Propagating Change: Using RE-FRAME to Scale and Sustain A Community-Based Childhood Obesity Prevention Initiative

Lynn Kennedy, Susan Pinkney, Selina Suleman, Louise C. Mâsse, Patti-Jean Naylor and Shazhan Amed
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Lynn Kennedy: British Columbia Children’s Hospital Research Institute, F503, 4480 Oak Street, Vancouver, BC V6H 3V4, Canada
Susan Pinkney: British Columbia Children’s Hospital Research Institute, F503, 4480 Oak Street, Vancouver, BC V6H 3V4, Canada
Selina Suleman: British Columbia Children’s Hospital Research Institute, F503, 4480 Oak Street, Vancouver, BC V6H 3V4, Canada
Louise C. Mâsse: British Columbia Children’s Hospital Research Institute, F503, 4480 Oak Street, Vancouver, BC V6H 3V4, Canada
Patti-Jean Naylor: School of Exercise Science, Physical and Health Education, University of Victoria, Victoria, BC V8W 3P1, Canada
Shazhan Amed: British Columbia Children’s Hospital Research Institute, F503, 4480 Oak Street, Vancouver, BC V6H 3V4, Canada

IJERPH, 2019, vol. 16, issue 5, 1-15

Abstract: Sustainable Childhood Obesity Prevention through Community Engagement (SCOPE) has developed Live 5-2-1-0, a multi-sectoral, multi-component community-based childhood obesity prevention initiative grounded in systems thinking and participatory research principles. Building on previous work, this study continued implementation of an innovative knowledge exchange model, RE-FRAME, in two ‘new’ and two ‘existing’ Live 5-2-1-0 communities. This mixed-methods study examined follow-up data to determine the nature and extent of the model’s ability to build and sustain community capacity and facilitate the scale-up and sustainability of systems- and community-level change. Qualitative and quantitative data were collected using stakeholder interviews, and quantitative process tracking (PTT) and capacity building tools (CCBT), and were analyzed using thematic analysis and descriptive statistics, respectively. Results from three communities with baseline and follow-up CCBT data showed capacity domain scores increased (15/27; 56%) or remained constant (10/27; 37%) over the study period. PTT data showed over 50 multi-sectoral community partnerships formed in Community D (new) and 108 actions implemented. Stakeholder interviews identified having a common cause, co-ownership, champion networks and consistency of the Live 5-2-1-0 message as essential to sustainability of the initiative. RE-FRAME supports knowledge exchange and community capacity-building that is integral to initiating and sustaining a community-based childhood obesity prevention initiative.

Keywords: childhood obesity; health promotion; community-based participatory research; systems thinking; collective impact; knowledge exchange; capacity building; sustainability; scalability (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2019
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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