Mixed-method evaluation of a community-wide physical activity program in Launceston, Australia

• Published in: Health promotion journal of Australia 2019-12, Vol.30 (S1), p.104-115
• Main Authors: Byrne, Lucy, Ogden, Kathryn, Lee, Simone, Ahuja, Kiran, Watson, Greig, Bauman, Adrian, Fell, James
• Format: Article
• Language: English
• Subjects: Adolescent; Adult; Age differences; Aged; Aged, 80 and over; Australia; Campaigns; Child; Child, Preschool; Community; community based intervention; Community involvement; Community participation; Community Participation - methods; Connectedness; Cross-Sectional Studies; Demographics; Demography; Endorsements; Environment Design; Evaluation; Evaluation research; Exercise; Female; Focus Groups; Gender aspects; Gender differences; Health aspects; Health behavior; health behaviours; health equity; Health promotion; Health Promotion - methods; Health status; Humans; Infant; Intervention; Local government; Male; Mass media; Methods; Middle Aged; Mixed methods research; Participation; Physical activity; Physical fitness; Polls & surveys; Premature mortality; Program Evaluation; Risk analysis; Risk factors; Sex differences; Social networks; Social Participation; Sociodemographics; Socioeconomic Factors; Stakeholders; State government; Telephone surveys; Telephones; Well being; Yoga; Young Adult
• ISSN: 1036-1073; 2201-1617
• DOI: 10.1002/hpja.241

Issue addressed: Physical inactivity is a leading risk factor for disease burden and premature mortality. Interventions to increase physical activity are common, though few examples of multi-strategy, wide-scale community programs exist. Active Launceston is a community-wide program aimed at improving health and well-being through physical activity. We report on the process evaluation of Active Launceston and changes in community physical activity participation between 2008 and 2015, as a measure of program effectiveness. Methods: Mixed-method evaluation of Active Launceston combined process evaluation- consisting of participant numbers, socio-demographic characteristics, campaign awareness, focus groups and stakeholder interviews-with impact evaluation consisting of a random-sample cross-sectional serial telephone survey. Results: Active Launceston attracted 11 887 attendees, participating in 30 342 sessions, amounting to 38 088 hours of physical activity between 2008 and 2015. Participant focus groups highlighted benefits including increased engagement in exercise, better health and social connectedness. While telephone surveys found the proportion of people participating in any physical activity in the last 12 months to be similar between the 3 years (2008, 77.7%; 2012, 77.1%; 2015, 73.6%), a higher proportion participated in vigorous physical activity in 2012 and 2015 compared to 2008 (P < 0.01), when adjusting for age and gender differences. A higher proportion also achieved sufficient activity for health in 2015 compared to 2008 (P = 0.01). Conclusions: Mixed-method evaluation suggests Active Launceston is an effective community-wide program supporting community members to engage in regular physical activity and increase levels of social engagement.