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Table 1 Needs of change agents regarding NRPP implementation structured according to environments and levels

From: How to disseminate national recommendations for physical activity: a qualitative analysis of critical change agents in Germany

Political environment

Infrastructure environment

Healthcare environment

Education environment

Workplace environment

Sports and recreation environment

Information environment

Policy level

 Political will and responsibility at national level / Agenda-setting PA promotion

Establishment of a federal institution responsible for PA promotion

Improvement of cooperation between ministries and political institutions

Strengthening of political significance of PA and sport sciences

More public space for everyday-life PA and unorganized sport (ensure lighting and safety)

Anchoring PA promotion in planning specifications of urban planners

Political focus away from car traffic to more PA-friendly mobility concepts

Higher priority of PA promotion across spectrum of medical treatment

Financial incentives for physicians and health insurance companies regarding preventive measures

Integrating PA promotion in vocational training of educational staff (schools, kindergartens, social institutions)

Increasing tax allowance for companies investing in employee PA promotion

Financial support for sports clubs engaging in PA promotion programmes

Implementation of a quality seal for PA programmes

Change in society’s awareness of importance of PA and strengthening of society’s health literacy through nationwide media campaigns

Publicizing NRPP to target groups, general population, and change agents

Closer cooperation between science and practice

Behaviour setting level

 Empowerment of mayors and communities to implement the NRPP

Improvement of cooperation between decision-makers at the state and community level

Change in awareness among urban planners regarding PA promotion

More attractive reward systems and financial resources for individuals engaging in PA

Strengthening responsibility of physicians regarding PA promotion

More personnel resources and time capacities

Change in awareness among educational staff regarding PA promotion

High-quality and multifaceted physical education / Imparting of health competences

Anchoring PA promotion in everyday school life

Cooperation with parents regarding PA and active mobility

More personnel and financial resources as well as time and spatial capacities

Socialization of children towards PA

Change in organizational culture towards importance of PA (especially managers)

Workplace PA programmes, PA-promoting infrastructure, flexible working hours

More financial resources and time capacities

Establishment of new sports clubs focusing on PA promotion

Offering PA programmes attractive to all age groups

More public programmes within communities as well as digital PA programmes

Health checkups to provide structured guidance

Practical information and working aids on how to implement the NRPP in specific settings

More compact, up-to-date, and comprehensible (online) presentation of the NRPP