Alfred Rütten

Friedrich-Alexander Universität Erlangen-Nürnberg, Erlangen, Bavaria, Germany

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Publications (84)88.19 Total impact

  • A Rütten · A Wolff · A Streber
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    ABSTRACT: Objectives: This article discusses 2 current issues in the field of public health research: (i) transfer of scientific knowledge into practice and (ii) sustainable implementation of good practice projects. It also supports integration of scientific and practice-based evidence production. Furthermore, it supports utilisation of interactive models that transcend deductive approaches to the process of knowledge transfer. Methods: Existing theoretical approaches, pilot studies and thoughtful conceptual considerations are incorporated into a framework showing the interplay of science, politics and prevention practice, which fosters a more sustainable implementation of health promotion programmes. The framework depicts 4 key processes of interaction between science and prevention practice: interactive knowledge to action, capacity building, programme adaptation and adaptation of the implementation context. Results: Ensuring sustainability of health promotion programmes requires a concentrated process of integrating scientific and practice-based evidence production in the context of implementation. Central to the integration process is the approach of interactive knowledge to action, which especially benefits from capacity building processes that facilitate participation and systematic interaction between relevant stakeholders. Intense cooperation also induces a dynamic interaction between multiple actors and components such as health promotion programmes, target groups, relevant organisations and social, cultural and political contexts. The reciprocal adaptation of programmes and key components of the implementation context can foster effectiveness and sustainability of programmes. Conclusion: Sustainable implementation of evidence-based health promotion programmes requires alternatives to recent deductive models of knowledge transfer. Interactive approaches prove to be promising alternatives. Simultaneously, they change the responsibilities of science, policy and public health practice. Existing boundaries within disciplines and sectors are overcome by arranging transdisciplinary teams as well as by developing common agendas and procedures. Such approaches also require adaptations of the structure of research projects such as extending the length of funding. © Georg Thieme Verlag KG Stuttgart · New York.
    Das Gesundheitswesen 05/2015; DOI:10.1055/s-0035-1548883 · 0.62 Impact Factor
  • A Rütten · A Wolff · A Streber
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    ABSTRACT: Objectives: The present article outlines a pilot study to demonstrate the concept of the interactive knowledge to action approach in order to foster sustainable implementation of an evidence-based physical activity programme for dementia prevention into practice. The approach and procedures will be introduced, and initial results of the pilot study "GESTALT", with special regard to the interplay of science, politics and prevention practice, will be outlined. Methods: In the GESTALT project (2011-2014) the concept of interactive knowledge to action was realised through a cooperative planning approach that systematically engaged and involved stakeholders from science, politics and practice. Evaluation of the project's sustainability focused on 3 dimensions: target group, organisations and context. Target group analysis included assessment of changes in physical activity behaviour (n=75). Organisational and context evaluations included an analysis of relevant documentation of cooperative planning meetings, conduction of the programme, bilateral talks and further meetings. Results: In relation to the target group, the majority of participants (60%) were committed to an active lifestyle 6 months after completion of the GESTALT programme. Regarding organisations and context, 14 partner organisations maintained active engagement in cooperative planning processes. After adapting the GESTALT programme to the context and needs of the organisations and participants, 5 organisations were able to implement it. These same organisations also continued to provide exercise classes for ex-participants of the initial GESTALT programme. Through developing partnerships, increasing publicity and attracting policy makers, resources for the sustainable implementation of the GESTALT project were obtained. Conclusion: The pilot study GESTALT shows that the concept of interactive knowledge to action has substantially contributed to the sustainability of a physical activity programme in the field of dementia prevention. For this purpose changes in local structures, as well as adaptations of the GESTALT programme to the existing structures of prevention practice had to be made. The approach of cooperative planning proved to be appropriate for the generation of knowledge in terms of practice-based evidence, and it favoured the reciprocal adaptation of the GESTALT programme and implementation contexts. © Georg Thieme Verlag KG Stuttgart · New York.
