Evaluation of a whole system approach to diet and healthy weight in the east of Scotland: Study protocol
Obesity is a global epidemic affecting all age groups, populations and income levels across continents. The causes of obesity are complex and are routed in health behaviours, environmental factors, government policy and the cultural and built environment. Consequently, a Whole System Approach (WSA)...
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| Vydáno v: | PloS one Ročník 17; číslo 3; s. e0265667 |
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| Médium: | Journal Article |
| Jazyk: | angličtina |
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United States
Public Library of Science
24.03.2022
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| ISSN: | 1932-6203, 1932-6203 |
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| Abstract | Obesity is a global epidemic affecting all age groups, populations and income levels across continents. The causes of obesity are complex and are routed in health behaviours, environmental factors, government policy and the cultural and built environment. Consequently, a Whole System Approach (WSA) which considers the many causes of obesity and shifts the focus away from individuals as points of intervention and puts an emphasis on understanding and improving the system in which people live in is required. This protocol describes a programme of research that will: critically evaluate the evidence for WSAs; assess longitudinally the implementation of a WSA to diet and healthy weight to explore the range of levers (drivers) and opportunities to influence relevant partnerships and interventions to target obesity in East Scotland. The programme consists of four workstreams within a mixed methods framework: 1) Systematic review of reviews of WSAs to diet and healthy weight; 2) Longitudinal qualitative process evaluation of implementing two WSAs in Scotland; 3) Quantitative and Qualitative momentary analysis evaluation of a WSA; and 4) the application of System Dynamics Modelling (SDM) methodology to two council areas in Scotland. A Public Involvement in Research group (PIRg) have informed each stage of the research process. The research programme’s breadth and its novel nature, mean that it will provide valuable findings for the increasing numbers who commission, deliver, support and evaluate WSAs to diet and healthy weight nationally and internationally. |
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| AbstractList | Obesity is a global epidemic affecting all age groups, populations and income levels across continents. The causes of obesity are complex and are routed in health behaviours, environmental factors, government policy and the cultural and built environment. Consequently, a Whole System Approach (WSA) which considers the many causes of obesity and shifts the focus away from individuals as points of intervention and puts an emphasis on understanding and improving the system in which people live in is required. This protocol describes a programme of research that will: critically evaluate the evidence for WSAs; assess longitudinally the implementation of a WSA to diet and healthy weight to explore the range of levers (drivers) and opportunities to influence relevant partnerships and interventions to target obesity in East Scotland. The programme consists of four workstreams within a mixed methods framework: 1) Systematic review of reviews of WSAs to diet and healthy weight; 2) Longitudinal qualitative process evaluation of implementing two WSAs in Scotland; 3) Quantitative and Qualitative momentary analysis evaluation of a WSA; and 4) the application of System Dynamics Modelling (SDM) methodology to two council areas in Scotland. A Public Involvement in Research group (PIRg) have informed each stage of the research process. The research programme's breadth and its novel nature, mean that it will provide valuable findings for the increasing numbers who commission, deliver, support and evaluate WSAs to diet and healthy weight nationally and internationally. Obesity is a global epidemic affecting all age groups, populations and income levels across continents. The causes of obesity are complex and are routed in health behaviours, environmental factors, government policy and the cultural and built environment. Consequently, a Whole System Approach (WSA) which considers the many causes of obesity and shifts the focus away from individuals as points of intervention and puts an emphasis on understanding and improving the system in which people live in is required. This protocol describes a programme of research that will: critically evaluate the evidence for WSAs; assess longitudinally the implementation of a WSA to diet and healthy weight to explore the range of levers (drivers) and opportunities to influence relevant partnerships and interventions to target obesity in East Scotland. The programme consists of four workstreams within a mixed methods framework: 1) Systematic review of reviews of WSAs to diet and healthy weight; 2) Longitudinal qualitative process evaluation of implementing two WSAs in Scotland; 3) Quantitative and Qualitative momentary analysis evaluation of a WSA; and 4) the application of System Dynamics Modelling (SDM) methodology to two council areas in Scotland. A Public Involvement in Research group (PIRg) have informed each stage of the research process. The research programme's breadth and its novel nature, mean that it will provide valuable findings for the increasing numbers who commission, deliver, support and evaluate WSAs to diet and healthy weight nationally and internationally.Obesity is a global epidemic affecting all age groups, populations and income levels across continents. The causes of obesity are complex and are routed in health behaviours, environmental factors, government policy and the cultural and built environment. Consequently, a Whole System Approach (WSA) which considers the many causes of obesity and shifts the focus away from individuals as points of intervention and puts an emphasis on understanding and improving the system in which people live in is required. This protocol describes a programme of research that will: critically evaluate the evidence for WSAs; assess longitudinally the implementation of a WSA to diet and healthy weight to explore the range of levers (drivers) and opportunities to influence relevant partnerships and interventions to target obesity in East Scotland. The programme consists of four workstreams within a mixed methods framework: 1) Systematic review of reviews of WSAs to diet and healthy weight; 2) Longitudinal qualitative process evaluation of implementing two WSAs in Scotland; 3) Quantitative and Qualitative momentary analysis evaluation of a WSA; and 4) the application of System Dynamics Modelling (SDM) methodology to two council areas in Scotland. A Public Involvement in Research group (PIRg) have informed each stage of the research process. The research programme's breadth and its novel nature, mean that it will provide valuable findings for the increasing numbers who commission, deliver, support and evaluate WSAs to diet and healthy weight nationally and internationally. |
