San Diego Healthy Weight Collaborative: A Systems Approach to Address Childhood Obesity

Serpas, Shaila; Brandstein, Kendra; McKennett, Marianne; Hillidge, Sharon; Zive, Michelle; Nader, Philip R.

doi:10.1353/hpu.2013.0107

Cited by 16 publications

(28 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Forty-three studies included adults [19–22, 26, 32–36, 38, 39, 43–50, 52, 54–56, 58–66, 69–74, 78, 80, 81, 83] and 51 included children [19–23, 25–27, 30–32, 34–36, 38–40, 42–48, 50–53, 55, 56, 58–65, 68–73, 76, 78–83]. Fourteen focused on areas of socioeconomic deprivation [23, 44, 48, 50, 58, 61, 66, 68, 69, 73–76, 83] and ten on people in black or minority ethnic groups [23, 40, 49, 50, 56, 57, 66, 74, 76, 83]. Nine studies specified that they included older people [20, 22, 24, 34, 40, 45, 61, 66, 71].…”

Section: Resultsmentioning

confidence: 99%

“…One of these was of poor to moderate quality [47], one was of moderate to good quality [39], one was good quality [46],and the remaining four were poor quality [29, 64, 67, 77]. The remaining three articles were: a poor quality mixed methods evaluation of the Central California Regional Obesity Prevention Program [75], which reported positive health outcomes; a poor quality case study of the San Diego Healthy Weight Collaborative [76], which reported process outcomes only, and a moderate to good quality randomised controlled trial of “Communities mobilizing for change on alcohol” [80], which also reported positive health outcomes.…”

Section: Resultsmentioning

confidence: 99%

“…This happened across the designated cities and was not limited to a certain class (in terms of population or geographical location) [28]. Appropriate partnerships are important to create sustainable multilevel environmental change: Building an effective and sustainable collaborative team was found to be key [46, 65, 76, 83]. Identifying key stakeholders and securing their early participation was considered important, as was building an appropriate network of collaborators [22, 27, 32, 65, 82].…”

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Whole systems approaches to obesity and other complex public health challenges: a systematic review

et al. 2019

View full text Add to dashboard Cite

BackgroundIncreasing awareness of the complexity of public health problems, including obesity, has led to growing interest in whole systems approaches (WSAs), defined as those that consider the multifactorial drivers of overweight and obesity, involve transformative co-ordinated action across a broad range of disciplines and stakeholders, operate across all levels of governance and throughout the life course. This paper reports a systematic review of WSAs targeting obesity and other complex public health and societal issues, such as healthy lifestyles for prevention of non-communicable disease.MethodsSeven electronic databases were searched from 1995 to 2018. Studies were included if there had been an effort to implement a WSA. Study selection was conducted by one reviewer with a random 20% double checked. Data extraction and validity assessment were undertaken by one reviewer and checked by a second reviewer. Narrative synthesis was undertaken.ResultsSixty-five articles were included; 33 about obesity. Most examined multicomponent community approaches, and there was substantial clinical and methodological heterogeneity. Nevertheless, a range of positive health outcomes were reported, with some evidence of whole systems thinking. Positive effects were seen on health behaviours, body mass index (BMI), parental and community awareness, community capacity building, nutrition and physical activity environments, underage drinking behaviour and health, safety and wellbeing of community members, self-efficacy, smoking and tobacco-related disease outcomes.Features of successful approaches reported in process evaluations included: full engagement of relevant partners and community; time to build relationships, trust and capacity; good governance; embedding within a broader policy context; local evaluation; finance.ConclusionsSystems approaches to tackle obesity can have some benefit, but evidence of how to operationalise a WSA to address public health problems is still in its infancy. Future research should: (a) develop an agreed definition of a WSA in relation to obesity, (b) look across multiple sectors to ensure consistency of language and definition, (c) include detailed descriptions of the approaches, and (d) include process and economic evaluations.Electronic supplementary materialThe online version of this article (10.1186/s12889-018-6274-z) contains supplementary material, which is available to authorized users.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Whole systems approaches to obesity and other complex public health challenges: a systematic review

et al. 2019

View full text Add to dashboard Cite

show abstract

“…It has been used to improve operational aspects of healthcare capacity and delivery, such as patient flows in emergency 9,10 , disease screening 11,12 , demand for services 13,14 and workforce requirements. 15,16 It is also being used to help map and understand complex relationships between multilevel risk factors that result in health problems such as childhood obesity 17 , substance abuse 18,19 , diabetes 20 and heart disease. 21 Of particular promise to health policy makers is the use of systems science modelling methods to map the components of health systems and prevention systems, explore their interaction, and analyse policy options to support the most efficient and effective arrangements of the system.…”

