Abstract
Childhood obesity is complex and requires a ‘systems approach’ that collectively engages across multiple community settings. Sustainable Childhood Obesity Prevention through Community Engagement (SCOPE) has implemented Live 5-2-1-0—a multi-sector, multi-component childhood obesity prevention initiative informed by systems thinking and participatory research via an innovative knowledge translation (KT) model (RE-FRAME). This paper describes the protocol for implementing and evaluating RE-FRAME in two ‘existing’ (>2 years of implementation) and two ‘new’ Live 5-2-1-0 communities to understand how to facilitate and sustain systems/community-level change. In this mixed-methods study, RE-FRAME was implemented via online resources, webinars, a backbone organization (SCOPE) coordinating the initiative, and a linking system supporting KT. Qualitative and quantitative data were collected using surveys and stakeholder interviews, analyzed using thematic analysis and descriptive statistics, respectively. Existing communities described the consistency of Live 5-2-1-0 and extensive local partnerships/champions as catalysts for synergistic community-wide action; new communities felt that the simplicity of the message combined with the transfer of experiential learning would inform their own strategies and policies/programs to broadly disseminate Live 5-2-1-0. RE-FRAME effectively guided the refinement of the initiative and provided a framework upon which evaluation results described how to implement a community-based systems approach to childhood obesity prevention.
Highlights
Childhood obesity is a complex, far reaching problem that promises increasing rates of serious chronic disease like type 2 diabetes, heart disease, and even cancer
Through the application of the knowledge to action (KTA) cycle (Figure 2) and using the RE-AIM framework [11], we developed a mixed-methods protocol to evaluate our knowledge exchange (KE) model’s effectiveness in supporting the development and maintenance of multi-sectoral partnerships as well as the transfer and exchange of knowledge leading to community-wide action that shares and supports Live 5-2-1-0
5-2-1-0 Resource Map were contacted by email and asked how they used the resources and what was happening in their broader community related to Live 5-2-1-0
Summary
Childhood obesity is a complex, far reaching problem that promises increasing rates of serious chronic disease like type 2 diabetes, heart disease, and even cancer. Complex social problems require ‘systems approaches’; multi-component, multi-setting adaptive solutions that are implemented in real-world settings [1,2]. Sustainable Childhood Obesity Prevention through Community Engagement (SCOPE) has developed and implemented the Live 5-2-1-0 initiative in partnership with British. Columbian communities that are motivated to take community-wide action to promote and support healthy behaviours among children and their families. Live 5-2-1-0 is a multi-sector initiative that works with a wide range of community stakeholders to share (through social marketing) and support (through systems level change; programmatic, environmental, and policy level) the evidence based. Live 5-2-1-0 message—at least five vegetables and fruits,
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