Expanding a successful community-based obesity prevention approach into new communities : challenges and achievements

Bolton, Kristy A., Kremer, Peter, Gibbs, Lisa, Swinburn, Boyd, Waters, Elizabeth and de Silva, Andrea 2016, Expanding a successful community-based obesity prevention approach into new communities : challenges and achievements, Obesity research and clinical practice, vol. 10, no. 2, pp. 197-206, doi: 10.1016/j.orcp.2015.05.017.

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Title Expanding a successful community-based obesity prevention approach into new communities : challenges and achievements
Author(s) Bolton, Kristy A.ORCID iD for Bolton, Kristy A. orcid.org/0000-0001-6721-4503
Kremer, PeterORCID iD for Kremer, Peter orcid.org/0000-0003-2476-1958
Gibbs, Lisa
Swinburn, Boyd
Waters, Elizabeth
de Silva, Andrea
Journal name Obesity research and clinical practice
Volume number 10
Issue number 2
Start page 197
End page 206
Total pages 10
Publisher Elsevier
Place of publication Amsterdam, The Netherlands
Publication date 2016-04
ISSN 1871-403X
Keyword(s) community-based intervention
obesity prevention
Summary OBJECTIVE: A previously successful community-based obesity prevention intervention with a focus on school settings was expanded into new communities with varying contexts. In order to understand the complexities involved in implementing health promotion activities in schools, this study examined experiences of school staff and project officers including barriers, contextual factors and achievements. METHODS: School environment assessments were conducted in schools across four Victorian communities with school staff (n=1-5 staff plus a trained researcher per group in 9 primary and 8 secondary schools) 12-18 months post-intervention. Process reports from project officers were also reviewed and analysed (n=4). RESULTS: School staff commonly reported time pressures as a barrier to implementation and project officers working within schools reported competing priorities and limited health promotion experience of staff; lack of stakeholder engagement; low participation in some activities and insufficient implementation time. Contextual factors included community socioeconomic status, student ethnicity and living rurally. Achievements included student and staff enjoyment from programme activities, staff capacity building, partnerships, embedding activities into existing infrastructure and programmes, and having consistent health-related messages repeated through a variety of strategies. CONCLUSIONS: Community-based interventions with a focus on school settings need to consider system level, organisational and contextual (i.e. socioeconomic, ethnicity, family and town characteristics) factors when expanding previously effective strategies into new communities. Implementation benefits may have added whole of school benefits in addition to child health. Focussing on overcoming the challenges experienced in this complex initiative is required for future interventions.
Language eng
DOI 10.1016/j.orcp.2015.05.017
Field of Research 111104 Public Nutrition Intervention
Socio Economic Objective 920501 Child Health
HERDC Research category C1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2015, Published by Elsevier Ltd. on behalf of Asia Oceania Association for the Study of Obesity
Persistent URL http://hdl.handle.net/10536/DRO/DU:30075920

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