Next Article in Journal
The Effects of Outgroup Threat and Opportunity to Derogate on Salivary Cortisol Levels
Previous Article in Journal
Children and Adolescents with Perinatal HIV-1 Infection: Factors Associated with Adherence to Treatment in the Brazilian Context
Previous Article in Special Issue
Weight Gain Prevention among Midlife Women: A Randomized Controlled Trial to Address Needs Related to the Physical and Social Environment
Article Menu

Export Article

Open AccessArticle
Int. J. Environ. Res. Public Health 2016, 13(6), 614;

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

Department of Pediatrics, University of British Columbia, Vancouver, BC V6H 3V4, Canada
Child & Family Research Institute, BC Children’s Hospital, Vancouver, BCV5Z 4H4, Canada
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
Full-Text   |   PDF [1655 KB, uploaded 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

Figure 1

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).

Supplementary material


Share & Cite This Article

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.

Show more citation formats Show less citations formats

Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

Related Articles

Article Metrics

Article Access Statistics



[Return to top]
Int. J. Environ. Res. Public Health EISSN 1660-4601 Published by MDPI AG, Basel, Switzerland RSS E-Mail Table of Contents Alert
Back to Top