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

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The RE-FRAME model effectively guides community-based childhood obesity prevention initiatives. It facilitates systems-level change by supporting knowledge translation and community engagement for sustainable public health strategies.

Keywords:
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Area of Science:

  • Public Health
  • Community Health
  • Systems Science

Background:

  • Childhood obesity necessitates a multi-sectoral 'systems approach' for effective prevention.
  • The Sustainable Childhood Obesity Prevention through Community Engagement (SCOPE) initiative uses the Live 5-2-1-0 program.
  • Knowledge translation (KT) and systems thinking are crucial for community-level interventions.

Purpose of the Study:

  • To describe the protocol for implementing and evaluating the RE-FRAME KT model.
  • To assess how RE-FRAME facilitates and sustains systems/community-level change in childhood obesity prevention.
  • To compare the implementation of RE-FRAME in existing versus new Live 5-2-1-0 communities.

Main Methods:

  • A mixed-methods study evaluating the RE-FRAME model in four Live 5-2-1-0 communities (two existing, two new).
  • RE-FRAME implementation involved online resources, webinars, a coordinating backbone organization (SCOPE), and a linking system for KT.
  • Data collection included surveys and stakeholder interviews, analyzed using thematic analysis and descriptive statistics.

Main Results:

  • Existing communities highlighted consistency and local partnerships as key to synergistic action.
  • New communities found the Live 5-2-1-0 message simplicity and experiential learning transfer valuable for strategy development.
  • The RE-FRAME model successfully guided initiative refinement and provided an evaluation framework.

Conclusions:

  • The RE-FRAME model offers a robust framework for implementing and evaluating community-based systems approaches to childhood obesity prevention.
  • Facilitating and sustaining community-level change requires adaptable KT strategies tailored to community context.
  • Successful childhood obesity prevention relies on integrated, multi-component initiatives supported by strong organizational structures and knowledge sharing.