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Design and methods of Shape Up Under 5: Integration of systems science and community-engaged research to prevent early childhood obesity

Author

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  • Julia M Appel
  • Karen Fullerton
  • Erin Hennessy
  • Ariella R Korn
  • Alison Tovar
  • Steven Allender
  • Peter S Hovmand
  • Matt Kasman
  • Boyd A Swinburn
  • Ross A Hammond
  • Christina D Economos

Abstract

Shape Up Under 5 (SUU5) was a two-year early childhood obesity prevention pilot study in Somerville, Massachusetts (2015–2017) designed to test a novel conceptual framework called Stakeholder-driven Community Diffusion. For whole-of-community interventions, this framework posits that diffusion of stakeholders’ knowledge about and engagement with childhood obesity prevention efforts through their social networks will improve the implementation of health-promoting policy and practice changes intended to reduce obesity risk. SUU5 used systems science methods (agent-based modeling, group model building, social network analysis) to design, facilitate, and evaluate the work of 16 multisector stakeholders (‘the Committee’). In this paper, we describe the design and methods of SUU5 using the conceptual framework: the approach to data collection, and methods and rationale for study inputs, activities and evaluation, which together may further our understanding of the hypothesized processes within Stakeholder-driven Community Diffusion. We also present a generalizable conceptual framework for addressing childhood obesity and similar complex public health issues through whole-of-community interventions.

Suggested Citation

  • Julia M Appel & Karen Fullerton & Erin Hennessy & Ariella R Korn & Alison Tovar & Steven Allender & Peter S Hovmand & Matt Kasman & Boyd A Swinburn & Ross A Hammond & Christina D Economos, 2019. "Design and methods of Shape Up Under 5: Integration of systems science and community-engaged research to prevent early childhood obesity," PLOS ONE, Public Library of Science, vol. 14(8), pages 1-10, August.
    • Handle: RePEc:plo:pone00:0220169
    DOI: 10.1371/journal.pone.0220169
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    References listed on IDEAS

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    1. Thompson, Amanda L. & Bentley, Margaret E., 2013. "The critical period of infant feeding for the development of early disparities in obesity," Social Science & Medicine, Elsevier, vol. 97(C), pages 288-296.
    2. Cowan, Robin & Jonard, Nicolas, 2004. "Network structure and the diffusion of knowledge," Journal of Economic Dynamics and Control, Elsevier, vol. 28(8), pages 1557-1575, June.
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    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. Berezvai, Zombor & Vitrai, József & Tóth, Gergely & Brys, Zoltán & Bakacs, Márta & Joó, Tamás, 2024. "Long-term impact of unhealthy food tax on consumption and the drivers behind: A longitudinal study in Hungary," Health Policy, Elsevier, vol. 146(C).

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