Comprehensive application of a systems approach to obesity prevention: a scoping review of empirical evidence

Frontiers in Public Health

Public Health

Charlie Foster¹  Remco Peters¹  Bai Li¹  Mohammed Alharbi¹  Steve Allender²  Boyd Swinburn³ 

[1] Centre for Exercise, Nutrition and Health Sciences, School for Policy Studies, University of Bristol, Bristol, United Kingdom;Global Centre for Preventive Health and Nutrition (GLOBE), Institute for Health Transformation, Faculty of Health, Deakin University, Geelong, VIC, Australia;School of Population Health, University of Auckland, Auckland, New Zealand;

关键词: systems approach;    systems thinking;    obesity prevention;    group model building;    system dynamics;    intervention development;    intervention implementation;    intervention evaluation;   

DOI  :  10.3389/fpubh.2023.1015492

 received in 2022-08-09, accepted in 2023-06-12,  发布年份 2023

来源: Frontiers

【 摘 要 】

A systems approach to obesity prevention is increasingly urged. However, confusion exists on what a systems approach entails in practice, and the empirical evidence on this new approach is unclear. This scoping review aimed to identify and synthesise studies/programmes that have comprehensively applied a systems approach to obesity prevention in intervention development, delivery/implementation, and evaluation. By searching international databases and grey literature, only three studies (10 publications) met inclusion criteria, which might be explained partially by suboptimal reporting. No conclusion on the effectiveness of this approach can be drawn yet due to the limited evidence base. We identified common features shared by the included studies, such as measuring ongoing changes, in addition to endpoint outcomes, and supporting capacity building. Some facilitators and barriers to applying a comprehensive systems approach in practice were identified. More well-designed and reported studies are needed, especially from low- and middle-income countries.

【 授权许可】

Unknown   
Copyright © 2023 Li, Alharbi, Allender, Swinburn, Peters and Foster.