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首页> 外文期刊>International Journal of Environmental Research and Public Health >Wayfinding the Live 5-2-1-0 Initiative—At the Intersection between Systems Thinking and Community-Based Childhood Obesity Prevention
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Wayfinding the Live 5-2-1-0 Initiative—At the Intersection between Systems Thinking and Community-Based Childhood Obesity Prevention

机译：寻觅5-2-1-0现场行动的倡议-在系统思维与社区预防儿童肥胖之间的交汇处

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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.
机译：儿童肥胖很复杂，需要一种“系统方法”来共同参与多个社区环境。通过社区参与来预防儿童肥胖的可持续发展（SCOPE）实施了Live 5-2-1-0，这是一项多部门，多组成部分的儿童肥胖预防倡议，通过系统思考和参与式研究，通过创新的知识翻译（KT）模型来指导（重新框架）。本文描述了在两个“现有”（实施> 2年）和两个“新” Live 5-2-1-0社区中实施和评估RE-FRAME的协议，以了解如何促进和维持系统/社区级别更改。在此混合方法研究中，通过在线资源，网络研讨会，协调计划的骨干组织（SCOPE）和支持KT的链接系统来实施RE-FRAME。使用调查和利益相关者访谈收集定性和定量数据，分别使用主题分析和描述性统计进行分析。现有社区将现场5-2-1-0和广泛的地方伙伴关系/冠军的一致性描述为促进全社区协同行动的催化剂;新社区认为，信息的简单性与体验式学习的结合将为他们自己的策略和政策/计划提供信息，以广泛传播Live 5-2-1-0。 RE-FRAME有效地指导了该计划的完善，并提供了一个框架，评估结果在该框架上描述了如何实施基于社区的系统性方法来预防儿童肥胖。

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