Policy
  • Consider policies at PHU level (regional health) policies re: prioritizing PA, resources and staff dedicated to it.
  • “De-legislation”? I.e. things that exist that prevent activity now, that need to be changed
  • Ont. Transitional Council on Kinesiologists – missing
  • Look at “negative incentives” too – if you aren’t active, what might you lose?
  • Policies need to reflect “different” ways of working given resources are always limited –not just more but different/better
  • Ministers from different portfolios talk to each other, not just ed to ed, health to health, etc.
  • PA as a priority in other ministries, not just health

Action 2 – Leading Canadian employers will develop, and or strengthen results oriented policies that support infrastructure and programs for employees to add physical activity to their daily lives, including active transportation to and from work. Employers and employees will be supported with tax incentives. Initially large employers (over 500 employees) will be specifically called on to implement polices to increase physical activity.  

  • Be sure to engage employers and employees (any target pop) to ensure buy-in
  • Health insurance – may be able to effect more than their own employees. i.e. policies that recognize PA to reduce rates – i.e. build on what they have done with smoking: insurance bureau
  • Engage NGO Board of Directors – very influential i.e. cross board collaboration
  • What can individual companies do (even small businesses) – i.e. extended lunch hours, etc.; these may be mobilized quickly
  • Provide targeted stats for employees  re increasing productivity for employees who are active
  • Make connections beyond “physical health” – also mental health, etc. Need economic benefits – a case specific for employers – 1 page.
  • What does tax incentives mean for employers – give examples to spark dialogue – give financial benefits
  • Missing – get physicians (have credibility with Canadians) involved in the campaign to add credibility of “exercise as medicine” [recent presentation Jack Goodman, Guy Faulkner, U of T – Dec. 1 podcast].  I.e. employees accept doctors notes/Rx – i.e. if doc provides Exercise Prescription to ensure activity during the day to manage/prevent various conditions

Action 3 – Governments will address sub-populations with the greatest access issues, and target fiscal policies, incentives and subsidies to eliminate disparities in participation levels.

  • “Older adult” lens (or other sub-pops) – use in examples to reflect – this means different things to different people
  • Community engagement
  • Policy is a big word, especially for small orgs / ind. – i.e. use guideline (baby steps), recommendations to allow more to see themselves in it
  • Inter-min work at all levels, all ministries
  • Ensure lots of Canadians benefit – i.e. sport is not a choice for all. Reflect genders, cultures, participation levels, older adults not just youth; address gaps in teenage levels; men’s sport vs women’s sport; active living and equal/equitable sport for life
  • Policy re subsidies for access – how to do w/o stigma

Action 4 – Transportation departments (federal, provincial/territorial, municipal) will implement policy to prioritize Active Transport* for short distance trips in all communities.

  • Missing – municipal planning beyond transportation. I.e. municipal affairs, infrastructure
  • Create a sense of urgency – municipality has lots of “power” to make PA an easy choice. i.e. sidewalks
  • Transport – need to address climate
  • Active Transportation – why just short distances? Too limiting
  • Concerns – infrastructure/walkability – “how to” do it vs. just barriers

Action 5 – School boards across Canada will adopt and implement Quality Daily Physical Education (QDPE) including daily physical activity, school sport and after school programming as well as active school transportation planning policies.

  • “Adopt and implement” is happening already. We need to measure it and ensure accountability
  • QDPE – a “program” – change wording to implement “curriculum” (which they have to do) – also PA can occur in all subject areas (i.e. to decrease sedentary behavior) – don’t want to limit
  • Physical activity is more than basketball, hockey – students should have more choices
  • Use university and HS student internships to support activity to happen in schools – peer influence
  • School board – sport participation as priority – inclusion
  • Do we need physical literacy “standards” to graduate?
  • Schools – a key issue is legal liability as a barrier for after-school programs (beyond 3-6 p.m.), community access, community involvement – use real data re risk vs fear of liability
  • Missing after-school; not just QDPE
  • School boards – accountability – not just “recess”. QDPE – what other policies can they put in place (ie. Screen time, etc.). Need accountability for implementing, not just having the policy.
  • Ensure school boards have expertise and resources to implement QDPE – i.e. staff, $
  • Do PE differently – get creative to use resources more effectively
  • Don’t put too much pressure on schools – use community
  • School boards – challenges – space and time, etc. Do we need to expand school day? To allow for more time for physical activity?
  • Accountability strategy – School board policy (72 PH/SB agreements vs 5000) – School Board policy should address health – i.e. why should PH have to meet with every principal?
  • Culture shift that the school building is part of community

Action 6 – Renewal and implementation of the Canadian Sport Policy will bring priority to increasing physical activity as part of its sport participation goals.   