    Das Gesundheitswesen 05/2015; DOI:10.1055/s-0035-1548882 · 0.62 Impact Factor
  • A Wolff · Z Majzik · A Frahsa · A Rütten
    Das Gesundheitswesen 09/2014; 76(08/09). DOI:10.1055/s-0034-1387069 · 0.62 Impact Factor
  • Annika Frahsa · Alfred Rütten
    Walkability: Das Handbuch zur Bewegungsförderung in der Kommune, Edited by Jens Buksch, Sven Schneider, 01/2014: pages 115-124; Huber., ISBN: 978-3-456-85351-2
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    ABSTRACT: Gesundheitswirksam wird körperlich-sportliche Aktivität insbesondere dann, wenn sie strukturiert und systematisch durchgeführt wird, was z. B. die Berücksichtigung von Belastungsparametern oder auch von psychosozialen Aspekten anbelangt. Welche Erkenntnisse können im Hinblick auf die Strukturiertheit körperlich-sportlicher Aktivität als gesichert gelten? Welche Gesundheitsziele sollten mit unterschiedlichen Formen sportlicher Aktivierung angesteuert werden und welche Zielgruppen können mit solchen Aktivierungen wirksam gefördert werden? Diese Fragen sollen vor dem Hintergrund des derzeitigen wissenschaftlichen Kenntnisstandes knapp beantwortet werden – um einerseits die Entwicklung gesundheitsförderlicher Sportangebote voranzubringen und um andererseits eine hierfür notwendige Kommunikationsbasis zu schaffen. Die an der Erstellung dieser Expertise beteiligten Wissenschaftler decken in ihrer Forschung eine große Breite des Themenfeldes ,,Sport und Gesundheit“ ab und sind alle sowohl in Sportverbände als auch in wissenschaftliche Organisationen eingebunden, wie etwa der Deutschen Gesellschaft für Sportmedizin und Prävention, der Kommission Gesundheit in der deutschen Vereinigung für Sportwissenschaft, dem Deutschen Verband für Gesundheitssport und Sporttherapie.
    Bundesgesundheitsblatt - Gesundheitsforschung - Gesundheitsschutz 10/2013; 56(10). DOI:10.1007/s00103-013-1798-y · 1.01 Impact Factor
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    ABSTRACT: Physical activities are particularly health effective when they are structured and systematically organized, for example, with respect to a dose-response relationship or to psychosocial aspects. Which insights can be gained from scientific knowledge on the structure of physical activities? Which health-related goals can be sought with different physical activities in the field of sport? Which target groups can be reached with these kinds of sport? These questions are addressed in this article on the basis of current scientific knowledge-to promote the development of health-enhancing physical activities especially in sport federations, but also to create a communication platform between the sport and the health sector. The work of researchers in this field is focused mainly on health-enhancing physical activity, but they are also engaged in health-related scientific organizations and in sport federations.
    Bundesgesundheitsblatt - Gesundheitsforschung - Gesundheitsschutz 08/2013; · 1.01 Impact Factor
  • Andrea Wolff · Alfred Rütten
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    ABSTRACT: Hintergrund Die Förderung körperlicher Aktivität ist zentrale Säule der Gesundheitsförderung. Der organisierte Sport gilt aufgrund seiner Expertise und Infrastrukturen in besonderem Maße als Akteur der Bewegungsförderung. Allerdings ist es für Sportvereine meist schwer, körperlich inaktive Menschen zu erreichen. Ziele und Methoden Im Modellprojekt „Bewegung als Investition in Gesundheit“ (BIG) der Präventionsforschung des Bundes wurde in Form kooperativer Planungsgruppen unter Einbeziehung von Frauen in schwierigen Lebenslagen, Vertretern aus Sportvereinen und -verbänden, lokalen Basisexperten und politischen Entscheidungsträgern auf lokaler Ebene eine intersektorale Kooperation zur Bewegungsförderung geschaffen und dabei verhaltens- und verhältnisorientierte Bewegungsaktivitäten geplant und implementiert. Im Anschluss an die Projektphase wurden über 4 Jahre hinweg die angestoßenen Veränderungsprozesse in Bezug auf das Setting Sportverein wissenschaftlich begleitet und ethnografisch rekonstruiert. Ergebnisse Der Prozess der partizipativen Gesundheitsforschung war in der Fallstudie BIG Auslöser für schrittweise Aushandlungsprozesse zwischen kommunalen Akteuren der Gesundheitsförderung und dem organisiertem Sport. Über das Thema „Qualifizierung der Frauen zu Übungsleiterinnen“ entstand eine komplexe Kooperation, durch die nachhaltig Frauen in schwierigen Lebenslagen als Multiplikatorinnen in Sportvereine integriert werden konnten.