| Audience | Academic |
| Author | Wellings, Amander Jones, Julia Smeeton, Nigel Freethy, Imogen Lebcir, Reda Garcia-Iglesias, Jaime Lloyd, Nigel Wellsted, David Breslin, Gavin Bartington, Suzanne Bontoft, Charis Howlett, Neil Newby, Katie Wills, Wendy Wagner, Adam P. Brown, Katherine Fakoya, Olujoke |
| AuthorAffiliation | 7 Norwich Medical School, University of East Anglia, Norwich, United Kingdom 5 Department of Psychology, Sport and Geography, School of Life and Medical Sciences, University of Hertfordshire, Hatfield, United Kingdom 4 Institute of Applied Health Research, University of Birmingham, Birmingham, United Kingdom PLoS ONE, UNITED STATES 2 School of Health and Social Work, University of Hertfordshire, Hatfield, United Kingdom 1 Bamford Centre for Mental Health and Wellbeing, School of Psychology, Ulster University, Coleraine, Northern Ireland 3 National Institute for Health Research (NIHR) Applied Research Collaboration (ARC) East of England (EoE), Cambridge, United Kingdom 6 Hertfordshire Business School, University of Hertfordshire, Hatfield, United Kingdom |
| AuthorAffiliation_xml | – name: 5 Department of Psychology, Sport and Geography, School of Life and Medical Sciences, University of Hertfordshire, Hatfield, United Kingdom – name: 6 Hertfordshire Business School, University of Hertfordshire, Hatfield, United Kingdom – name: 7 Norwich Medical School, University of East Anglia, Norwich, United Kingdom – name: PLoS ONE, UNITED STATES – name: 1 Bamford Centre for Mental Health and Wellbeing, School of Psychology, Ulster University, Coleraine, Northern Ireland – name: 4 Institute of Applied Health Research, University of Birmingham, Birmingham, United Kingdom – name: 3 National Institute for Health Research (NIHR) Applied Research Collaboration (ARC) East of England (EoE), Cambridge, United Kingdom – name: 2 School of Health and Social Work, University of Hertfordshire, Hatfield, United Kingdom |
| Author_xml | – sequence: 1 givenname: Gavin orcidid: 0000-0003-2481-0860 surname: Breslin fullname: Breslin, Gavin – sequence: 2 givenname: Wendy surname: Wills fullname: Wills, Wendy – sequence: 3 givenname: Suzanne surname: Bartington fullname: Bartington, Suzanne – sequence: 4 givenname: Charis surname: Bontoft fullname: Bontoft, Charis – sequence: 5 givenname: Olujoke surname: Fakoya fullname: Fakoya, Olujoke – sequence: 6 givenname: Imogen surname: Freethy fullname: Freethy, Imogen – sequence: 7 givenname: Jaime orcidid: 0000-0002-8841-5635 surname: Garcia-Iglesias fullname: Garcia-Iglesias, Jaime – sequence: 8 givenname: Neil surname: Howlett fullname: Howlett, Neil – sequence: 9 givenname: Julia surname: Jones fullname: Jones, Julia – sequence: 10 givenname: Reda surname: Lebcir fullname: Lebcir, Reda – sequence: 11 givenname: Nigel surname: Lloyd fullname: Lloyd, Nigel – sequence: 12 givenname: Katie surname: Newby fullname: Newby, Katie – sequence: 13 givenname: Nigel orcidid: 0000-0001-9460-5411 surname: Smeeton fullname: Smeeton, Nigel – sequence: 14 givenname: Adam P. orcidid: 0000-0002-9101-3477 surname: Wagner fullname: Wagner, Adam P. – sequence: 15 givenname: Amander surname: Wellings fullname: Wellings, Amander – sequence: 16 givenname: David surname: Wellsted fullname: Wellsted, David – sequence: 17 givenname: Katherine surname: Brown fullname: Brown, Katherine |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/35324971$$D View this record in MEDLINE/PubMed |
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| CitedBy_id | crossref_primary_10_1177_17579139231180761 crossref_primary_10_1371_journal_pone_0292945 crossref_primary_10_1177_17579139231203858 crossref_primary_10_1016_j_giec_2022_10_003 crossref_primary_10_1136_bmjopen_2022_069334 |
| Cites_doi | 10.1016/j.socscimed.2018.12.021 10.1186/s12889-018-6274-z 10.1146/annurev.clinpsy.3.022806.091415 10.1093/nutrit/nuw049 10.1186/1471-2288-13-117 |
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| Copyright | COPYRIGHT 2022 Public Library of Science 2022 Breslin et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. 2022 Breslin et al 2022 Breslin et al |
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| SubjectTerms | Age groups Biology and Life Sciences Body fat Body weight Built environment Citizen participation Collaboration Community Cultural factors Diet Eating behavior Environmental aspects Environmental factors Environmental policy Epidemics Evaluation Government policy Health aspects Health behavior Health care Health Status Humans Intervention Medical research Medicine and Health Sciences Nutrition research Obesity Obesity - epidemiology Obesity - prevention & control Partnerships People and places Public involvement Public policy Qualitative analysis Qualitative research Research and Analysis Methods Research Design Research methodology Risk factors Scotland Social work Study Protocol System dynamics Systematic review Urban environments |
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| Title | Evaluation of a whole system approach to diet and healthy weight in the east of Scotland: Study protocol |
| URI | https://www.ncbi.nlm.nih.gov/pubmed/35324971 https://www.proquest.com/docview/2642871318 https://www.proquest.com/docview/2644010597 https://pubmed.ncbi.nlm.nih.gov/PMC8947017 https://doaj.org/article/7245beac37874f03b0f593ca52e7dad9 http://dx.doi.org/10.1371/journal.pone.0265667 |
| Volume | 17 |
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