Scaling-up auch in der Bewegungsförderung?

Zusammenfassung

Die flächendeckende Verbreitung erfolgreicher Interventionen der Gesundheitsförderung ist eine wichtige Voraussetzung, um messbare und nachhaltige Gesundheitswirkungen auf Bevölkerungsebene zu erzielen. Das Konzept des Scaling-Up bietet Ansätze, um Pilotinterventionen auf andere Standorte oder ganze Systeme zu übertragen und sie so einer Vielzahl von Menschen zugänglich zu machen. Dieser Beitrag möchte für den deutschsprachigen Raum auf Basis einer Literatur-Review einen ersten Überblick über einige theoretische Scaling-Up-Modelle sowie praktische Leitlinien für ein erfolgreiches Scaling-Up geben. Der Blick in die aktuelle Forschung liefert wichtige Erkenntnisse zur Definition von Scaling-Up und von damit verbundenen Konzepten, den verschiedenen Typen von Scaling-Up, zu zentralen Akteuren und ihren spezifischen Rollen, zum Ablauf von Scaling-Up-Prozessen sowie zu begünstigenden und hinderlichen Kontextfaktoren für erfolgreiches Scaling-Up. Damit kann dieser Artikel einerseits die Planung und praktische Umsetzung konkreter Scaling-Up-Vorhaben unterstützen und andererseits Anregungen für die weitere Forschung auf diesem Gebiet bieten.

Summary

Comprehensive dissemination of successful health promotion interventions is an important prerequisite for achieving measurable and sustainable health effects at the population level. The concept of scaling-up offers approaches to transfer pilot interventions to other locations or entire systems and thus make them accessible to a large number of people. On the basis of a literature review, this article gives a first overview of some theoretical scaling-up models as well as practical guidelines for a successful scaling-up. Current research provides important insights into the definition of scaling-up and related concepts, the different types of scaling-up, key players and their specific roles, the flow of scaling-up processes, and the favourable as well as obstructive contextual factors for successful scaling-up. This article thus contributes to the planning and practical implementation of concrete scaling-up projects on the one hand; and provides suggestions for further research on the other.

Stichworte

Gesundheitsförderung - Scaling-Up - Nachhaltigkeit - Implementierung - Literaturübersicht.

Key words

Health promotion - scaling-up - sustainability - implementation.

Publication History

Received: 21 October 2019

Accepted: 19 January 2020

Article published online:
12 June 2020

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