Tracking implementation within a community-led whole of system approach to address childhood overweight and obesity in south west Sydney, Australia
Abstract Background Obesity is a chronic disease that contributes to additional comorbidities including diabetes, kidney disease and several cancers. Change4Campbelltown implemented a ‘whole of system’ approach to address childhood overweight and obesity. We present methods to track implementation a...
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| Format: | Article |
| Language: | English |
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BMC
2021-06-01
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| Series: | BMC Public Health |
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| Online Access: | https://doi.org/10.1186/s12889-021-11288-5 |
| _version_ | 1818639908176134144 |
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| author | Nicola Maitland Karen Wardle Jill Whelan Bin Jalaludin Doug Creighton Michael Johnstone Josh Hayward Steven Allender |
| author_facet | Nicola Maitland Karen Wardle Jill Whelan Bin Jalaludin Doug Creighton Michael Johnstone Josh Hayward Steven Allender |
| author_sort | Nicola Maitland |
| collection | DOAJ |
| description | Abstract Background Obesity is a chronic disease that contributes to additional comorbidities including diabetes, kidney disease and several cancers. Change4Campbelltown implemented a ‘whole of system’ approach to address childhood overweight and obesity. We present methods to track implementation and stakeholder engagement in Change4Campbelltown. Methods Change4Campbelltown aimed to build capacity among key leaders and the broader community to apply techniques from systems thinking to develop community-led actions that address childhood obesity. Change4Campbelltown comprised development of a stakeholder-informed Causal Loop Diagram (CLD) and locally-tailored action plan, formation of key stakeholder and community working groups to prioritise and implement actions, and continuous monitoring of intervention actions. Implementation data included an action register, stakeholder engagement database and key engagement activities and were collected quarterly by the project management team over 2 years of reporting. Results Engagement activities increased level of community engagement amongst key leaders, the school-sector and community members. Community-led action increased as engagement increased and this action is mapped directly to the primary point of influence on the CLD. As action spread diversified across the CLD, the geographical spread of action within the community increased. Conclusions This paper provides a pragmatic example of the methods used to track implementation of complex interventions that are addressing childhood overweight and obesity. |
| first_indexed | 2024-12-16T23:02:51Z |
| format | Article |
| id | doaj.art-2daa583f3836447e9921929699f737b3 |
| institution | Directory Open Access Journal |
| issn | 1471-2458 |
| language | English |
| last_indexed | 2024-12-16T23:02:51Z |
| publishDate | 2021-06-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Public Health |
| spelling | doaj.art-2daa583f3836447e9921929699f737b32022-12-21T22:12:40ZengBMCBMC Public Health1471-24582021-06-0121111110.1186/s12889-021-11288-5Tracking implementation within a community-led whole of system approach to address childhood overweight and obesity in south west Sydney, AustraliaNicola Maitland0Karen Wardle1Jill Whelan2Bin Jalaludin3Doug Creighton4Michael Johnstone5Josh Hayward6Steven Allender7Health Promotion Service, Population Health, South Western Sydney Local Health DistrictHealth Promotion Service, Population Health, South Western Sydney Local Health DistrictGlobal Obesity Centre, Institute for Health Transformation, Deakin UniversityPopulation Health Intelligence, South Western Sydney Local Health DistrictInstitute for Intelligent Systems Research and Innovation, Deakin UniversityInstitute for Intelligent Systems Research and Innovation, Deakin UniversityGlobal Obesity Centre, Institute for Health Transformation, Deakin UniversityGlobal Obesity Centre, Institute for Health Transformation, Deakin UniversityAbstract Background Obesity is a chronic disease that contributes to additional comorbidities including diabetes, kidney disease and several cancers. Change4Campbelltown implemented a ‘whole of system’ approach to address childhood overweight and obesity. We present methods to track implementation and stakeholder engagement in Change4Campbelltown. Methods Change4Campbelltown aimed to build capacity among key leaders and the broader community to apply techniques from systems thinking to develop community-led actions that address childhood obesity. Change4Campbelltown comprised development of a stakeholder-informed Causal Loop Diagram (CLD) and locally-tailored action plan, formation of key stakeholder and community working groups to prioritise and implement actions, and continuous monitoring of intervention actions. Implementation data included an action register, stakeholder engagement database and key engagement activities and were collected quarterly by the project management team over 2 years of reporting. Results Engagement activities increased level of community engagement amongst key leaders, the school-sector and community members. Community-led action increased as engagement increased and this action is mapped directly to the primary point of influence on the CLD. As action spread diversified across the CLD, the geographical spread of action within the community increased. Conclusions This paper provides a pragmatic example of the methods used to track implementation of complex interventions that are addressing childhood overweight and obesity.https://doi.org/10.1186/s12889-021-11288-5Whole of system approachImplementation scienceChildhood obesityTracking implementationCommunity-based interventions |
| spellingShingle | Nicola Maitland Karen Wardle Jill Whelan Bin Jalaludin Doug Creighton Michael Johnstone Josh Hayward Steven Allender Tracking implementation within a community-led whole of system approach to address childhood overweight and obesity in south west Sydney, Australia BMC Public Health Whole of system approach Implementation science Childhood obesity Tracking implementation Community-based interventions |
| title | Tracking implementation within a community-led whole of system approach to address childhood overweight and obesity in south west Sydney, Australia |
| title_full | Tracking implementation within a community-led whole of system approach to address childhood overweight and obesity in south west Sydney, Australia |
| title_fullStr | Tracking implementation within a community-led whole of system approach to address childhood overweight and obesity in south west Sydney, Australia |
| title_full_unstemmed | Tracking implementation within a community-led whole of system approach to address childhood overweight and obesity in south west Sydney, Australia |
| title_short | Tracking implementation within a community-led whole of system approach to address childhood overweight and obesity in south west Sydney, Australia |
| title_sort | tracking implementation within a community led whole of system approach to address childhood overweight and obesity in south west sydney australia |
| topic | Whole of system approach Implementation science Childhood obesity Tracking implementation Community-based interventions |
| url | https://doi.org/10.1186/s12889-021-11288-5 |
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