Tracking implementation within a community-led whole of system approach to address childhood overweight and obesity in south west Sydney, Australia.
Tracking implementation within a community-led whole of system approach to address childhood overweight and obesity in south west Sydney, Australia.
复制标题
在社区主导的整个系统方法中跟踪实施，以解决澳大利亚西南悉尼的童年超重和肥胖症。
DOI：
10.1186/s12889-021-11288-5
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发表时间：
2021-06-26
影响因子：
4.5
通讯作者：
Allender S
中科院分区：
文献类型：
--
作者：
Maitland N;Wardle K;Whelan J;Jalaludin B;Creighton D;Johnstone M;Hayward J;Allender S
肥胖是一种慢性疾病，可导致其他合并症，包括糖尿病、肾脏疾病和多种癌症。Change 4Campbelltown实施了一种“整体系统”的方法来解决儿童超重和肥胖问题。我们提出的方法来跟踪实施和利益相关者参与Change 4Campbelltown。Change 4Campbelltown的目标是在主要领导人和更广泛的社区中建立能力，以应用系统思维的技术来制定社区主导的解决儿童肥胖问题的行动。Change 4Campbelltown包括制定一个由利益相关者知情的因果循环图（CLD）和当地定制的行动计划，组建主要利益相关者和社区工作组，以优先考虑和实施行动，并持续监测干预行动。执行数据包括行动登记册、利益攸关方参与数据库和主要参与活动，由项目管理小组在两年的报告期内每季度收集。参与活动提高了主要领导人、学校部门和社区成员的社区参与程度。社区主导的行动随着参与的增加而增加，这一行动直接映射到对地方发展中心的主要影响点。随着社区发展中心采取的行动多样化，社区内的行动在地理上的分布也扩大了。本文提供了一个实用的例子，用于跟踪执行复杂的干预措施，解决儿童超重和肥胖的方法。在线版本包含补充材料，可通过10.1186/s12889-021-11288-5获得。
Obesity 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. Change4Campbelltown 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. Engagement 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. This paper provides a pragmatic example of the methods used to track implementation of complex interventions that are addressing childhood overweight and obesity. The online version contains supplementary material available at 10.1186/s12889-021-11288-5.
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影响因子：
4
作者：
Bunger AC;Powell BJ;Robertson HA;MacDowell H;Birken SA;Shea C
通讯作者：
Shea C
影响因子：
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Boyd, Meredith R.;Powell, Byron J.;Lewis, Cara C.
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Nichols, Melanie
影响因子：
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Allender, S.;Hayward, J.;Venkatesh, S.
通讯作者：
Venkatesh, S.
影响因子：
15.2
作者：
Hayward, Joshua;Morton, Saraya;Allender, Steven
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