Setting and prioritizing evidence-informed policies to control childhood obesity in Iran: a mixed Delphi and policy dialogue approach

BMC Pediatrics

Research

Hamed Pouraram¹  Fatemeh Toorang²  Amirhossein Takian³  Zahra Abdullahi⁴  Parisa Amiri⁵ 

[1] Department of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, P.O. Box:1455-6119, Tehran, IR, Iran;Department of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, P.O. Box:1455-6119, Tehran, IR, Iran;Cancer Research Center, Cancer Institute, Tehran University of Medical Science, Tehran, Iran;Departments of Global Health & Public Policy, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran;Department of Health Management, Policy and Economics, School of Public Health, Tehran University of Medical Sciences, P.O. Box: 1455-6119, Tehran, IR, Iran;Health Equity Research Center (HERC), Tehran University of Medical Sciences, Tehran, Iran;Nutrition Office, Ministry of Health and Medical Education, Tehran, Iran;Research Center for Social Determinants of Health, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran;

关键词: Childhood obesity;    Delphi;    policy dialogue;    evidenced-informed policy;   

DOI  :  10.1186/s12887-022-03796-z

 received in 2022-06-01, accepted in 2022-12-09,  发布年份 2022

来源: Springer

【 摘 要 】

BackgroundThe prevalence of childhood obesity (CO) and related complications is high and alarmingly increasing in Iran. This study applied a mixed Delphi & Policy Dialogue approach to exploring and prioritizing policy options to control childhood obesity in Iran.MethodsThis study is organized in three Delphi phases followed by a policy dialogue session. This study applied the advocacy collation framework and evidence-informed policy-making approach to enhance the chance of a feasible and acceptable policy package. The first step consisted of interviews with 30 experts and primary stakeholders. Based on their answers and a comprehensive literature review, a list of presumed effective policy options to combat CO in Iran was made. Then, panelists were asked to score each policy option using a five-point Likert scale in seven constructs. To maximize the spread of opinions, panelists were chosen to represent three perspectives: policy-makers at different levels, presidents of various organizations who would implement potential policy options, and academics. Twenty-one stakeholders were invited to discuss the policy options in a policy dialogue section.ResultsWe introduced 27 policy options and asked stakeholders to rank them using seven criteria on a five-level Likert scale. Totally, 41 experts participated in round 2 (66.2% response rate), and 33 experts took part in round 3 (72% response rate). Participants believed that healthy schools, creating healthy environments in kindergartens and other child care centers, subsidizing healthy foods, educating healthy lifestyles in mass media, and increasing access to physical activity facilities are the most effective and feasible policies in controlling CO. After the policy dialogue, the healthy school remained the most prioritized policy. a policy package to combat CO in Iran was designed with the participation of all stakeholders.ConclusionThe advocacy collation framework and the evidence-informed policy-making approach were used to draft a policy package to combat CO, increasing the acceptability and feasibility of the developed policy package.Graphical Abstract

【 授权许可】

CC BY   
© The Author(s) 2022

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