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Open AccessArticle

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
Int. J. Environ. Res. Public Health 2016, 13(6), 614; https://doi.org/10.3390/ijerph13060614
Received: 5 April 2016 / Revised: 7 June 2016 / Accepted: 9 June 2016 / Published: 21 June 2016
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
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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. https://doi.org/10.3390/ijerph13060614

AMA 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. International Journal of Environmental Research and Public Health. 2016; 13(6):614. https://doi.org/10.3390/ijerph13060614

Chicago/Turabian Style

Amed, Shazhan; Shea, Stephanie; Pinkney, Susan; Wharf Higgins, Joan; Naylor, Patti-Jean. 2016. "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 13, no. 6: 614. https://doi.org/10.3390/ijerph13060614

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