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

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  • Shazhan Amed

    (Department of Pediatrics, University of British Columbia, Vancouver, BC V6H 3V4, Canada
    Child & Family Research Institute, BC Children’s Hospital, Vancouver, BCV5Z 4H4, Canada)

  • Stephanie Shea

    (Child & Family Research Institute, BC Children’s Hospital, Vancouver, BCV5Z 4H4, Canada)

  • Susan Pinkney

    (Child & Family Research Institute, BC Children’s Hospital, Vancouver, BCV5Z 4H4, Canada)

  • Joan Wharf Higgins

    (School of Exercise Science, Physical and Health Education, University of Victoria, Victoria, BC V8W 3P1, Canada)

  • Patti-Jean Naylor

    (School of Exercise Science, Physical and Health Education, University of Victoria, Victoria, BC V8W 3P1, Canada)

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.

Suggested Citation

  • Shazhan Amed & Stephanie Shea & Susan Pinkney & Joan Wharf Higgins & Patti-Jean Naylor, 2016. "Wayfinding the Live 5-2-1-0 Initiative—At the Intersection between Systems Thinking and Community-Based Childhood Obesity Prevention," IJERPH, MDPI, vol. 13(6), pages 1-16, June.
    • Handle: RePEc:gam:jijerp:v:13:y:2016:i:6:p:614-:d:72427
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    References listed on IDEAS

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    1. Glasgow, R.E. & Vogt, T.M. & Boles, S.M., 1999. "Evaluating the public health impact of health promotion interventions: The RE-AIM framework," American Journal of Public Health, American Public Health Association, vol. 89(9), pages 1322-1327.
    2. Homer, J.B. & Hirsch, G.B., 2006. "System dynamics modeling for public health: Background and opportunities," American Journal of Public Health, American Public Health Association, vol. 96(3), pages 452-458.
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    Cited by:

    1. Sisitha Jayasinghe & Robert Soward & Lisa Dalton & Timothy P. Holloway & Sandra Murray & Kira A. E. Patterson & Kiran D. K. Ahuja & Roger Hughes & Nuala M. Byrne & Andrew P. Hills, 2022. "Domains of Capacity Building in Whole-Systems Approaches to Prevent Obesity—A “Systematized” Review," IJERPH, MDPI, vol. 19(17), pages 1-17, September.
    2. Lynn Kennedy & Susan Pinkney & Selina Suleman & Louise C. Mâsse & Patti-Jean Naylor & Shazhan Amed, 2019. "Propagating Change: Using RE-FRAME to Scale and Sustain A Community-Based Childhood Obesity Prevention Initiative," IJERPH, MDPI, vol. 16(5), pages 1-15, March.

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