State practitioner insights into local public health challenges and opportunities in obesity prevention: a qualitative study.
State practitioner insights into local public health challenges and opportunities in obesity prevention: a qualitative study.
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DOI：
10.5888/pcd11.130260
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发表时间：
2014-03-13
影响因子：
5.5
通讯作者：
Lasee C
中科院分区：
文献类型：
--
作者：
Stamatakis KA;Lewis M;Khoong EC;Lasee C
The extent of obesity prevention activities conducted by local health departments (LHDs) varies widely. The purpose of this qualitative study was to characterize how state obesity prevention program directors perceived the role of LHDs in obesity prevention and factors that impact LHDs’ success in obesity prevention. From June 2011 through August 2011, we conducted 28 semistructured interviews with directors of federally funded obesity prevention programs at 22 state and regional health departments. Interviews were transcribed verbatim, coded, and analyzed to identify recurring themes and key quotations. Main themes focused on the roles of LHDs in local policy and environmental change and on the barriers and facilitators to LHD success. The role LHDs play in obesity prevention varied across states but generally reflected governance structure (decentralized vs centralized). Barriers to local prevention efforts included competing priorities, lack of local capacity, siloed public health structures, and a lack of local engagement in policy and environmental change. Structures and processes that facilitated prevention were having state support (eg, resources, technical assistance), dedicated staff, strong communication networks, and a robust community health assessment and planning process. These findings provide insight into successful strategies state and local practitioners are using to implement innovative (and evidence-informed) community-based interventions. The change in the nature of obesity prevention requires a rethinking of the state–local relationship, especially in centralized states.
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DOI：
10.1186/1748-5908-4-50
发表时间：
2009-08-07
期刊：
Implementation science : IS
影响因子：
--
作者：
Damschroder LJ;Aron DC;Keith RE;Kirsh SR;Alexander JA;Lowery JC
通讯作者：
Lowery JC
影响因子：
12.7
作者：
Brownson, Ross C.;Ballew, Paula;Kreuter, Matthew W.
通讯作者：
Kreuter, Matthew W.
DOI：
10.1097/phh.0b013e318221718c
发表时间：
2012-09-01
影响因子：
3.3
作者：
Stamatakis, Katherine A.;Leatherdale, Scott T.;Brownson, Ross C.
通讯作者：
Brownson, Ross C.
影响因子：
5.5
作者：
Slater, Sandy J.;Powell, Lisa M.;Chaloupka, Frank J.
通讯作者：
Chaloupka, Frank J.
影响因子：
5.5
作者：
Brownson, Ross C.;Allen, Peg;Duggan, Kathleen;Stamatakis, Katherine A.;Erwin, Paul C.
通讯作者：
Erwin, Paul C.