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Evidence-based Public HealthEffectiveness and efficiency$
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Amanda Killoran and Mike P. Kelly

Print publication date: 2009

Print ISBN-13: 9780199563623

Published to Oxford Scholarship Online: February 2010

DOI: 10.1093/acprof:oso/9780199563623.001.0001

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What environmental changes can increase physical activity?

What environmental changes can increase physical activity?

(p.382) Chapter 26 What environmental changes can increase physical activity?
Evidence-based Public Health

Hugo Crombie

Amanda Killoran

Bhash Naidoo

Oxford University Press

This chapter discusses the development of the National Institute for Health and Clinical Excellence (NICE) public health guidance on physical activity and the environment. The guidance was aimed at professionals whose activities within the National Health Service (NHS), local authorities, and the wider public, private, voluntary, and community sectors, could impact on the public's physical activity levels. Such actions would help increase levels of physical activity among local communities, to meet the physical activity recommendations of the Chief Medical Officer of England. The chapter first sets out the context in England for the development of guidance (low levels of physical activity and policy targets for improvements). It then documents the principal NICE processes and methods involved in the development of the guidance: establishing a conceptual framework, identifying and synthesis of the best available evidence, developing and testing of recommendations, and facilitating implementation of the guidance. The lessons and implications are then considered.

Keywords:   Clinical Excellence, public health guidance, health policy, physical activity

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