    Prävention und Gesundheitsförderung 08/2013; 8(3). DOI:10.1007/s11553-013-0394-1
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    ABSTRACT: BACKGROUND: A multi-level theoretical framework of physical activity (PA) promotion that addresses supportive environments, PA behavior, community action and PA promoting policies is related to research and development in an international comparative study. METHODS: Most-different and most-similar case selection was applied to data from eight EU Member States. Data from semi-structured key informant qualitative interviews, focus group interviews with experts and policy-makers, as well as document analysis were linked to corresponding Eurobarometer data. RESULTS AND DISCUSSION: The framework on the interplay of environment, PA behavior, community action and policies appears to be working across most different countries. Comprehensive systems of PA infrastructures are interlinked with relatively high levels of PA prevalence. These countries implement comprehensive national policies on PA promotion and show a positive perception of related local governments' engagement. Less comprehensive systems of infrastructures interplay with lower levels of PA prevalence, less community action and fewer policies. Differences between similar cases are linked to country-specific contexts. CONCLUSIONS: Framework application and comparative analysis indicates how to relate theory to empirical research and complex data sets. In-depth analysis of country-specific contexts and longitudinal observation on changes within and between countries might advise on how to integrate the framework into intervention research.
    Journal of Physical Activity and Health 05/2013; 11(5). DOI:10.1123/jpah.2012-0225 · 1.95 Impact Factor
  • Anna Streber · Karim Abu-Omar · Andrea Wolff · Alfred Rütten
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    ABSTRACT: Hintergrund Demenzielle Erkrankungen stellen ein globales Gesundheitsproblem dar. Aktuelle Studien zeigen, dass körperliche Aktivität den kognitiven Abbau verlangsamen und das Auftreten von Demenz verzögern kann. Derzeit mangelt es in Deutschland an speziell zur Prävention von Demenz konzipierten evidenzbasierten Bewegungsprogrammen. Ziele Die Interventionsstudie GESTALT untersuchte, ob und inwiefern ein evidenzbasiertes Bewegungsprogramm zur Prävention demenzieller Erkrankungen in die Praxis von Präventionsanbietern implementiert werden kann. Der Schwerpunkt dieses Beitrags liegt auf dem Aspekt der Wirksamkeit des Programms bzgl. der kognitiven und physischen Leistungsfähigkeit der Teilnehmer (65–75 Jahre) sowie der Steigerung und Aufrechterhaltung der körperlichen Aktivität. Methode GESTALT beinhaltete ein 6-monatiges multimodales Bewegungsprogramm und eine begleitende telefonische Beratung. Ergebnisse GESTALT wurde von den Präventionsanbietern erfolgreich implementiert und sehr gut von den Teilnehmern angenommen. 60 % der Teilnehmer (n = 75) wurden durch die Intervention an zusätzliche Bewegung gebunden. Es zeigten sich Verbesserungen der kognitiven Leistungsfähigkeit bzgl. des Kurzzeit- und Arbeitsgedächtnisses. Zum Teil wurden Teilnehmer erreicht, die nur wenige Risikofaktoren für Demenz aufwiesen. Schlussfolgerung Die erfolgreiche Implementation und Wirksamkeit des Programms sprechen für eine Verstetigung und Disseminierung von GESTALT. Um verstärkt Personen zu gewinnen, die inaktiv sind oder eine höhere Anzahl an Risikofaktoren aufweisen, sind weitergehende Anstrengungen bzgl. der Rekrutierungsstrategien erforderlich.