  • Policy change – NSO/PSO has to change how they look at sport participation i.e. share athletes, encourage coordination of opportunities; kids have to choose to lay at school or community sport
  • Sport more inclusive – every level gets quality instruction; kids have choices about their level of participation
  • Sport policy – missing equity
  • “sport participation” – alternative beyond “sport” – has become exclusive. Ensure the Can. Sport Policy is more inclusive, focus on “sport participation” and enjoyment – all levels of participation, not just competitive
  • “sport policy” may be limiting – some kids don’t like sport


Pillar 2 – Targeted Information and Public Education

Overall Comments

  • Pillar – people know but still need that background hum. Change the focus of the message: HOW to take action. Can we tie incentives to this? E.g. like the grade 5 ski pass
  • Accessibility
  • Political shift – need to influence
  • Share examples of what is working – recruitment
  • Policy makers like accountability.
  • It’s not just the message, but training professionals (in person also – PD)
  • Focus: building sustainability – gap analysis
  • What do we do when physical activity is not the priority?
  • Ensure using best practices of social marketing
  • MOHs – directive to take on PA – should be given this as a priority
  • New action – economic  benefits to municipalities to attract more people to community, businesses, tourism (psycho-tourism) – active people spending money in communities
  • Need an action that targets health professionals? Exercise prescription; engagement part is missing with health prof?
  • New action statement addressing media advocacy to achieve the goals

Action 1 - Long term planning and support for national information and education campaigns that are adequately funded, linked closely with national, provincial/territorial and major municipal campaigns, will be implemented.

  • Common message – broad; jurisdictions can fall under bigger picture
  • We’ve done this, but we need to be clear about the message – what is the call to action?
  • Need to be looking at five-year goals with funding that supports this
  • Overall plan, then focus on next couple of years
  • Some municipalities moving away from SM campaigns – targeted info piece is important
  • National messages based on scientific data adapted for provincial and municipal implementation
  • Financial support for evaluation and making this part of the planning process. Need the expertise to support this
  • Activity charter for all communities – public can also buy into (not just decision makers or stakeholders)
  • Goal could be – activity levels, infrastructure, program (i.e. walking to school)

Action 2 - An annual priority theme will be set across jurisdictions to guide education and marketing campaigns. Examples of themes include: Aboriginals, children and youth, new Canadians, girls and women, older adults and people with a disability.

  • Annual too short a turn-around at local level
  • Not comfortable with this one – always needs to be everyone
  • Need flexibility to still target own population
  • More effective – target as many groups as possible – different means
  • Consistent messaging – don’t lose anyone.
  • Annual theme – highlight opportunities vs. age groups. E.g. outdoors, then we can address way to do this for each group
  • Marketing: do prioritize; focus but do not ignore other groups

Action 3 - The Canadian Physical Activity Guidelines will be broadly distributed and awareness will be increased among Canadians.

  • Decrease awareness of screens and sedentary behavior currently – should sedentary behavior be an action on its own?
  • PAG – beyond distribution; knowledge translation important; simplify messages; access to them; action plan – not just what to do but how to do it. Tools. One-pager only; incorporating daily activities – how that adds to 150 min. 
  • Message needs to be doable – e.g. 10 minutes x 3 – small steps
  • Fun!
  • Change how we send it
  • Tool to be developed.
  • How do we get to them? Conferences, magazines
  • Written info; presentations to council; Work with community organizations to get info to them. E.g. reports to boards of health – use public health units.
  • Simple messages/steps that everyone can follow
  • Look at both PA and SB Guidelines – the SB issue shocks people
  • Sending info re daily activities as being physical activity
  • Status of physical activity and what are the implications?
  • Need to continue to be creative in approach
  • SCI – MS coming out. As research is available, other disabilities will be added
  • PA guidelines – we are already doing this; more evidence of gap and statement; poll common language

Action 4 - A means will be identified to provide information regarding the benefits of physical activity to Canadian employers and employees. An education program targeting large employers will be implemented to stimulate workplace-based physical activity promotion.

