Understanding and Addressing Barriers to Implementation of Environmental and Policy Interventions to Support Physical Activity and Healthy Eating in Rural Communities

摘要: Purpose Rural residents are at greater risk of obesity than urban and suburban residents. Failure to meet physical activity healthy eating recommendations play a role. Emerging evidence shows the effectiveness environmental policy interventions promote eating. Yet most comes from communities. The objectives this study were (1) identify types being implemented in rural communities or eating, (2) barriers implementation interventions, (3) strategies have employed overcome these barriers. Methods Key informant interviews with public health professionals working areas United States conducted 2010. A purposive sample included 15 practitioners engaged planning, implementing, evaluating Findings Our findings reveal that include cultural differences, population size, limited human capital, difficulty demonstrating connection between social economic outcomes. informants identified number such as developing broad-based partnerships building on existing infrastructure. Conclusion Recent suggests potential level. To realize positive outcomes, it is important provide opportunities implement document their