    Prävention und Gesundheitsförderung 05/2013; 9(2):92-98. DOI:10.1007/s11553-013-0424-z
  • A Rütten · A Frahsa · N Rosenhäger · A Wolff
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    ABSTRACT: The BIG approach aims at promoting physical activity and health among socially disadvantaged women. BIG has been developed and sustainably implemented in Erlangen/Bavaria. Subsequently, it has been transferred to other communities and states in Germany. Crucial factors for sustainability and transfer in BIG are (1) lifestyle and policy analysis, (2) assets approach, (3) empowerment of target group, (4) enabling of policy-makers and professionals.
    Das Gesundheitswesen 04/2013; DOI:10.1055/s-0032-1331736 · 0.62 Impact Factor
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    Alfred Rütten · Karim Abu-Omar · Peter Gelius · Diana Schow
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    ABSTRACT: Despite the recent rapid development of policies to counteract physical inactivity (PI), only a small number of systematic analyses on the evolution of these policies exists. In this article we analyze how PI, as a public health issue, “translates” into a policy-making issue. First, we discuss why PI has become an increasingly important public health issue during the last two decades. We then follow Guy Peters and conceptualize PI as a “policy problem” that has the potential to be linked to policy instruments and policy impact. Analysis indicates that PI is a policy problem that i) is chronic in nature; ii) involves a high degree of political complexity; iii) can be disaggregated into smaller scales; iv) is addressed through interventions that can be difficult to “sell” to the public when their benefits are not highly divisible; v) cannot be solved by government spending alone; vi) must be addressed through a broad scope of activities; and vii) involves interdependencies among both multiple sectors and levels of government. We conclude that the new perspective on PI proposed in this article might be useful and important for i) describing and mapping policies to counteract PI in different contexts; ii) evaluating whether or not existing policy instruments are appropriate to the policy problem of PI, and iii) explaining the factors and processes that underlie policy development and implementation. More research is warranted in all these areas. In particular, we propose to focus on comparative analyses of how the problem of PI is defined and tackled in different contexts, and on the identification of truly effective policy instruments that are designed to “solve” the PI policy problem.
    Health Research Policy and Systems 03/2013; 11(1):9. DOI:10.1186/1478-4505-11-9 · 1.86 Impact Factor
  • Alfred Rütten · Peter Gelius
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    ABSTRACT: This article outlines a theoretical framework for an interactive, research-driven approach to building policy capacities in health promotion. First, it illustrates how two important issues in the recent public health debate, capacity building and linking scientific knowledge to policy action, are connected to each other theoretically. It then introduces an international study on an interactive approach to capacity building in health promotion policy. The approach combines the ADEPT model of policy capacities with a co-operative planning process to foster the exchange of knowledge between policy-makers and researchers, thus improving intra- and inter-organizational capacities. A regional-level physical activity promotion project involving governmental and public-law institutions, NGOs and university researchers serves as a case study to illustrate the potential of the approach for capacity building. Analysis and comparison with a similar local-level project indicate that the approach provides an effective means of linking scientific knowledge to policy action and to planning concrete measures for capacity building in health promotion, but that it requires sufficiently long timelines and adequate resources to achieve adequate implementation and sustainability.
