Objectives: To reflect on whole-community intervention approaches to promoting physical activity, using experiences from the 10,000 Steps Rockhampton project.
Design: Many studies are quasi-experimental with single site intervention and comparison communities.
Setting and Participants: Whole communities.
Invervention: Coordinated multiple strategies designed to address individual, inter-personal and environmental determinants of physical activity.
Main Outcome Measure: Physical activity.
Results: There are many challenges to conducting whole-community interventions. Developing community partnerships and coalitions, reaching socially disadvantaged groups, and developing effective evaluation methods are identified as specific concerns.
Conclusions: Despite the challenges, the whole-community approach still offers tremendous potential for developing the social and cultural change which will be required for sustained improvements in population physical activity.