Generating change through collective impact and systems science for childhood obesity prevention: The GenR8 Change case study.
Generating change through collective impact and systems science for childhood obesity prevention: The GenR8 Change case study.
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DOI：
10.1371/journal.pone.0266654
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发表时间：
2022
期刊：
影响因子：
3.7
通讯作者：
Allender, Steven
中科院分区：
文献类型：
--
作者：
Bolton, Kristy A.;Fraser, Penny;Lowe, Janette;Moodie, Marj;Bell, Colin;Strugnell, Claudia;Hayward, Josh;McGlashan, Jaimie;Millar, Lynne;Whelan, Jillian;Brown, Andrew;Allender, Steven
基于社区的干预措施在减少儿童超重和肥胖方面显示出希望。然而，他们一直批评使用线性逻辑模型。假定以社区为基础的渐进式系统方法是为了解决当地非线性关系的复杂性。社区成员有权了解和描述肥胖的原因，确定和优先考虑可能的解决方案。这种方法在儿童肥胖症中的应用尚处于起步阶段。描述在澳大利亚维多利亚的一个地方政府区域，一个参与性的全社区系统方法的前12个月，以创建集体行动来解决儿童肥胖问题，称为GenR 8 Change。三个小组模型建设（GMB）会议的重点是因果循环图（CLD）的发展，优先循证行动，并制定实施战略。集体影响框架是这一方法的基础，当地骨干团体支持社区成员实施优先行动。前两次GMB会议包括20个关键的社区领导人，其中CLD检查社区儿童肥胖症的因素进行了构建和完善（22个变量GMB 1，53个变量GMB 2）。在第三次会议上，来自更广泛社区的171名成员进一步完善了CLD，确定了儿童肥胖预防的优先事项（最终CLD中有72个变量）。113名个人在13个工作组中报名，计划和实施53项优先行动。商定的社区行动包括建立无糖区;制定健康政策;提高母乳喂养率;改善饮用水供应;增加体育活动选择。在GMB 3之后的12个月内，已经采取了115项行动。GenR 8 Change是最早将系统思维应用于儿童肥胖预防的社区之一。现在可以与其他社区分享关于如何集体确定解决儿童肥胖问题的相关杠杆点的知识。
Community-based interventions have shown promise in reducing childhood overweight and obesity. However, they have been critiqued for using linear logic models. Participatory community-based systems approaches are posited as addressing the complexity of non-linear relationships in a local context. Community members are empowered to understand and describe obesity causation, identify and prioritise possible solutions. The application of such approaches to childhood obesity is in its infancy. To describe the first 12 months of a participatory whole-of-community systems approach to creating collective action to tackle childhood obesity, called GenR8 Change, in a local government area of Victoria, Australia. Three group model building (GMB) sessions focused on the development of a causal loop diagram (CLD), prioritised evidence-informed actions, and developed implementation strategies. The collective impact framework underpinned the approach, with a local backbone group supporting community members to implement prioritised actions. The first two GMB sessions included 20 key community leaders where a CLD examining the factors contributing to childhood obesity in the community was constructed and refined (22 variables GMB1, 53 variables GMB2). In the third session, 171 members of the wider community further refined the CLD, identified priorities for childhood obesity prevention (72 variables in final CLD). One-hundred and thirteen individuals signed up across 13 working groups to plan and implement 53 prioritised actions. Agreed community actions included creating sugar free zones; developing healthy policies; increasing breastfeeding rates; improving drinking water access; and increasing physical activity options. Twelve months post-GMB3, 115 actions had been implemented. GenR8 Change is one of the first communities to apply systems thinking to childhood obesity prevention. Knowledge on how to collectively identify relevant leverage points to tackle childhood obesity can now be shared with other communities.
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