Thailand National Physical Activity Promotional and Action Plans for Children and Youth: Development and Implementation Challenges

Background: Physical activity (PA) levels among Thai children and youth (<24 years) are low. This study therefore investigated strategies and actions for inclusion in the national PA promotional and action plans to increase PA levels in this population. It also describes the evidence and processes used to develop these plans. Methods: A mixed-methods study design was employed to develop the plans. The qualitative approach included a document review, focus group discussions with 36 participants, and in-depth interviews with five informants. Quantitative data were collected through an online survey, gathering feedback on all proposed strategies from 140 respondents. The development process involved extensive stakeholder participation. Results: Six key themes emerged from the qualitative data, leading to the ‘EMPACT’ strategy. The six strategies are: promoting PA through educational settings (E), involving families (M), obtaining policy support (P), augmenting research capacity (A), fostering community support (C), and utilizing technology (T). Each strategy contains a set of actions. The online survey revealed that stakeholders strongly agreed with the proposed strategies (average scores >4.2 out of 5). Conclusions: Thailand national PA promotional and action plans for children and youth was specifically developed to address the low levels of PA among this population. Key challenges identified for successful implementation include fostering a positive mindset towards PA, establishing a national coordinating body, and integrating plans into the national system. Sharing the contents of these plans, their development processes, and implementation challenges with the international research community offers valuable insights and lessons learned for other countries seeking to advance the promotion of PA among children and youth worldwide.