    Health Promotion International 03/2013; 29(3). DOI:10.1093/heapro/dat006 · 1.94 Impact Factor
  • Alfred Rütten · Karim Abu-Omar · Annika Frahsa · Peter Gelius
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    ABSTRACT: The purpose of this chapter is to give an overview of evidence on existing physical activity promotion strategies, to contribute to the development of theories that expand our focus beyond the individual level, and to provide insights about such interactions based on actual research projects. In the first part of this chapter, we review some of the existing evidence relating to physical activity promotion intervention strategies. We argue that there is an urgent need to develop and utilize theories that go beyond dynamics that occur at the individual level. The second section presents such a theoretical built on Giddens’ theory of structuration and on Sewell’s additions to incorporate structural change. The model also integrates Ostrom’s distinction between the operational level (where physical activity practice occurs) and the collective choice level (where physical activity-related policy-making takes place). In the third part of this chapter, we present two case studies for purposes of illustrating the cross-level interplay between structure and agency in health promotion. We conclude that future research should pay special attention to the specific processes at the collective choice level and to the fact that “what works” in public health might be different from “what works” in policy-making. In addition, from a global perspective, selecting appropriate interventions and policies and adapting existing ones to new contexts are questions of central importance. This will require closer investigation of national policy processes and context variables.
    Global Handbook on Non-Communicable Diseases and Health Promotion, Edited by David McQueen, 01/2013: pages 137-159; Springer Science+Business Media LLC.
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    ABSTRACT: Enabling is a concept central to health promotion. It is perceived as a mechanism that can help people gain control over determinants of health. Little is known, however, about enabling among policy-makers and professionals. This case study investigates enabling among policy-makers and professionals who engaged in a specific participatory approach, cooperative planning. We define 'enabling' as creating action situations that allow policy-makers and professionals to (i) build individual capacities for health promotion and to (ii) apply these capacities to concrete organizational and political action at the institutional level. This case study followed policy-makers and professionals as they participated in a local physical activity promotion action research project in Germany. We conducted a secondary analysis of qualitative data gathered in that project (2005-2011). Methods included participant observation, document analysis, focus groups and qualitative interviews. All data were revisited for the case study and analyzed using qualitative content analysis. Findings include examples of enabling among policy-makers and professionals related to the cooperative planning process. Individual capacities were developed in perceived project roles, interactions with target groups and decision-making procedures. Findings also demonstrated municipal policy changes. Access to physical activity infrastructures improved, and an intersectoral job position was funded to support physical activity promotion among target group participants. Findings were analyzed using a model that links cooperative planning with a framework on policy change from a political science perspective. We conclude that cooperative planning might be a pathway to negotiated agreements that foster systematic enabling and health-promoting policy change.
    Health Promotion International 09/2012; DOI:10.1093/heapro/das050 · 1.94 Impact Factor
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    ABSTRACT: Purpose of the study was to test a theoretical model to assess and develop policies for the promotion of physical activity among older people as part of an international intervention study. 248 semi-standardized interviews with policy-makers were conducted in 15 European nations. The questionnaire assessed policy-makers' perceptions of organizational goals, resources, obligations, as well as organizational, political and public opportunities in the area of physical activity promotion among older people. In order to develop policies, workshops with policy-makers were conducted. Workshop outputs and outcomes were assessed for four nations nine months after the workshops. Policy assessment: Results of the policy assessment were diverse across nations and policy sectors. For example, organizational goals regarding actions for physical activity promotion were perceived as being most favorably by the sports sector. Organizational obligations for the development of such policies were perceived as being most favorably by the health sector. Policy development: The workshops resulted in different outputs: a national intersectoral action plan (United Kingdom), a national alliance (Sweden), an integrated policy (the Netherlands), and a continuing dialogue (Germany). Theory-driven policy assessment and policy-maker workshops might be an important means of scientific engagement in policy development for health promotion.
