System approaches to childhood obesity prevention: ground up experience of adaptation and real-world context
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...
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Published in | Public health nutrition Vol. 26; no. 4; pp. 886 - 889 |
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Main Authors | , , , , , |
Format | Journal Article |
Language | English |
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Cambridge, UK
Cambridge University Press
01.04.2023
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Subjects | |
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Abstract | 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.
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.
Communities.
Practice-based researcher experience and perspectives.
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.
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. |
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AbstractList | Abstract 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. 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. 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. Communities. Practice-based researcher experience and perspectives. 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. 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. 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. 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.OBJECTIVEChildhood 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.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.DESIGNWe 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.Communities.SETTINGCommunities.Practice-based researcher experience and perspectives.PARTICIPANTSPractice-based researcher experience and perspectives.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.RESULTSPractice-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.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.CONCLUSIONSWe 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. |
Author | Whelan, Jillian M Bell, Colin Bolton, Kristy A Allender, Steven E Fraser, Penny Brown, Andrew D |
AuthorAffiliation | 2 Global Centre for Preventive Health and Nutrition (GLOBE), Institute for Health Transformation, School of Medicine, Deakin University , 1 Gheringhap St, Geelong , VIC , Australia 1 Global Centre for Preventive Health and Nutrition (GLOBE), Institute for Health Transformation, School of Health and Social Development, Deakin University , Geelong , VIC , Australia 3 Institute for Physical Activity and Nutrition, School of Exercise and Nutrition Sciences, Deakin University , Geelong , VIC , Australia |
AuthorAffiliation_xml | – name: 1 Global Centre for Preventive Health and Nutrition (GLOBE), Institute for Health Transformation, School of Health and Social Development, Deakin University , Geelong , VIC , Australia – name: 2 Global Centre for Preventive Health and Nutrition (GLOBE), Institute for Health Transformation, School of Medicine, Deakin University , 1 Gheringhap St, Geelong , VIC , Australia – name: 3 Institute for Physical Activity and Nutrition, School of Exercise and Nutrition Sciences, Deakin University , Geelong , VIC , Australia |
Author_xml | – sequence: 1 givenname: Penny orcidid: 0000-0001-7266-5034 surname: Fraser fullname: Fraser, Penny email: penny.fraser@deakin.edu.au organization: 1Global Centre for Preventive Health and Nutrition (GLOBE), Institute for Health Transformation, School of Health and Social Development, Deakin University, Geelong, VIC, Australia – sequence: 2 givenname: Jillian M orcidid: 0000-0001-9434-109X surname: Whelan fullname: Whelan, Jillian M organization: 2Global Centre for Preventive Health and Nutrition (GLOBE), Institute for Health Transformation, School of Medicine, Deakin University, 1 Gheringhap St, Geelong, VIC, Australia – sequence: 3 givenname: Andrew D surname: Brown fullname: Brown, Andrew D organization: 1Global Centre for Preventive Health and Nutrition (GLOBE), Institute for Health Transformation, School of Health and Social Development, Deakin University, Geelong, VIC, Australia – sequence: 4 givenname: Steven E surname: Allender fullname: Allender, Steven E organization: 1Global Centre for Preventive Health and Nutrition (GLOBE), Institute for Health Transformation, School of Health and Social Development, Deakin University, Geelong, VIC, Australia – sequence: 5 givenname: Colin orcidid: 0000-0003-2731-9858 surname: Bell fullname: Bell, Colin organization: 2Global Centre for Preventive Health and Nutrition (GLOBE), Institute for Health Transformation, School of Medicine, Deakin University, 1 Gheringhap St, Geelong, VIC, Australia – sequence: 6 givenname: Kristy A orcidid: 0000-0001-6721-4503 surname: Bolton fullname: Bolton, Kristy A organization: 1Global Centre for Preventive Health and Nutrition (GLOBE), Institute for Health Transformation, School of Health and Social Development, Deakin University, Geelong, VIC, Australia |
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Cites_doi | 10.1002/nur.20373 10.1016/j.ypmed.2013.02.020 10.1007/978-1-4614-8763-0 10.1136/bmj.328.7455.1561 10.1002/sres.2105 10.1177/0163278706287344 10.1002/oby.23130 10.3390/ijerph13111143 10.1016/S0140-6736(18)32822-8 10.1186/s12889-019-7644-x 10.1111/josh.12961 10.2105/AJPH.2010.300113 10.3390/ijerph17010091 |
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Copyright | The Author(s), 2022. Published by Cambridge University Press on behalf of The Nutrition Society The Author(s), 2022. Published by Cambridge University Press on behalf of The Nutrition Society. This work is licensed under the Creative Commons Attribution License This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited. (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. The Authors 2022 2022 The Authors |
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Snippet | Childhood obesity prevention is critical to reducing the health and economic burden currently experienced by the Australian economy. System science has emerged... Objective:Childhood obesity prevention is critical to reducing the health and economic burden currently experienced by the Australian economy. System science... Abstract Objective: Childhood obesity prevention is critical to reducing the health and economic burden currently experienced by the Australian economy. System... |
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SubjectTerms | Accuracy Adaptation Childhood obesity prevention Children Commentary Community Complexity Context Disease prevention Empowerment Evaluation Health care Intervention Interventions Lenses Obesity Power Prevention Process adaptation Quality of life Research design Research methodology Research methods Risk factors System dynamics System thinking Terminology Workshops |
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Title | System approaches to childhood obesity prevention: ground up experience of adaptation and real-world context |
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