  • Need incentives here: tax break; $ driven for the corporation
  • Size doesn’t matter! Small employers should be noted
  • Advocacy to workplaces
  • Practical tools for workplaces
  • Consistent messaging to workplaces – tapping into what exists
  • Tax incentives
  • Messaging for workplaces – what is it?
  • Why is it just large employers?
  • Tie to insurance companies, WSIB. WSIB should be promoting physical activity
  • Need to address barriers for workplaces – in business case
  • What are the messages that apply to different workplaces?
  • Business case (policy makers and employers)
  • Funding – not just the one-year – ongoing to sustain this message  - carry through over the years
  • Include health promotion / behavior change model; evidence-based
  • Therefore, other orgs can use info, have access to it.

Action 5 - Targeted outreach will take place that is relevant to the needs of sub-populations

  • Add action 5 to action 2
  • Ensure reaching Francophone communities
  • Tool to support P/T/M to reach audiences (e.g. previous ParticipACTION binder).
  • All sources in one place; prevents duplication – this should be the point.
  • Is it people going into the communities? Not just mass media
  • National – overall active; P/T focuses on sub-populations
  • Prioritize an objective vs a target – all can share a goal. E.g. CBC Live Right Now
  • Resource tools to help at all levels

Action 6 - Decision and policy makers will be provided with current, reliable statistics on the status of physical activity levels in Canada.

  • How is the information presented to decision makers?
  • Just providing the info isn’t enough. What is the “so what?”
  • Should be the first priority: how do we ensure the correct data is collected, at the appropriate level and goes to the right person?
  • Need good conclusions from the data.
  • Need to be using the gray data
  • Need to be able to be move forward when we don’t have definitive data.
  • National data not helpful; local data is key for decision makers and funding applications.
  • Link to cost-benefits data
  • Is the data there to suggest benefits of just 1 target?
  • Partnership with academic institutions
  • Buy-in comes from relevant data to the right people.


Pillar 3 - High Quality Accessible Programs and Services

Overall Comments

  • Where is the innovation?
  • Does “where necessary” need to be included? Remove
  • Collaboration – together
  • Making connections
  • Unified outputs
  • Collaboration of groups
  • Funded evaluation – is it attached to best practices?
  • Define quality:  Is it evidence-based or by qualifications of those delivering programs – define
  • Cost? Accessible?
  • Need a 2020 app
  • Building parallels – e.g. food and beverage policy with PA
  • Comprehensive approach

Action 1 - Elementary and secondary schools, with the support of provincial Ministries of Education and the local school boards, must implement Quality Daily Physical Education (QDPE) including daily physical activity, school sport and after-school programming as well as active school transportation planning policies.

  • Gap in secondary schools – kids learn that PE not a priority
  • Elementary and secondary – very different
  • Include college and university students to elementary and secondary. Promote DPA/QDPE to increase level
  • HPE Curriculum – increase PA in others parts of curriculum and intramurals – e.g. dance/walk club – increase number of kids in programs
  • Define “quality” and how to measure (e.g. DPA standards)
  • Education system – inclusive of all kids
  • Boards – communities (under schools)
  • Transportation – accessibility – partnership approach
  • Quality – include quantity
  • Emphasis – increase quality – access has to be there
  • Further define physical literacy
  • Promote PE as lifestyle – switch to PA

Action 2 - Municipal recreation and health departments will set targets for increasing physical activity of residents, as part of their planning and performance objectives.

  • Add an action: “communities will create coalitions (e.g. Active 2020 – reason to get together)
  • Define who is on coalition
  • Policy, transit – healthy community model
  • Build into existing community
  • Evaluation/assessment: data at local level; varying degrees of collecting info; bring different players. E.g.  evaluation team
  • Set targets – define what this means – appears vague
  • Evaluate pillars: policy, environment, social changes – need partnerships with universities. Targets are roadmap.

