title: Design, Implementation, and Evaluation of the Adolescents and Surveillance System for the Obesity Prevention Project.
abstract: The Adolescents Surveillance System for Obesity prevention (ASSO) Project aimed at developing standardized and web-based tools for collecting data on adolescents' obesity and its potential determinants. This has been implemented and piloted in the local area of Palermo city, Italy. The aim of the present study is to provide an overview of the Project's design, implementation, and evaluation, highlighting all the aspects for a potential scale-up of the surveillance system on the whole national territory and abroad, as a sustainable and effective source of data.The overall structure and management, the ASSO-toolkit, the ASSO-NutFit software, and all developed and used procedures for recruiting, training, and data collecting/analyzing are addressed. An interim evaluation has been performed through a feasibility study; a final Project evaluation has been performed reporting the Strengths, Weaknesses, Opportunities, and Threats (SWOT) and the attributes that a surveillance system should have.This article provides a detailed overview of the Project and highlights that ASSO can be considered a valid, logical, coherent, efficient, and sustainable surveillance system that is consistent with countries' needs and priorities.The system developed by the ASSO Project provides high-quality data and complies with several characteristics typical of a suitable surveillance system. It has a potential of being adopted within the National Health Service and other countries' Health Services for monitoring adolescents' obesity and its determinants, such as food intakes, behaviors, physical activity, and fitness profiles.
authors.affiliation: From the Department of Sciences for Health Promotion and Mother Child Care "G. D'Alessandro" (GT, ARF, GN, AF, FV, CM); Sport and Exercise Sciences Unit, University of Palermo (AB); The Institute for Educational Technology, Italian National Research Council (NA); Department of Sport Science, College of Arts and Sciences, Qatar University, Qatar (MJ); Agricultural Research Council, Food and Nutrition Research Centre (CRA-NUT), Via Ardeatina, 546, 00178 Rome, Italy (LC); and Division of Non-communicable Diseases and Life-Course, World Health Organization Regional Office for Europe, UN City, Marmorvej 51, DK - 2100 Copenhagen (JB, NS).
authors.forename: Garden
authors.initials: G
authors.lastname: Tabacchi
authors.forename: Antonino
authors.initials: A
authors.lastname: Bianco
authors.forename: Nicola
authors.initials: N
authors.lastname: Alessi
authors.forename: Anna Rita
authors.initials: AR
authors.lastname: Filippi
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Napoli
authors.forename: Monèm
authors.initials: M
authors.lastname: Jemni
authors.forename: Laura
authors.initials: L
authors.lastname: Censi
authors.forename: João
authors.initials: J
authors.lastname: Breda
authors.forename: Nathali Lehmann
authors.initials: NL
authors.lastname: Schumann
authors.forename: Alberto
authors.initials: A
authors.lastname: Firenze
authors.forename: Francesco
authors.initials: F
authors.lastname: Vitale
authors.forename: Caterina
authors.initials: C
authors.lastname: Mammina
mesh_terms: D000293:Adolescent; D000068598:Data Accuracy; D003625:Data Collection / Q000379:methods*; D005260:Female; D006284:Health Plan Implementation / Q000458:organization & administration*; D006801:Humans; D020407:Internet; D007558:Italy; D008019:Life Style; D008297:Male; D063766:Pediatric Obesity / Q000517:prevention & control*; D011159:Population Surveillance / Q000379:methods*; D058996:Quality Improvement / Q000458:organization & administration*; D012985:Software Design; D011795:Surveys and Questionnaires