Cochrane Nutrition & Physical Activity: embedding advocacy for conduct, communication, and use of synthesized evidence as a golden thread

Article type
Authors
Bauman A, Brand A, Christian H, Doyle J, Durao S, McCrabb S, Naude C, Schwingshackl L, Wolfenden L
Abstract
Background
The Cochrane Nutrition & Physical Activity thematic group (TG) is a partnership of existing multidisciplinary Cochrane entities, organizations, and people from around the world. Our topic scope includes single- and multicomponent interventions and strategies addressing priority global health burdens related to poor nutrition, sedentary behavior, physical inactivity, and related risk factors within the environments in which people of all ages eat, move, play, grow, work, live, and age.
Objectives
To identify and map targeted proactive and reactive advocacy tactics or actions that are being or could be integrated into relevant activities under our 4 workplan objectives, in order to support their implementation.
Methods
Our workplan elaborates on activities we are undertaking or planning to meet our TG objectives: (1) increase the relevance, timeliness, and quality of evidence synthesis aligned with our scope; (2) ensure the sustainability of the group; (3) increase the impact and visibility of evidence synthesis aligned with our scope across all target audiences; and (4) ensure accountability of the group to the Cochrane Charity and between the partnering groups. For each relevant activity, applying Cochrane’s definition of advocacy, we specified the key advocacy stakeholders and then identified ongoing advocacy tactics and approaches and their intermediate or longer-term advocacy outcomes, as well as opportunities for enhancing advocacy.
Results
Preliminary findings show key advocacy stakeholders are practitioners, policymakers and health care managers, researchers and research funders, and guideline developers, as well as other like-minded evidence synthesis and guideline organizations, nationally, regionally, and globally. Prominent advocacy actions and outcomes embedded in current and planned activities include established and sustained networks and coalitions creating mutually beneficial relationships; communication strategies to increase knowledge and awareness; and capacity-building in evidence synthesis and guideline development, including methods development. Working more closely with consumers and the public is an area of opportunity to enhance advocacy.
Conclusion
By embedding advocacy into specified activities in its workplan, the TG is working with stakeholders to foster wider adoption of evidence in decision-making. The TG will enhance contributor involvement globally, across disciplines and organization types, and continue supporting an enabling environment for evidence use in nutrition and physical activity policy and practice.