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Obesity prevention: a proposed framework for translating evidence into action

Swinburn, Boyd, Gill, T. and Kumanyika, S. 2005, Obesity prevention: a proposed framework for translating evidence into action, Obesity reviews, vol. 6, no. 1, pp. 23-33, doi: 10.1111/j.1467-789X.2005.00184.x.

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Title Obesity prevention: a proposed framework for translating evidence into action
Author(s) Swinburn, Boyd
Gill, T.
Kumanyika, S.
Journal name Obesity reviews
Volume number 6
Issue number 1
Start page 23
End page 33
Publisher Blackwell
Place of publication Oxford, England
Publication date 2005-02
ISSN 1467-7881
1467-789X
Keyword(s) prevention
evidence
public health
Summary Obesity as a major public health and economic problem has risen to the top of policy and programme agendas in many countries, with prevention of childhood obesity providing a particularly compelling mandate for action. There is widespread agreement that action is needed urgently, that it should be comprehensive and sustained, and that it should be evidence-based. While policy and programme funding decisions are inevitably subject to a variety of historical, social, and political influences, a framework for defining their evidence base is needed. This paper describes the development of an evidence-based, decision-making framework that is particularly relevant to obesity prevention. Building upon existing work within the fields of public health and health promotion, the Prevention Group of the International Obesity Task Force (IOTF) developed a set of key issues and evidence requirements for obesity prevention. These were presented and discussed at an IOTF workshop in April 2004 and were then further developed into a practical framework. The framework is defined by five key policy and
programme issues that form the basis of the framework. These are: (i) building a case for action on obesity; (ii) identifying contributing factors and points of intervention; (iii) defining the opportunities for action; (iv)evaluating potential interventions; and (v) selecting a portfolio of specific policies, programmes, and actions. Each issue has a different set of evidence requirements and analytical outputs to support policy and programme decision-making. Issue 4 was identified as currently the most problematic because of the relative lack of efficacy and effectiveness studies. Compared with clinical decision-making where the evidence base is dominated by randomized controlled trials with high internal validity, the evidence base for obesity prevention needs many different types of evidence and often needs the informed opinions of stakeholders to ensure external validity and contextual relevance.
Language eng
DOI 10.1111/j.1467-789X.2005.00184.x
Field of Research 111799 Public Health and Health Services not elsewhere classified
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2005, The International Association for the Study of Obesity
Persistent URL http://hdl.handle.net/10536/DRO/DU:30003358

Document type: Journal Article
Collection: School of Exercise and Nutrition Sciences
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