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Wayfinding the Live 5-2-1-0 Initiative—At the Intersection between Systems Thinking and Community-Based Childhood Obesity Prevention

Shazhan Amed, Stephanie Shea, Susan Pinkney, Joan Wharf Higgins and Patti-Jean Naylor
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Shazhan Amed: Department of Pediatrics, University of British Columbia, Vancouver, BC V6H 3V4, Canada
Stephanie Shea: Child & Family Research Institute, BC Children’s Hospital, Vancouver, BCV5Z 4H4, Canada
Susan Pinkney: Child & Family Research Institute, BC Children’s Hospital, Vancouver, BCV5Z 4H4, Canada
Joan Wharf Higgins: School of Exercise Science, Physical and Health Education, University of Victoria, Victoria, BC V8W 3P1, Canada
Patti-Jean Naylor: School of Exercise Science, Physical and Health Education, University of Victoria, Victoria, BC V8W 3P1, Canada

IJERPH, 2016, vol. 13, issue 6, 1-16

Abstract: Childhood obesity is complex and requires a ‘systems approach’ that collectively engages across multiple community settings. Sustainable Childhood Obesity Prevention through Community Engagement (SCOPE) has implemented Live 5-2-1-0—a multi-sector, multi-component childhood obesity prevention initiative informed by systems thinking and participatory research via an innovative knowledge translation (KT) model (RE-FRAME). This paper describes the protocol for implementing and evaluating RE-FRAME in two ‘existing’ (>2 years of implementation) and two ‘new’ Live 5-2-1-0 communities to understand how to facilitate and sustain systems/community-level change. In this mixed-methods study, RE-FRAME was implemented via online resources, webinars, a backbone organization (SCOPE) coordinating the initiative, and a linking system supporting KT. Qualitative and quantitative data were collected using surveys and stakeholder interviews, analyzed using thematic analysis and descriptive statistics, respectively. Existing communities described the consistency of Live 5-2-1-0 and extensive local partnerships/champions as catalysts for synergistic community-wide action; new communities felt that the simplicity of the message combined with the transfer of experiential learning would inform their own strategies and policies/programs to broadly disseminate Live 5-2-1-0. RE-FRAME effectively guided the refinement of the initiative and provided a framework upon which evaluation results described how to implement a community-based systems approach to childhood obesity prevention.

Keywords: childhood obesity; participatory research; health promotion; collective impact (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2016
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (2)

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