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Int J Environ Res Public Health. 2016 Nov 16;13(11). pii: E1143.

Whole of Systems Trial of Prevention Strategies for Childhood Obesity: WHO STOPS Childhood Obesity.

Author information

1
Global Obesity Centre (GLOBE), World Health Organization Collaborating Centre for Obesity Prevention, Faculty of Health, Deakin University, Melbourne 3125, Australia. steven.allender@deakin.edu.au.
2
Global Obesity Centre (GLOBE), World Health Organization Collaborating Centre for Obesity Prevention, Faculty of Health, Deakin University, Melbourne 3125, Australia. lynne.millar@deakin.edu.au.
3
Brown School's Social System Design Lab, Washington University, St Louis, MO 63130, USA. phovmand@wustl.edu.
4
Global Obesity Centre (GLOBE), World Health Organization Collaborating Centre for Obesity Prevention, Faculty of Health, Deakin University, Melbourne 3125, Australia. colin.bell@deakin.edu.au.
5
School of Medicine, Faculty of Health, Deakin University, Melbourne 3125, Australia. colin.bell@deakin.edu.au.
6
Global Obesity Centre (GLOBE), World Health Organization Collaborating Centre for Obesity Prevention, Faculty of Health, Deakin University, Melbourne 3125, Australia. marj.moodie@deakin.edu.au.
7
Deakin Health Economics, Centre for Population Health Research, Faculty of Health, Deakin University, Melbourne 3125, Australia. marj.moodie@deakin.edu.au.
8
Deakin Health Economics, Centre for Population Health Research, Faculty of Health, Deakin University, Melbourne 3125, Australia. rob.carter@deakin.edu.au.
9
Global Obesity Centre (GLOBE), World Health Organization Collaborating Centre for Obesity Prevention, Faculty of Health, Deakin University, Melbourne 3125, Australia. boyd.swinburn@auckland.ac.nz.
10
Population Nutrition and Global Health, University of Auckland, Auckland, NZ 1142, USA. boyd.swinburn@auckland.ac.nz.
11
Global Obesity Centre (GLOBE), World Health Organization Collaborating Centre for Obesity Prevention, Faculty of Health, Deakin University, Melbourne 3125, Australia. claudia.strugnell@deakin.edu.au.
12
Southern Grampians and Glenelg Primary Care Partnership, Hamilton, NZ 3300, USA. Janette.Lowe@wdhs.net.
13
Department of Preventive Medicine, University of Southern California, Los Angeles, CA 90033, USA. delahaye@usc.edu.
14
Biostatistics Unit, Faculty of Health, Deakin University, Melbourne 3125, Australia. l.orellana@deakin.edu.au.
15
Victorian Department of Health and Human Services, Geelong 3220, Australia. sue.morgan@dhhs.vic.gov.au.

Abstract

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.

KEYWORDS:

anthropometry; childhood obesity; cluster randomized controlled trial; community prevention; economic analysis; obesogenic behaviours; social network analysis; systems thinking

PMID:
27854354
PMCID:
PMC5129353
DOI:
10.3390/ijerph13111143
[Indexed for MEDLINE]
Free PMC Article
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