Action 3 - Community schools and recreation will provide greater access for members of the community to use facilities in order to increase participation in sport and physical activity programs, and foster after school programs.

  • Link recreation/school spaces = community spaces
  • Partnership is missing
  • Stakeholders – appear to not be working together / collaboratively

Action 4 - Staff, throughout the education system from pre-school to college and university levels, will be supported in adoption and utilization of physical education curriculum.

  • Define “… supported…”

Action 5 - Physical activity practitioners, companies and organizations will ensure outreach, readiness and welcoming access, to support Canadians who take steps to increase physical activity.

  • Re-alignment of services, groups that deliver programs
  • Include re-alignment in statement

Action 6 - Primary health care professionals value exercise, and prescribe advice and recommendations to their patients about the health benefits and need for physical activity. They are informed and able to refer patients to qualified exercise professionals.

  • Partnership is missing
  • Inclusive / accessible and health practitioners – define these terms. They are too broad
  • Language around partners/collaborating
  • Training to implement – accountability.
  • Are physicians trained/aware of benefits and advice for physical activity? Key first point of contact – medical school
  • Motivational- interviewing as a strategy in docs’ offices – PA prescriptions as a way to deal with behave/attention issues vs. meds
  • CHCs, family health teams should include PA – look at policy at that level too – need ongoing PD in PA

Action 7 - Existing social networks and facilities will be utilized to deliver physical activity programming that is relevant and sensitive to the needs and values of subpopulations such as aboriginals, children and youth, new Canadians, girls and women, older adults and people with a disability.

  • Role of social media
  • Social services – bridge gap; engage through programs; leadership at local level
  • Change program to fit their needs; involve in programming

Action 8 - Specific strategies will be developed by all delivery organizations to encourage participation in physical activity programs by at-risk populations.

  • HCF – include other risk factors
  • At risk – vulnerable priority populations and define
  • At-risk: “priority populations” – replace word
  • Access – geographic, $, culture, quantity of programs, inclusion

Action 9 - Large employers will implement comprehensive physical activity programs based on best practices.

  • Large employers? – what about small?  Small is missing
  • Look to large companies for ideas
  • Provide examples of success
  • Opportunities to share best practice – jumping off point

Action 10 - The National Coaching Certification Program (NCCP) will investigate ways to promote “health enhancing physical activity” at all levels and for all sports.

  • NCCP – PHE Canada/PRO, CS4L, True Sport – include more national orgs; health benefits to include in all action boxes – at-risk populations
  • Not so sport based


Pillar 4 – Community Design and Social Infrastructure

Overall Comments

  • 4 and 5 should be 1 and 2
  • Learn from other countries
  • Infrastructure options
  • What is “communities”
  • Important to prioritize
  • SIN taxes for PA
  • School agenda for pillar: location, ASRTS

Action 1 - Every municipality will develop, review and revise municipal/local government master plans to ensure that opportunities for physical activity are explicitly included in all facets of the plan, and barriers to an active lifestyle are eliminated.

  • Advice to municipalities, groups on decision
  • Action in community hubs
  • Simcoe/Muskoka HU – policy document
  • Adopt Toronto Charter - plans and policy.
  • How do we engage planners, etc.? e.g. Peel – clasp funding
  • Partner with age-friendly cities initiative
  • Must do things differently – police, transportation, planners
  • Physical activity needs to be a lens and priority/philosophy (e.g. age friendly)
  • Planners Institute
  • Address liability
  • Municipal link – where is it
  • Continuous advocacy needs to increase
  • 20/20 approved

Action 2 - Within the municipal/local government master plan for physical activity, municipal/local governments will develop a strategic plan for transportation that explicitly places priority on active transportation.

  • Define active transportation; define built environment
  • Seniors / people with a disability need safe transit: accessible / seamless e.g. bike racks
  • Bike friendly, age friendly, youth friendly, accessibility friendly
  • Add public transit
  • Safe access and Routes – trails; transport
  • Accessible Affordable transport
  • Injury prevention
  • Culture of walking
  • Federal % investment in AT
  • PA first, then AT
  • Perception of safety/risk – reality / media
  • Education of planners: association, prof. devt.
  • Add safety – design, policy
  • Address “road” jurisdiction – 3 levels

Action 3- Inactive segments of at-risk populations, such as Aboriginals, children and youth, new Canadians, girls and women, older adults and people with a disability should be an integral part of plans and strategies to increase physical activity.

