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Int. J. Environ. Res. Public Health 2016, 13(6), 614; doi:10.3390/ijerph13060614

Wayfinding the Live 5-2-1-0 Initiative—At the Intersection between Systems Thinking and Community-Based Childhood Obesity Prevention

1
Department of Pediatrics, University of British Columbia, Vancouver, BC V6H 3V4, Canada
2
Child & Family Research Institute, BC Children’s Hospital, Vancouver, BCV5Z 4H4, Canada
3
School of Exercise Science, Physical and Health Education, University of Victoria, Victoria, BC V8W 3P1, Canada
*
Author to whom correspondence should be addressed.
Academic Editor: Jessie-Lee Mclsaac
Received: 5 April 2016 / Revised: 7 June 2016 / Accepted: 9 June 2016 / Published: 21 June 2016
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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. View Full-Text
Keywords: childhood obesity; participatory research; health promotion; collective impact childhood obesity; participatory research; health promotion; collective impact
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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MDPI and ACS Style

Amed, S.; Shea, S.; Pinkney, S.; Wharf Higgins, J.; Naylor, P.-J. Wayfinding the Live 5-2-1-0 Initiative—At the Intersection between Systems Thinking and Community-Based Childhood Obesity Prevention. Int. J. Environ. Res. Public Health 2016, 13, 614.

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