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通过社区参与预防儿童肥胖的可持续计划(SCOPE):实施阶段评估

Sustainable childhood obesity prevention through community engagement (SCOPE) program: evaluation of the implementation phase.

作者信息

McIntosh Bonnie, Daly Amelia, Mâsse Louise C, Collet Jean-Paul, Higgins Joan Wharf, Naylor Patti-Jean, Amed Shazhan

机构信息

a University of British Columbia, Department of Pediatrics, K4-213, 4480 Oak Street, Vancouver, BC V6H 3V4, Canada.

b University of British Columbia, School of Population and Public Health, F508-4480 Oak Street, Vancouver, BC V6H 3V4, Canada.

出版信息

Biochem Cell Biol. 2015 Oct;93(5):472-8. doi: 10.1139/bcb-2014-0127. Epub 2015 May 14.

Abstract

Childhood obesity rates are steadily rising. Sustainable Childhood Obesity Prevention Through Community Engagement (SCOPE) is a community-based participatory action research (PAR) program aimed at preventing childhood obesity. This study aimed to describe community perspectives on, and elicit feedback about, SCOPE's first phase of implementation in two pilot cities in British Columbia, Canada. A case study was implemented using interviews and questionnaires to obtain feedback about SCOPE from two groups: SCOPE coordinators and stakeholders (i.e., individuals and organizations that were a member of the community and engaged with SCOPE coordinators). Participants were recruited via email and (or) by telephone. Coordinators completed a telephone interview. Stakeholders completed a questionnaire and (or) a telephone interview. Thematic analysis was conducted. Participants included 2 coordinators and 15 stakeholders. Participants similarly interpreted SCOPE as a program focused on raising awareness about childhood obesity prevention, while engaging multiple community sectors. Overall, participants valued the program's role in facilitating networking and partnership development, providing evidence-based resources, technical expertise, and contributing funding. Participants felt that SCOPE is sustainable. However, participants felt that barriers to achieving healthy weights among children included those related to the built environment, and social, behavioral, and economic obstacles. Perspectives on factors that facilitated and acted as barriers to SCOPE's first phase of implementation were obtained from the SCOPE communities and may be used to enhance the sustainability of SCOPE and its applicability to other BC communities.

摘要

儿童肥胖率正在稳步上升。通过社区参与预防儿童肥胖(SCOPE)是一项基于社区的参与式行动研究(PAR)项目,旨在预防儿童肥胖。本研究旨在描述加拿大不列颠哥伦比亚省两个试点城市社区对SCOPE第一阶段实施情况的看法,并征求相关反馈。采用案例研究方法,通过访谈和问卷调查从两组人员获取关于SCOPE的反馈:SCOPE协调员和利益相关者(即社区成员且与SCOPE协调员有互动的个人和组织)。通过电子邮件和(或)电话招募参与者。协调员完成电话访谈。利益相关者完成问卷调查和(或)电话访谈。进行了主题分析。参与者包括2名协调员和15名利益相关者。参与者同样将SCOPE理解为一个专注于提高对儿童肥胖预防的认识、同时让多个社区部门参与的项目。总体而言,参与者重视该项目在促进建立联系和伙伴关系发展、提供循证资源、技术专长以及提供资金方面的作用。参与者认为SCOPE是可持续的。然而,参与者认为儿童实现健康体重的障碍包括与建成环境相关的障碍以及社会、行为和经济方面的障碍。从SCOPE社区获得了对促进和阻碍SCOPE第一阶段实施的因素的看法,这些看法可用于提高SCOPE的可持续性及其在不列颠哥伦比亚省其他社区的适用性。

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