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A System Dynamics and Participatory Action Research Approach to Promote Healthy Living and a Healthy Weight among 10–14-Year-Old Adolescents in Amsterdam: The LIKE Programme

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Department of Public and Occupational Health, Amsterdam Public Health Research Institute, Amsterdam UMC, University of Amsterdam, Meibergdreef 9, 1105 AZ Amsterdam, The Netherlands
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Public Health Service Amsterdam, Sarphati Amsterdam, 1018 WT Amsterdam, The Netherlands
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Department of Sociology, University of Amsterdam, 1018 WV Amsterdam, The Netherlands
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Amsterdam Healthy Weight Programme, Public Health Service Amsterdam, 1018 WT Amsterdam, The Netherlands
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Department of Public and Occupational Health, Amsterdam Public Health Research Institute, Amsterdam UMC, Vrije Universiteit Amsterdam, Van der Boechorststraat 7, NL-1081 BT Amsterdam, The Netherlands
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Department of Health Sciences, Amsterdam Public Health Research Institute, Vrije Universiteit Amsterdam, 1081 HV Amsterdam, The Netherlands
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Department of Health Promotion, NUTRIM School of Nutrition and Translational Research in Metabolism, Maastricht University, 6229 ER Maastricht, The Netherlands
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Department of Pediatric Endocrinology, Erasmus MC, University Medical Center, 3025 GD Rotterdam, The Netherlands
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Department of Public Health, Erasmus MC, University Medical Center Rotterdam, 3015 CN Rotterdam, The Netherlands
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2020, 17(14), 4928; https://doi.org/10.3390/ijerph17144928
Received: 9 June 2020 / Revised: 2 July 2020 / Accepted: 4 July 2020 / Published: 8 July 2020
(This article belongs to the Section Health Behavior, Chronic Disease and Health Promotion)
This paper describes the design of the LIKE programme, which aims to tackle the complex problem of childhood overweight and obesity in 10–14-year-old adolescents using a systems dynamics and participatory approach. The LIKE programme focuses on the transition period from 10-years-old to teenager and was implemented in collaboration with the Amsterdam Healthy Weight Programme (AHWP) in Amsterdam-East, the Netherlands. The aim is to develop, implement and evaluate an integrated action programme at the levels of family, school, neighbourhood, health care and city. Following the principles of Participatory Action Research (PAR), we worked with our population and societal stakeholders as co-creators. Applying a system lens, we first obtained a dynamic picture of the pre-existing systems that shape adolescents’ behaviour relating to diet, physical activity, sleep and screen use. The subsequent action programme development was dynamic and adaptive, including quick actions focusing on system elements (quick evaluating, adapting and possibly catalysing further action) and more long-term actions focusing on system goals and/or paradigm change. The programme is supported by a developmental systems evaluation and the Intervention Level Framework, supplemented with routinely collected data on weight status and health behaviour change over a period of five years. In the coming years, we will report how this approach has worked to provide a robust understanding of the programme’s effectiveness within a complex dynamic system. In the meantime, we hope our study design serves as a source of inspiration for other public health intervention studies in complex systems. View Full-Text
Keywords: systems dynamics; participatory action research; Amsterdam Healthy Weight Programme; co-design; overweight and obesity; adolescents; complex systems systems dynamics; participatory action research; Amsterdam Healthy Weight Programme; co-design; overweight and obesity; adolescents; complex systems
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MDPI and ACS Style

Waterlander, W.E.; Luna Pinzon, A.; Verhoeff, A.; den Hertog, K.; Altenburg, T.; Dijkstra, C.; Halberstadt, J.; Hermans, R.; Renders, C.; Seidell, J.; Singh, A.; Anselma, M.; Busch, V.; Emke, H.; van den Eynde, E.; van Houtum, L.; Nusselder, W.J.; Overman, M.; van de Vlasakker, S.; Vrijkotte, T.; van den Akker, E.; Kremers, S.P.J.; Chinapaw, M.; Stronks, K. A System Dynamics and Participatory Action Research Approach to Promote Healthy Living and a Healthy Weight among 10–14-Year-Old Adolescents in Amsterdam: The LIKE Programme. Int. J. Environ. Res. Public Health 2020, 17, 4928.

AMA Style

Waterlander WE, Luna Pinzon A, Verhoeff A, den Hertog K, Altenburg T, Dijkstra C, Halberstadt J, Hermans R, Renders C, Seidell J, Singh A, Anselma M, Busch V, Emke H, van den Eynde E, van Houtum L, Nusselder WJ, Overman M, van de Vlasakker S, Vrijkotte T, van den Akker E, Kremers SPJ, Chinapaw M, Stronks K. A System Dynamics and Participatory Action Research Approach to Promote Healthy Living and a Healthy Weight among 10–14-Year-Old Adolescents in Amsterdam: The LIKE Programme. International Journal of Environmental Research and Public Health. 2020; 17(14):4928.

Chicago/Turabian Style

Waterlander, Wilma E.; Luna Pinzon, Angie; Verhoeff, Arnoud; den Hertog, Karen; Altenburg, Teatske; Dijkstra, Coosje; Halberstadt, Jutka; Hermans, Roel; Renders, Carry; Seidell, Jacob; Singh, Amika; Anselma, Manou; Busch, Vincent; Emke, Helga; van den Eynde, Emma; van Houtum, Lieke; Nusselder, Wilma J.; Overman, Meredith; van de Vlasakker, Susan; Vrijkotte, Tanja; van den Akker, Erica; Kremers, Stef P.J.; Chinapaw, Mai; Stronks, Karien. 2020. "A System Dynamics and Participatory Action Research Approach to Promote Healthy Living and a Healthy Weight among 10–14-Year-Old Adolescents in Amsterdam: The LIKE Programme" Int. J. Environ. Res. Public Health 17, no. 14: 4928.

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