    Health Research Policy and Systems 04/2012; 10:14. DOI:10.1186/1478-4505-10-14 · 1.86 Impact Factor
  • A Rütten · P Gelius
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    ABSTRACT: This article proposes to shift the focus of our view on evidence-based policy towards a comprehensive "policy orientation". While previous contributions on policy making in public health have already recognised that the evidence-based medicine paradigm is inappropriate for the specificities of the policy context, they still have primarily dealt with evidence of the policy content, i. e. with research to inform policy makers about "what works" in public health (e. g. evidence-based interventions on health determinants). However, they have widely neglected issues pertaining to the policy process, i. e. knowledge concerning "what works" in policy making (e. g. key determinants of policy development and policy implementation in order to build policy capacities and to improve policy outcomes). A broader perspective including the policy process will allow us to contextualise theory and research in a way more appropriate to the process of policy making and will help improve approaches of applied science and knowledge translation in public health. We will illustrate the differences be-tween a content orientation and a policy process orientation in public health by reviewing previous discourses on 3 closely related topics: (1) the production of evidence for policy making, (2) the conditions for the utilisation of evidence in policy making, and (3) the translation of evidence into policy making. We conclude that future public health theory and research, while continuing to broaden the evidence base on health determinants and health interventions, should increasingly focus on research concerning processes of public health policy development and implementation, building frameworks, developing methodologies, and conducting the necessary empirical research.
    Das Gesundheitswesen 04/2012; 74(4):224-8. DOI:10.1055/s-0032-1308978 · 0.62 Impact Factor
  • A. Rütten · A. Frahsa
    B&amp G Bewegungstherapie und Gesundheitssport 02/2012; 28(01):6-10. DOI:10.1055/s-0031-1283890
  • K Abu-Omar · A Rütten
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    ABSTRACT: The article describes existing recommendations and prevalences of physical activity. In addition, different intervention strategies for the promotion of physical activity on the population level and evidence for their effectiveness are discussed. Intervention strategies are categorized in individually adapted approaches, community-based approaches, mass media campaigns, approaches as part of health service delivery, and policy and environmental approaches. Reviews indicate evidence for the effectiveness of individually adapted approaches for physical activity promotion. However, these approaches might not be well suited to reach certain subgroups of populations. For community-based approaches and for mass media campaigns, at this point, conflicting evidence exists. Interventions as part of health service delivery seem to mostly result in short-term effects regarding physical activity. For policy and environmental approaches, reviews indicate effectiveness.
    Bundesgesundheitsblatt - Gesundheitsforschung - Gesundheitsschutz 01/2012; 55(1):66-72. · 1.01 Impact Factor
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    ABSTRACT: Many questionnaires for measuring physical activity (PA) exist. This complicates the comparison of outcomes. In 8 European countries, PA was measured in random samples of 600 persons, using the IPAQ as a 'bridge' to historical sets of country-specific questions. We assume that a unidimensional scale of PA ability exists on which items and respondents can be placed, irrespective of country, culture, background factors, or measurement instrument. Response Conversion (RC) based on Item Response Theory (IRT) was used to estimate such a common PA scale, to compare PA levels between countries, and to create a conversion key. Comparisons were made with Eurobarometer (IPAQ) data. Appropriateness of IRT was supported by the existence of a strong first dimension established by principal component analysis. The IRT analysis resulted in 1 common PA scale with a reasonable fit and face validity. However, evidence for cultural bias (Differential Item Functioning, DIF) was found in all IPAQ items. This result made actual comparison between countries difficult. Response Conversion can improve comparability in the field of PA. RC needs common items that are culturally unbiased. Wide-scale use of RC awaits measures that are more culturally invariant (such as international accelerometer data).
    Journal of Physical Activity and Health 01/2012; 9(1):29-38. · 1.95 Impact Factor
  • Alfred Rütten
    International Journal of Public Health 12/2011; 57(3):455-7. DOI:10.1007/s00038-011-0321-1 · 2.70 Impact Factor

Publication Stats

1k Citations
88.19 Total Impact Points

Institutions

  • 2003–2015
    • Friedrich-Alexander Universität Erlangen-Nürnberg
      Erlangen, Bavaria, Germany
  • 2009–2013
    • Universitätsklinikum Erlangen
      Erlangen, Bavaria, Germany
  • 2005
    • Humboldt-Universität zu Berlin
      Berlín, Berlin, Germany
  • 1997–2001
    • Technische Universität Chemnitz
      Karl-Marx-Stadt, Saxony, Germany
  • 1996
    • University of Alabama at Birmingham
      • Department of Sociology
      Birmingham, AL, United States