Department of Social and Environmental Health Research, Faculty of Public Health & Policy, London School of Hygiene & Tropical Medicine, 15-17 Tavistock Place, London WC1H 9SH, United Kingdom.
Department of Population Health & Primary Care, Norwich Medical School, Faculty of Medicine & Health Sciences, University of East Anglia, Norwich NR4 7TJ, United Kingdom.
Health Place. 2014 Sep;29:60-6. doi: 10.1016/j.healthplace.2014.05.006. Epub 2014 Jun 26.
This paper explores how system-wide approaches to obesity prevention were 'theorised' and translated into practice in the 'Healthy Towns' programme implemented in nine areas in England. Semi-structured interviews with 20 informants, purposively selected to represent national and local programme development, management and delivery were undertaken. Results suggest that informants articulated a theoretical understanding of a system-wide approach to obesity prevention, but simplifying this complex task in the context of uncertainty over programme aims and objectives, and absence of a clear direction from the central government, resulted in local programmes relying on traditional multi-component approaches to programme delivery. The development of clear, practical guidance on implementation should form a central part of future system-wide approaches to obesity prevention.
本文探讨了系统方法在肥胖预防中的应用，以及这些方法如何在英格兰 9 个地区实施的“健康城镇”项目中付诸实践。研究采用半结构化访谈方法，对 20 名受访者进行了访谈，受访者是为了代表国家和地方的项目开发、管理和实施而有目的选择的。结果表明，受访者对肥胖预防的系统方法有理论上的理解，但在项目目标和目的不确定以及中央政府缺乏明确指导的情况下，将这一复杂任务简化，导致地方项目依赖于传统的多组分方法来实施项目。制定明确、实用的实施指南应成为未来肥胖预防系统方法的核心部分。
