title: Community Stakeholders' Perceptions of Major Factors Influencing Childhood Obesity, the Feasibility of Programs Addressing Childhood Obesity, and Persisting Gaps.
abstract: Prior research has identified numerous factors contributing to increased rates of childhood obesity. However, few studies have focused explicitly on the experience of community stakeholders in low-income communities. This study sought to capture the perspectives of these on-the-ground experts regarding major factors contributing to childhood obesity as well as gaps in current prevention and control efforts. We conducted semi-structured interviews with 39 stakeholders from different community sectors (e.g., healthcare providers, childcare providers, teachers). Data were drawn from the Massachusetts Childhood Obesity Research Demonstration project, a multi-level, multi-sector intervention designed to reduce childhood obesity being implemented in two low-income communities in Massachusetts. Interviews were conducted at baseline, transcribed, coded using grounded theory approach, and analyzed in NVivo 10.0. The vast majority of stakeholders had recently participated in obesity prevention strategies, and nearly all of them identified gaps in prevention efforts either within their organizations or in the broader community. In addition to factors previously identified in the literature, several themes emerged including the need to change policies to increase physical activity during school, offer healthier snacks in schools and afterschool programs, and increase communication and collaboration within the community in prevention efforts. Community stakeholders can impact the success of interventions by bridging the gap between science and lived experience. The results of this study can guide future research by highlighting the importance of including stakeholders' frontline experiences with target populations, and using information on identified gaps to augment intervention planning efforts.
authors.affiliation: Department of Nutrition, Harvard T.H. Chan School of Public Health, 665 Huntington Avenue, Building 2, 3rd Floor, Boston, MA, 02115, USA. cgehre@hsph.harvard.edu.|Department of Health Care Management, Technical University Berlin, Strasse des 17. Juni 135, Berlin, 10623, Germany. cgehre@hsph.harvard.edu.
authors.forename: Claudia
authors.initials: C
authors.lastname: Ganter
authors.affiliation: Department of Nutrition, Harvard T.H. Chan School of Public Health, 665 Huntington Avenue, Building 2, 3rd Floor, Boston, MA, 02115, USA.
authors.forename: Alyssa
authors.initials: A
authors.lastname: Aftosmes-Tobio
authors.affiliation: Department of Health Policy and Management, Fielding School of Public Health, University of California, Los Angeles, 650 Charles E Young Dr. South, Los Angeles, CA, 90095-1772, USA.
authors.forename: Emmeline
authors.initials: E
authors.lastname: Chuang
authors.affiliation: Department of Family and Consumer Sciences, California State University, Long Beach, 1250 Bellflower Blvd, FCS-FA 15, Long Beach, CA, 90840-0501, USA.
authors.forename: Rachel E
authors.initials: RE
authors.lastname: Blaine
authors.affiliation: Office of Data Management and Outcomes Assessment, Massachusetts Department of Public Health, 250 Washington Street, Boston, MA, 02108-4619, USA.
authors.forename: Thomas
authors.initials: T
authors.lastname: Land
authors.affiliation: Department of Nutrition, Harvard T.H. Chan School of Public Health, 665 Huntington Avenue, Building 2, 3rd Floor, Boston, MA, 02115, USA.|Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, 677 Huntington Avenue, Boston, MA, 02115, USA.
authors.forename: Kirsten K
authors.initials: KK
authors.lastname: Davison
mesh_terms: D000293:Adolescent; D000328:Adult; D005240:Feasibility Studies; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006282:Health Personnel / Q000523:psychology; D006291:Health Policy; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008404:Massachusetts; D008875:Middle Aged; D063766:Pediatric Obesity / Q000517:prevention & control*; D011204:Poverty Areas; D012111:Residence Characteristics; D000070777:School Teachers / Q000523:psychology; D055815:Young Adult
keywords: Childhood obesity prevention; Community health; Community stakeholder; Policy changes; Qualitative research