  • At-risk priority: inactive
  • Poverty groups (e.g. food); expand “at-risk”; e.g. people with cancer
  • Communities must engage at-risk and those affected
  • Technology – education; IT use to promote
  • Use diverse technology – respect access to IT
  • AL and PA – language – links to healthy eating and sleep

Action 4 - Governments will address the infrastructure deficit in order to ensure all Canadians have access to spaces and facilities where they can learn, experience and practice physically active pursuits.

  • All 3 levels in partnership
  • Think beyond current infrastructure
  • Empower communities to make infrastructure changes
  • Retrofit – add. May use current public spaces – revitalize vulnerable urban deserts; plazas, squares
  • Involve developers

Action 5 - Communities, in partnership with other levels of government, will target human and financial investment in recreation and sport for underserviced areas such as rural, low income communities or isolated areas, or high density areas with inadequate facilities.

  • Recreation $ for PA
  • Tangible case for govts.
  • Where is the money?
  • PA community checklist for home buyers/renters
  • Prov. Plan, standards or ideas
  • Models for assessing unique needs of community
  • Economic development
  • Independent facilities, resources

Action 6 - Communities will identify existing facilities, (public, private, and others) and develop plans to maximize community wide shared use in order to increase access by community members for physical activity.

  • Spaces for spontaneous play
  • Dialogue – engineers, planners, school plans and school board involvement in community plan
  • Community-driven approach


Strategic Investments

Overall Comments

  • “Designations” to recognize when we see positive behavior
  • How will we roll out/Settings based? Population? Seems too big – where do we start?
  • Policy / environment sometimes “sparks” investment. Policy drives environment etc. How to reflect this in the paper? More interconnected model?

Action 1 - Governments (Federal, Provincial/Territorial, and Municipal) will identify physical activity as a priority and dedicate ongoing budgets to increase physical activity. This includes substantive investments in the voluntary sector delivery system that are clearly linked to expected results.

  • Government “ask” is too vague. Need to be clearer about what investment is … i.e. access to PA to improve our health.
  • Need to measure on a more micro level to identify areas for improvement – what will be different this time?
  • Need designated positions in different settings to do the work. Health promoting organizations have to do it too!  Lead by example – public health, schools, CHCs, etc.
  • Get unions on board – i.e. teacher time for clubs, etc.
  • A bit of flexibility/equity to ensure differences between provinces in things like recreation costs
  • Consider strategic investment in Francophone populations – unique needs investment – not just translation
  • PA in all ministries not just “traditional” PA funders
  • How is it different from current level of investments/budgets

Action 2 - Investments in physical activity will support community development approaches to ensure ownership, relevance and sustained action.

  • Consider developers as a target audience to build active communities
  • Is there enough focus on built environment? Walkable communities?
  • Need to also empower people (public) to start demanding this – i.e. not just a “top down” approach but also a “bottom up” approach
  • Investment from non-traditional partners (i.e. service clubs, religious institutions)
  • Prioritize funds based on Social Determinants of Health in the community-i.e. double disadvantaged kids in affluent areas have more fundraisers
  • Investment in school benefits many kids, not just a small team
  • Consider other costs involved in PA participation as a need for investment – i.e. transportation
  • Funds to address barriers – i.e. arenas with helmets or equipment for public use

Action 3 - Public and private sector employers will invest in increasing the physical activity levels of their employees.

  • Mention schools too
  • Private sector needs incentives
  • Private sector needs a business case – how does this impact their bottom line.
  • Insurance industry is key
  • Assumes investment is $ … consider time, space, etc.; other things as investment
  • Local orgs could invest – make it more manageable – tax incentives
  • Investment in professional development and expertise of designated positions – i.e. job descriptions should reflect a level of expertise in PA

Action 4 - Business and industry will shift existing sponsorship and marketing efforts to invest in physical activity for Canadians.

