Challenges and Lessons Learned from Multi-Level Multi-Component Interventions to Prevent and Reduce Childhood Obesity

Gittelsohn, Joel; Novotny, Rachel; Trude, Angela; Butel, J; Mikkelsen, Bent Egberg

doi:10.3390/ijerph16010030

Cited by 20 publications

(26 citation statements)

References 46 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Worldwide, about a third of all the food that is produced for human consumption is never eaten [35,36]. This phenomenon is known as food loss or food waste (FLW).…”

Section: Food Losses and Waste (Flw) As A Case Study Flw Reduction Strategy As A Transition Pathway Towards A Circular Food Systemmentioning

confidence: 99%

Moving from Niche to Norm: Lessons from Food Waste Initiatives

et al. 2021

View full text Add to dashboard Cite

For a transition to a circular economy to take place, behavioural change from people who are part of the transition is a key requirement. However, this change often does not occur by itself. For systemic behavioural change, policy instruments that incentivise behaviour supporting circular food systems play a key role. These instruments need to be aligned with the environment in which the behaviour takes place. In this study, we scrutinise a case study with five initiatives on the reduction of food loss and waste (FLW) contributing to a circular food system, to understand how specific, well-targeted combinations of instruments as well as other contextual and personal factors can fuel the transition to a circular economy and the reduction of FLW. All the initiatives are taking place under the umbrella of the Dutch initiative “United against food waste” (STV). We use a behavioural change perspective to assess how initiatives that support circular food systems arise and how they can be further supported. Based on the case-study analysis, we arrive at five common success traits and barriers, and five key needs for upscaling. We conclude that motivated, inspiring frontrunners are of key importance in the initial phase of a transition process. However, once a niche initiative is ready to be scaled up, the enabling environment becomes increasingly important.

show abstract

“…Worldwide, about a third of all the food that is produced for human consumption is never eaten [35,36]. This phenomenon is known as food loss or food waste (FLW).…”

Section: Food Losses and Waste (Flw) As A Case Study Flw Reduction Strategy As A Transition Pathway Towards A Circular Food Systemmentioning

confidence: 99%

Moving from Niche to Norm: Lessons from Food Waste Initiatives

et al. 2021

View full text Add to dashboard Cite

show abstract

“…All initiatives contained multiple intervention elements. This is a positive aspect, since various behaviour change studies indicate that multiple-component interventions are usually more effective than single component interventions (Gittelsohn et al, 2018;Michie et al, 2009;Schoeppe et al, 2016). 'Enablement' was applied in all initiatives and 'Education' in almost all initiatives.…”

Section: Enablement and Education Most Used Intervention Strategies In The Initiativesmentioning

confidence: 99%

Behavioural insights from food waste initiatives: what do they teach us? : Case study Food Waste Free United

Zeinstra¹,

Vlag²,

Haar³

et al. 2021

View full text Add to dashboard Cite

Six key success factors were distracted from the interviews. These were motivated individuals, awareness of the food waste problem, collaboration, presence of resources (time, money, manpower), capabilities (skills, expertise and entrepreneurship) and sufficient communication within one's own organisation, within the collaboration and towards the outside world. Four key barriers were identified. These include the different interests of stakeholders (also different expectations and priorities), a lack of resources (time, money, manpower), the challenges of new initiatives such as uncertainty and getting commitment, and the vulnerability of initiatives that flourish on motivation.Strengths of this case study are the diversity of initiatives, resulting in an extensive overview of perspectives, and the fact that the initiatives have been implemented in practice, leading to real-world behavioural insights. A limitation was that a maximum of five initiatives could be included and the guide was developed from an initiator point of view, making certain questions less applicable to participants.By taking all results into account, several key learnings came forward to support future food loss and waste reduction initiatives. Firstly, use an integrated sector approach and stimulate collaboration and partnerships. Secondly, ensure continuity by constant attention, agenda setting and having a longterm vision. Thirdly, it is important to start small and simple, and keep some flexibility to adapt to the situation at hand. Furthermore, it is recommended to assess the impact by measuring the effects on food waste reduction as well as other gains. Showing and sharing these successes works 'connecting', helps setting new (social/company) norms and acts as a motivator for action. Finally, because the focus of the initiatives was on motivation and opportunity, it is recommended that developers also check whether (c)abilities (knowledge and skills) of actors are sufficient for the required behavioural change. The key learning for STV is to be as clear as possible towards her stakeholders on what it

show abstract

“… 4 Moreover, system-level barriers, including nutrition misinformation, choice overload, and cost, impede healthy eating patterns. 5 Multicomponent interventions to improve food choice extending beyond nutrition education 6 have become more common with greater recognition of the complexity of food decisions. 7 , 8 , 9 , 10 Insights from behavioral economics, including choice architecture, taxation, and subsidies, have enhanced behavioral interventions and demonstrated short-term success toward improving health behaviors.…”

Section: Introductionmentioning

confidence: 99%

Effect of Personalized Incentives on Dietary Quality of Groceries Purchased

et al. 2021

View full text Add to dashboard Cite

Key Points Question Does a semiautomated, personalized, healthy food incentive intervention improve grocery purchase dietary quality and percentage spending in targeted food groups? Findings In this randomized clinical crossover trial of 209 adult participants, healthy food incentives personalized according to customer data were associated with a small but significant improvement in grocery purchase quality and percentage spending on targeted food groups. Meaning A personalized healthy food incentive intervention increased grocery purchase quality and may be a promising population-based strategy for improving dietary intake.

show abstract

Challenges and Lessons Learned from Multi-Level Multi-Component Interventions to Prevent and Reduce Childhood Obesity

Cited by 20 publications

References 46 publications

Moving from Niche to Norm: Lessons from Food Waste Initiatives

Moving from Niche to Norm: Lessons from Food Waste Initiatives

Behavioural insights from food waste initiatives: what do they teach us? : Case study Food Waste Free United

Effect of Personalized Incentives on Dietary Quality of Groceries Purchased

Contact Info

Product

Resources

About