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Int. J. Environ. Res. Public Health 2019, 16(5), 736; https://doi.org/10.3390/ijerph16050736

Propagating Change: Using RE-FRAME to Scale and Sustain A Community-Based Childhood Obesity Prevention Initiative

1
British Columbia Children’s Hospital Research Institute, F503, 4480 Oak Street, Vancouver, BC V6H 3V4, Canada
2
School of Population and Public Health, University of British Columbia, Vancouver, BC V6T 1Z3, Canada
3
School of Exercise Science, Physical and Health Education, University of Victoria, Victoria, BC V8W 3P1, Canada
4
Department of Pediatrics, University of British Columbia, Vancouver, BC V6H 3V4, Canada
*
Author to whom correspondence should be addressed.
Received: 8 January 2019 / Revised: 13 February 2019 / Accepted: 21 February 2019 / Published: 1 March 2019
(This article belongs to the Special Issue Community Health Intervention to Reduce Chronic Disease)
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Abstract

Sustainable Childhood Obesity Prevention through Community Engagement (SCOPE) has developed Live 5-2-1-0, a multi-sectoral, multi-component community-based childhood obesity prevention initiative grounded in systems thinking and participatory research principles. Building on previous work, this study continued implementation of an innovative knowledge exchange model, RE-FRAME, in two ‘new’ and two ‘existing’ Live 5-2-1-0 communities. This mixed-methods study examined follow-up data to determine the nature and extent of the model’s ability to build and sustain community capacity and facilitate the scale-up and sustainability of systems- and community-level change. Qualitative and quantitative data were collected using stakeholder interviews, and quantitative process tracking (PTT) and capacity building tools (CCBT), and were analyzed using thematic analysis and descriptive statistics, respectively. Results from three communities with baseline and follow-up CCBT data showed capacity domain scores increased (15/27; 56%) or remained constant (10/27; 37%) over the study period. PTT data showed over 50 multi-sectoral community partnerships formed in Community D (new) and 108 actions implemented. Stakeholder interviews identified having a common cause, co-ownership, champion networks and consistency of the Live 5-2-1-0 message as essential to sustainability of the initiative. RE-FRAME supports knowledge exchange and community capacity-building that is integral to initiating and sustaining a community-based childhood obesity prevention initiative. View Full-Text
Keywords: childhood obesity; health promotion; community-based participatory research; systems thinking; collective impact; knowledge exchange; capacity building; sustainability; scalability childhood obesity; health promotion; community-based participatory research; systems thinking; collective impact; knowledge exchange; capacity building; sustainability; scalability
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Kennedy, L.; Pinkney, S.; Suleman, S.; Mâsse, L.C.; Naylor, P.-J.; Amed, S. Propagating Change: Using RE-FRAME to Scale and Sustain A Community-Based Childhood Obesity Prevention Initiative. Int. J. Environ. Res. Public Health 2019, 16, 736.

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