Section: Introductionmentioning

confidence: 99%

Applications of system dynamics modelling to support health policy

Atkinson¹,

Wells²,

Page³

et al. 2015

Public Health Res Practice

106

View full text Add to dashboard Cite

Advances in software are allowing the participatory model building approach to be extended to more sophisticated multimethod modelling that provides policy makers with more powerful tools to support the design of targeted, effective and equitable policy responses for complex health problems. Building capacity and investing in communication to promote these modelling methods, as well as documenting and evaluating their applications, will be vital to supporting uptake by policy makers.

show abstract

“…A team of local stakeholders from the community and health care sectors, including Children’s Mercy Kansas City, participated in the 2011–2013 national learning collaborative, Collaborate for Healthy Weight , coordinated by the National Initiative for Children’s Healthcare Quality and supported by the Prevention and Public Health Fund ( 20 – 22 ). The team included representatives from the hospital’s community program and primary care clinics, the local health department, the YMCA, and a nonprofit community organization specializing in healthy lifestyle policy change.…”

Section: Purpose and Objectives Of The Healthy Lifestyles Initiativementioning

confidence: 99%

Evaluation of the Healthy Lifestyles Initiative for Improving Community Capacity for Childhood Obesity Prevention

et al. 2018

View full text Add to dashboard Cite

Purpose and ObjectivesPolicy, systems, and environmental approaches are recommended for preventing childhood obesity. The objective of our study was to evaluate the Healthy Lifestyles Initiative, which aimed to strengthen community capacity for policy, systems, and environmental approaches to healthy eating and active living among children and families.Intervention ApproachThe Healthy Lifestyles Initiative was developed through a collaborative process and facilitated by community organizers at a local children’s hospital. The initiative supported 218 partners from 170 community organizations through training, action planning, coalition support, one-on-one support, and the dissemination of materials and sharing of resources.Evaluation MethodsEighty initiative partners completed a brief online survey on implementation strategies engaged in, materials used, and policy, systems, and environmental activities implemented. In accordance with frameworks for implementation science, we assessed associations among the constructs by using linear regression to identify whether and which of the implementation strategies were associated with materials used and implementation of policy, systems, and environmental activities targeted by the initiative.ResultsEach implementation strategy was engaged in by 30% to 35% of the 80 survey respondents. The most frequently used materials were educational handouts (76.3%) and posters (66.3%). The most frequently implemented activities were developing or continuing partnerships (57.5%) and reviewing organizational wellness policies (46.3%). Completing an action plan and the number of implementation strategies engaged in were positively associated with implementation of targeted activities (action plan, effect size = 0.82; number of strategies, effect size = 0.51) and materials use (action plan, effect size = 0.59; number of strategies, effect size = 0.52). Materials use was positively associated with implementation of targeted activities (effect size = 0.35).Implications for Public HealthCommunity-capacity–building efforts can be effective in supporting community organizations to engage in policy, systems, and environmental activities for healthy eating and active living. Multiple implementation strategies are likely needed, particularly strategies that involve a high level of engagement, such as training community organizations and working with them on structured action plans.

show abstract

San Diego Healthy Weight Collaborative: A Systems Approach to Address Childhood Obesity

Cited by 16 publications

References 21 publications

Whole systems approaches to obesity and other complex public health challenges: a systematic review

Whole systems approaches to obesity and other complex public health challenges: a systematic review

Applications of system dynamics modelling to support health policy

Evaluation of the Healthy Lifestyles Initiative for Improving Community Capacity for Childhood Obesity Prevention

Contact Info

Product

Resources

About