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Whole of systems trial of prevention strategies for childhood obesity: WHO STOPS childhood obesity

Allender, Steven, Millar, Lynne, Hovmand, Peter, Bell, Colin, Moodie, Marj, Carter, Rob, Swinburn, Boyd, Strugnell, Claudia, Lowe, Janette, de la Haye, Kayla, Orellana, Liliana and Morgan, Sue 2016, Whole of systems trial of prevention strategies for childhood obesity: WHO STOPS childhood obesity, International journal of environmental research and public health, vol. 13, no. 11, pp. 1-12, doi: 10.3390/ijerph13111143.

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Title Whole of systems trial of prevention strategies for childhood obesity: WHO STOPS childhood obesity
Author(s) Allender, StevenORCID iD for Allender, Steven orcid.org/0000-0002-4842-3294
Millar, Lynne
Hovmand, Peter
Bell, ColinORCID iD for Bell, Colin orcid.org/0000-0003-2731-9858
Moodie, MarjORCID iD for Moodie, Marj orcid.org/0000-0001-6890-5250
Carter, RobORCID iD for Carter, Rob orcid.org/0000-0002-1586-5619
Swinburn, Boyd
Strugnell, ClaudiaORCID iD for Strugnell, Claudia orcid.org/0000-0001-5912-9720
Lowe, Janette
de la Haye, Kayla
Orellana, LilianaORCID iD for Orellana, Liliana orcid.org/0000-0003-3736-4337
Morgan, Sue
Journal name International journal of environmental research and public health
Volume number 13
Issue number 11
Start page 1
End page 12
Total pages 12
Publisher MDPI
Place of publication Basel, Switzerland
Publication date 2016-11-16
ISSN 1660-4601
Keyword(s) community prevention
childhood obesity
systems thinking
cluster randomized controlled trial
social network analysis
economic analysis
anthropometry
obesogenic behaviours
Summary Background: Community-based initiatives show promise for preventing childhood obesity. They are characterized by community leaders and members working together to address complex local drivers of energy balance.

Objectives: To present a protocol for a stepped wedge cluster randomized trial in ten communities in the Great South Coast Region of Victoria, Australia to test whether it is possible to: (1) strengthen community action for childhood obesity prevention, and (2) measure the impact of increased action on risk factors for childhood obesity.

Methods: The WHO STOPS intervention involves a facilitated community engagement process that: creates an agreed systems map of childhood obesity causes for a community; identifies intervention opportunities through leveraging the dynamic aspects of the system; and, converts these understandings into community-built, systems-oriented action plans. Ten communities will be randomized (1:1) to intervention or control in year one and all communities will be included by year three. The primary outcome is childhood obesity prevalence among grade two (ages 7-8 y), grade four (9-10 y) and grade six (11-12 y) students measured using our established community-led monitoring system (69% school and 93% student participation rate in government and independent schools). An additional group of 13 external communities from other regions of Victoria with no specific interventions will provide an external comparison. These communities will also allow us to assess diffusion of the intervention to control communities during the first three years of the trial.

Conclusion: This trial will test effectiveness, over a five-year period, of community-owned, -supported and -led strategies designed to address complex and dynamic causes of childhood obesity.
Language eng
DOI 10.3390/ijerph13111143
Field of Research 111799 Public Health and Health Services not elsewhere classified
Socio Economic Objective 920499 Public Health (excl. Specific Population Health) not elsewhere classified
HERDC Research category C1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2016, The Authors
Free to Read? Yes
Use Rights Creative Commons Attribution licence
Persistent URL http://hdl.handle.net/10536/DRO/DU:30090535

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Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.