Abstract
BackgroundObesity 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.MethodsChange4Campbelltown 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.ResultsEngagement 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.ConclusionsThis paper provides a pragmatic example of the methods used to track implementation of complex interventions that are addressing childhood overweight and obesity.
Highlights
Introduction and backgroundObesity is a chronic disease that is an international health priority [1] and contributes to a range of comorbidities including diabetes, kidney disease and several cancers [2]
In this paper we present a case study for emerging methods to track implementation of actions, and the strength of stakeholder engagement throughout a whole of system approach to address childhood overweight and obesity
This paper reports on the following research questions: 1. How can the implementation of community-based interventions be tracked over time?
Summary
Obesity is a chronic disease that is an international health priority [1] and contributes to a range of comorbidities including diabetes, kidney disease and several cancers [2]. The 2019 Lancet Commission on Obesity pointed to whole of community approaches supported by techniques from systems science as a holding promise to meet this challenge [6, 7], and several current and recent trials of these methods have been undertaken [8]. Bagnall et al [9] reviewed 33 obesity prevention efforts using a whole of systems approach between 2005 and 2015, reporting instances of favourable behavioural and anthropometric outcomes. Obesity is a chronic disease that contributes to additional comorbidities including diabetes, kidney disease and several cancers. We present methods to track implementation and stakeholder engagement in Change4Campbelltown
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