College of Health and Medicine, University of Tasmania, Launceston, TAS 7250, Australia.
College of Arts, Law and Education, University of Tasmania, Launceston, TAS 7250, Australia.
Int J Environ Res Public Health. 2022 Sep 2;19(17):10997. doi: 10.3390/ijerph191710997.
Despite increased awareness of its risks, for the most part, contemporary efforts for obesity prevention have been patchy at best. As such, the burgeoning interest in whole-systems approaches (WSAs) that acknowledge the complex, dynamic nature of overweight and obesity and operate across multiple levels of society is particularly timely. Many components of "community capacity building" (CB), an essential but often neglected aspect of obesity prevention, overlap with "best practice principles" in effective/optimal community-based obesity-prevention initiatives. Rhetoric urging WSAs and community CB in public health abounds although operative and efficacious contemporary examples of these approaches to reducing obesity levels are scarce. The aim of this investigation was to undertake a systematized review of the level of capacity building incorporated in published literature on WSAs targeting obesity to better understand how domains of CB have been incorporated. A search and a recently published systematic review were utilized to identify WSAs to obesity prevention between 1995-2020. A team-based approach to qualitative thematic data analysis was used to systematically assess and describe each intervention regarding explicit capacity-building practice. Despite not being specifically designed for building capacity, a significant proportion of the WSAs studied in the current report had implemented several CB domains.
尽管人们越来越意识到肥胖的风险，但在大多数情况下，当代的肥胖预防工作充其量只是零散的。因此，人们对全盘系统方法（WSAs）的兴趣日益浓厚，这些方法承认超重和肥胖的复杂、动态性质，并在社会的多个层面上运作，这是非常及时的。“社区能力建设”（CB）的许多组成部分是肥胖预防的一个重要但经常被忽视的方面，与有效的/最佳的基于社区的肥胖预防计划中的“最佳实践原则”重叠。尽管公共卫生领域充斥着呼吁采用 WSAs 和社区 CB 的言论，但减少肥胖水平的这些方法的实际和有效的当代例子却很少。本研究的目的是对针对肥胖的 WSAs 相关文献中纳入的能力建设水平进行系统评价，以更好地了解 CB 的各个领域是如何被纳入的。利用搜索和最近发表的系统评价，确定了 1995 年至 2020 年间针对肥胖的 WSAs。采用团队方法对定性主题数据分析进行了系统评估和描述，以评估每个干预措施在明确的能力建设实践方面的情况。尽管这些 WSAs 并非专门设计用于进行能力建设，但在本报告研究的 WSAs 中，相当一部分已经实施了几个 CB 领域。
