title: Wayfinding the Live 5-2-1-0 Initiative-At the Intersection between Systems Thinking and Community-Based Childhood Obesity Prevention.
abstract: Childhood obesity is complex and requires a 'systems approach' that collectively engages across multiple community settings. Sustainable Childhood Obesity Prevention through Community Engagement (SCOPE) has implemented Live 5-2-1-0-a multi-sector, multi-component childhood obesity prevention initiative informed by systems thinking and participatory research via an innovative knowledge translation (KT) model (RE-FRAME). This paper describes the protocol for implementing and evaluating RE-FRAME in two 'existing' (>2 years of implementation) and two 'new' Live 5-2-1-0 communities to understand how to facilitate and sustain systems/community-level change. In this mixed-methods study, RE-FRAME was implemented via online resources, webinars, a backbone organization (SCOPE) coordinating the initiative, and a linking system supporting KT. Qualitative and quantitative data were collected using surveys and stakeholder interviews, analyzed using thematic analysis and descriptive statistics, respectively. Existing communities described the consistency of Live 5-2-1-0 and extensive local partnerships/champions as catalysts for synergistic community-wide action; new communities felt that the simplicity of the message combined with the transfer of experiential learning would inform their own strategies and policies/programs to broadly disseminate Live 5-2-1-0. RE-FRAME effectively guided the refinement of the initiative and provided a framework upon which evaluation results described how to implement a community-based systems approach to childhood obesity prevention.
authors.affiliation: Department of Pediatrics, University of British Columbia, Vancouver, BC V6H 3V4, Canada. samed@cw.bc.ca.|Child &amp; Family Research Institute, BC Children's Hospital, Vancouver, BCV5Z 4H4, Canada. samed@cw.bc.ca.
authors.forename: Shazhan
authors.initials: S
authors.lastname: Amed
authors.affiliation: Child &amp; Family Research Institute, BC Children's Hospital, Vancouver, BCV5Z 4H4, Canada. sshea@cfri.ca.
authors.forename: Stephanie
authors.initials: S
authors.lastname: Shea
authors.affiliation: Child &amp; Family Research Institute, BC Children's Hospital, Vancouver, BCV5Z 4H4, Canada. spinkney@cfri.ca.
authors.forename: Susan
authors.initials: S
authors.lastname: Pinkney
authors.affiliation: School of Exercise Science, Physical and Health Education, University of Victoria, Victoria, BC V8W 3P1, Canada. jwharfhi@uvic.ca.
authors.forename: Joan
authors.initials: J
authors.lastname: Wharf Higgins
authors.affiliation: School of Exercise Science, Physical and Health Education, University of Victoria, Victoria, BC V8W 3P1, Canada. pjnaylor@uvic.ca.
authors.forename: Patti-Jean
authors.initials: PJ
authors.lastname: Naylor
mesh_terms: D003256:Community Participation; D006293:Health Promotion / Q000379:methods*; D006801:Humans; D063766:Pediatric Obesity / Q000517:prevention & control*; D012111:Residence Characteristics; D011795:Surveys and Questionnaires; D013597:Systems Analysis; D057170:Translational Research, Biomedical
keywords: childhood obesity; collective impact; health promotion; participatory research