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

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    Author
    Allender, S; Millar, L; Hovmand, P; Bell, C; Moodie, M; Carter, R; Swinburn, B; Strugnell, C; Lowe, J; de la Haye, K; ...
    Date
    2016-11-01
    Source Title
    International Journal of Environmental Research and Public Health
    Publisher
    MDPI
    University of Melbourne Author/s
    Millar, Lynne
    Affiliation
    Medicine and Radiology
    Metadata
    Show full item record
    Document Type
    Journal Article
    Citations
    Allender, S., Millar, L., Hovmand, P., Bell, C., Moodie, M., Carter, R., Swinburn, B., Strugnell, C., Lowe, J., de la Haye, K., Orellana, L. & Morgan, S. (2016). Whole of Systems Trial of Prevention Strategies for Childhood Obesity: WHO STOPS Childhood Obesity. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH, 13 (11), https://doi.org/10.3390/ijerph13111143.
    Access Status
    Open Access
    URI
    http://hdl.handle.net/11343/254701
    DOI
    10.3390/ijerph13111143
    Open Access at PMC
    http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5129353
    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.

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