2024 Volume 32 Issue Special_issue Pages S75-S84
Objective: To present a logic model for increasing daily steps in the population and to categorize interventions using a ladder of interventions. Additionally, an example action plan is provided.
Methods: Relevant policies and studies were reviewed, and 23 experts were interviewed. The logic model, based on the SLOTH model (Sleep, Leisure, Occupation, Transportation, Household), categorized daily life domains and considered steps during work, transportation, and at home & in the community as intermediate outcomes. Individual interventions were categorized using a ladder of interventions. An example action plan introduced multi-strategic community-wide interventions with evidence of success in promoting physical activity at the community level.
Results: The logic model outlined individual interventions categorized by implementing entities (government, workplaces, health insurance associations, schools, related organizations). By envisioning domains of walking, specific measures emerged to increase step counts. The proposed individual interventions included not only information provision and health education but also interventions corresponding to levels 1-6 of the ladder of interventions. Multi-strategic community-wide intervention is an intervention that works on multiple levels of factors from individual to environment in a multifaceted manner, indicating the need for collaboration with various organizations and residents on a long-term basis from the perspective of the target population.
Conclusion: Efforts should be directed not only within the health and welfare sector but also across various sectors such as education, sports, urban planning, and urban transportation. Strategies tailored to specific domains of daily life and from the perspective of residents should be considered, and a long-term, systematic approach is needed.