  • Need to identify and get investment leaders on board
  • Not just govt., but food industry, etc.
  • Best practices in tobacco around investment



Overall Comments

  • There should be a Canadian PARC (Physical Activity Resource Centre)
  • Engage vs. mobilize
  • GAP:  Policy to practice
  • Silos … must integrate**
  • Include “support” – collaborate (in addition to lead).
  • Sport – rec – physical activity: segmented

Action 1 - At the community level, decision makers responsible for recreation and parks, and public health will lead collaboration between transportation, planning, environment, sport, education, voluntary sector and other stakeholders in the development, implementation, sustaining and evaluation of strategies to increase physical activity.

  • Family health teams
  • Ministry – education, tourism, health, transportation
  • Family physicians – need to educate physicians  - need to be mandated and the capacity to do common agenda
  • Give access to opportunities to lead in communities e.g. HC Fund
  • Champions – key advocates
  • Family – role models
  • Buy in – must be on the same page; organizations working together – e.g. momentum in sport - $ and coordination
  • Public confusion
  • Community – school
  • How do we support “causes” – e.g. walk/run for ‘cause’ issue
  • Is this where we can address accountability?

Action 2 - Linkages will be strengthened between the F/P/T governments responsible for Sport, Physical Activity and Recreation, Health and Healthy Living, and other physical activity stakeholder groups (voluntary, private, municipal).

  • Broader health sector
  • Coordinated approach to influence decision makers
  • ↑ Sectoral coordination
  • Little mention of existing structure
  • Public and policy makers together at beginning – the how to mobilize

Action 3 - All delivery organizations and government jurisdictions will engage intermediary and end-user populations in planning processes and implementation of strategies.

  • Community health centers
  • Ont. Council of Kinesiology
  • Investors – influencers
  • Decision makers
  • Health professionals – public (advocacy groups) – policy makers
  • Education – ministry, provinces, infrastructure; youth and students in curriculum


Evidence and Knowledge Exchange

Overall Comments

  • Need to add Knowledge Translation/ Need an action re knowledge exchange.
  • Report card – relevant, but no money to sustain it
  • Where does accountability fit in to this pillar?
  • Is there an understanding that 10% (?) of funds go straight to evaluation (therefore, not available to other initiatives that may apply for grants)
  • Will support long-term, sustainable campaigns

Action 1 - The system for monitoring physical activity levels in Canada and the impacts of national and provincial/territorial strategies will be enhanced and maintained to ensure quality, relevant data is collected that is consistent and comparable for systemic measurement of progress toward the vision and goal of Active Canada 20/20.

  • Right now, this mechanism is under attack
  • Imperative to inform – local level data needed
  • Current system needs to be coordinated; 1-stop shop; need a “hub”; access the current info. As new info available, info is being incorporated, put into this system
  • The key is relevant data.
  • Need a repository for all this data – searchable database
  • Data needed – what frequency? Every 5 years seemed to have most agreement
  • Look at coordinated evaluation research initiatives – e.g. communities working together.
  • Need to be able to compare across jurisdictions – is ‘enhanced’ the right term? Makes it less manageable.
  • Research and Knowledge Exchange fundamental to advancing strategy.

Action 2 - The effectiveness of social marketing and education campaigns will be monitored.

  • Change “monitored” to “evaluate”
  • Add “…consistent evaluation”
  • Measure impact and success long-term. Understanding that long term change with resources provided based on this – short term check-ins

Action 3 - The effectiveness of interventions, including community-based interventions and policy initiatives will be assessed as to their impact on individuals.

  • Need to support what is working – be bold about doing what will work.

Action 4 - Ongoing research will be conducted on barriers, determinants, prevalence, and correlates of physical activity.

  • List is not extensive enough – once list things, lose evaluation on other things
  • Be proactive – ongoing research
  • What else are we measuring? Not just reaching guidelines – SBG
  • Employ expert evaluators to do this. One entity is collecting and publishing the data; third parties independently review initiatives because $ to be diverted to evaluation; helps ensure we really are supporting best practices
  • Personal narratives or stories – important to have as well as the quantitative

Action 5 - A new research agenda, informed by other research agendas will be developed to inform activities related to evidence and knowledge exchange.

  • Need to ensure used for policy change; gets to stakeholders
  • Working in this way helps stimulate additional ideas related to research