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

Author

Listed:
  • Lynn Kennedy

    (British Columbia Children’s Hospital Research Institute, F503, 4480 Oak Street, Vancouver, BC V6H 3V4, Canada)

  • Susan Pinkney

    (British Columbia Children’s Hospital Research Institute, F503, 4480 Oak Street, Vancouver, BC V6H 3V4, Canada)

  • Selina Suleman

    (British Columbia Children’s Hospital Research Institute, F503, 4480 Oak Street, Vancouver, BC V6H 3V4, Canada)

  • Louise C. Mâsse

    (British Columbia Children’s Hospital Research Institute, F503, 4480 Oak Street, Vancouver, BC V6H 3V4, Canada
    School of Population and Public Health, University of British Columbia, Vancouver, BC V6T 1Z3, Canada)

  • Patti-Jean Naylor

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

  • Shazhan Amed

    (British Columbia Children’s Hospital Research Institute, F503, 4480 Oak Street, Vancouver, BC V6H 3V4, Canada
    Department of Pediatrics, University of British Columbia, Vancouver, BC V6H 3V4, Canada)

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.

Suggested Citation

  • 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.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:5:p:736-:d:209992
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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. Sheri Lokken Worthy & Laura Downey & Patricia Hyjer Dyk & Pamela A. Monroe & Crystal Tyler-Mackey & Rachel Welborn, 2016. "Turning the Tide on Poverty: Community champions as critical elements of success in economically distressed communities," Community Development, Taylor & Francis Journals, vol. 47(3), pages 341-357, July.
    3. 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.
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    Cited by:

    1. Philipp Weber & Leonie Birkholz & Simone Kohler & Natalie Helsper & Lea Dippon & Alfred Ruetten & Klaus Pfeifer & Jana Semrau, 2022. "Development of a Framework for Scaling Up Community-Based Health Promotion: A Best Fit Framework Synthesis," IJERPH, MDPI, vol. 19(8), pages 1-17, April.

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