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11241
Uche, Uloma Igara; Stearns, Jodie; Lee, Karen
2024
Capabilities, opportunities, motivations, and practices of different sector professionals working on community environments to improve health.
Objective: With rising healthcare costs in Canada from chronic conditions, individual behaviour change interventions in the clinical settings need to be complemented by a determinants of health approach, where multi-sector professionals assist in the creation of healthier community environments. This study sought to gain insights into capabilities, opportunities, motivations, and behaviours (COM-B) of Canadian multi-sector professionals for working together to improve built environments (BE) for health.

Methods: A cross-sectional study was conducted with 61 multi-sector professionals. A 49-item questionnaire measuring constructs of COM-B for healthy BE practices was administered.

Results: Public health (PH) professionals were more motivated by personal interest/values in healthy BE and the presence of scientific evidence on BE design health impacts as compared with planning and policy/program development (PPD) professionals. Planning professionals were more likely to be motivated by healthy BE legislation/regulations/codes than PPD professionals. The practice of taking responsibility for the inclusion of healthy features into BE designs was reported more often by planning and other professionals compared to PH professionals. Results trended towards significance for opportunities as a predictor of healthy BE practices among all professionals.

Conclusion: Though motivators vary among different sector professionals, opportunities may be the most important driver of healthy BE practices and potentially a target to improve multi-sector professional practices in Canada. Future research should confirm findings of this first study of professional practice drivers guided by a theoretical behaviour change framework.

Keywords: Built environment; COM-B; Multi-sector professionals; Public health
Canadian journal of public health = Revue canadienne de sante publique
115
132-142
10.17269/s41997-023-00824-y
Interprofessional Collaboration, Planning-Workforce Assessment
Interdisciplinary Teams
Public Health
Survey/Questionnaire
Canada
Journal Article
Published Literature
English
Health Workforce Planning, Integrated Care Models Optimizing Scope