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Built Environment Implementation Strategies to Promote Physical Activity: Expert Consensus for Local Implementation
Stephenie C Lemon1,2, Karin Valentine Goins1,2, Julien Leider1,2
1Author Affiliations: Prevention Research Center at UMass Chan Medical School Division of Preventive and Behavioral Medicine, UMass Chan Medical School, Worcester, Massachusetts (Dr Lemon, Ms Goins); School of Public Health, Institute for Health Research and Policy, University of Illinois Chicago, Chicago, Illinois (Leider, Dr Chriqui); WV Family Nutrition Program, West Virginia University Extension, Morgantown, West Virginia (Dr Abildso); Friedman School of Nutrition Science and Policy, Tufts University, Boston, Massachusetts (Mr Fenton); School of Nursing, Oregon Health & Science University, Portland, Oregon (Dr Perry); School of Pharmacy, Bachelor of Science in Public Health Program, Concordia University, Mequon, Wisconsin (Dr Slater) and Division of Health Policy and Administration, School of Public Health, University of Illinois Chicago, Chicago, Illinois (Dr Chriqui).
Context:
Despite evidence supporting the role of the built environment in promoting physical activity, there is limited guidance on how to implement recommended built environment changes at the local level.
Objectives:
The objective of this project was to develop a compilation of implementation strategies that hold promise for aiding communities in implementing built environment changes that support active transportation and leisure-time physical activity, titled "Expert Consensus for Local Implementation of Physical Activity Policy, Systems, and Environment (ECLIPPSE)."
Design:
A modified Delphi Technique using 3 web-based survey rounds was conducted from 2024 to 2025.
Setting:
A multidisciplinary national expert panel was recruited to participate in this online panel.
Participants:
The panel consisted of 23 professionals with expertise in the implementation of built environment changes to support physical activity at the local level.
Main Outcome Measure:
The Round 1 and 2 surveys utilized a rating process to establish a compilation of potentially promising strategies for aiding communities in implementing physical activity-supportive built environment changes. The Round 3 survey involved rating these strategies on potential feasibility and impact and endorsing the final compilation.
Results:
Fifty-five strategies emerged in 2 broad domains. The first domain, "Get Ready," included 4 categories: (1) Partnerships and collaboration (5 strategies); (2) staffing (5 strategies); (3) training and education (4 strategies), and (4) interactive assistance (2 strategies). The second domain, "Take Action," included 6 categories: (1) Data and community informed prioritization (6 strategies); (2) evaluative (8 strategies); (3) community awareness and demand (8 strategies); (4) engagement with decision-making processes (5 strategies); (5) funding (7 strategies); and (6) pilots or demonstration projects (5 strategies). The final compilation was endorsed by 95% of respondents.
Conclusions:
The ECLIPPSE strategies can be used to aid implementation of built environment changes at the local level to support physical activity.
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