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.

Highlights

  • One in three children in Canada are affected by childhood overweight or obesity [1], a complex, multidimensional problem that is linked to elevated risk of developing serious life-long conditions like type 2 diabetes and heart disease [2]

  • Sustainable Childhood Obesity Prevention through Community Engagement (SCOPE) partners with communities in the province of British Columbia (BC), Canada to engage a range of community stakeholders to share

  • Our study sought to evaluate the effect of a novel knowledge exchange (KE) model (RE-FRAME) in scaling up the implementation of a community-based participatory childhood obesity prevention initiative and to describe the mechanisms by which the KE model increased community capacity

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Summary

Introduction

One in three children in Canada are affected by childhood overweight or obesity [1], a complex, multidimensional problem that is linked to elevated risk of developing serious life-long conditions like type 2 diabetes and heart disease [2]. To address this complex problem, Sustainable Childhood. Obesity Prevention through Community Engagement (SCOPE) has developed a multi-sectoral, multi-component childhood obesity prevention initiative called Live 5-2-1-0 Through this initiative, SCOPE partners with communities in the province of British Columbia (BC), Canada to engage a range of community stakeholders (e.g., in local government, health, education, businesses, etc.) to share. Public Health 2019, 16, 736; doi:10.3390/ijerph16050736 www.mdpi.com/journal/ijerph

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