System approaches to childhood obesity prevention

Ground up experience of adaptation and real-world context

Dados Bibliográficos

ID15091030
AutoresPenny Fraser (0000-0001-7266-5034, Deakin University, autor correspondente), Jillian M Whelan (0000-0001-9434-109X, Deakin University), Andrew Brown (0000-0003-0105-8522, Deakin University), Andrew D Brown (0000-0003-0838-2894), Steven Allender (0000-0002-4842-3294, Deakin University), Steven E Allender, Colin Bell (0000-0003-2731-9858, Deakin University), Kristy A Bolton (0000-0001-6721-4503, Deakin University)
Ano2023
Volume26
Fascículo4
Páginas886-889
Data de publicação2023-04-01
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoPublic Health Nutrition (JOURNAL)
Identificadores do periódicoISSN: 1368-9800 • E-ISSN: 1475-2727
EditoraCambridge University Press (CUP) (PUBLISHER)
DOI10.1017/s1368980022002531
PMID36468439
OpenAlexW4310702760
IdiomaEN
Citações recebidas1
Referências citadas13

Objective: Childhood obesity prevention is critical to reducing the health and economic burden currently experienced by the Australian economy. System science has emerged as an approach to manage the complexity of childhood obesity and the ever-changing risk factors, resources and priorities of government and funders. Anecdotally, our experience suggests that inflexibility of traditional research methods and dense academic terminology created issues with those working in prevention practice. Therefore, this paper provides a refined description of research-specific terminology of scale-up, fidelity, adaptation and context, drawing from community-based system dynamics and our experience in designing, implementing and evaluating non-linear, community-led system approaches to childhood obesity prevention. Design: We acknowledge the importance of using a practice lens, rather than purely a research design lens, and provide a narrative on our experience and perspectives on scale-up, fidelity, context and adaptation through a practice lens. Setting: Communities. Participants: Practice-based researcher experience and perspectives. Results: Practice-based researchers highlighted the key finding that community should be placed at the centre of the intervention logic. This allowed communities to self-organise with regard to stakeholder involvement, capacity, boundary identification, and co-creation of actions implemented to address childhood obesity will ensure scale-up, fidelity, context and adaptation are embedded. Conclusions: We need to measure beyond primary anthropometric outcomes and focus on evaluating more about implementation, process and sustainability. We need to learn more from practitioners on the ground and use an implementation science lens to further understand how actions work. This is where solutions to sustained childhood obesity prevention will be found

Adaptation (eye · Childhood obesity · Context (archaeology · Fidelity · Geography · Government (linguistics · Knowledge management · Obesity · Political science · Public relations · Scale (ratio · Stakeholder · Terminology · Community Health and Development · Computer Science · Health Policy Implementation Science · Medicine · Obesity, Physical Activity, Diet · Psychology