Evaluation of a whole system approach to diet and healthy weight in the east of Scotland: Study protocol

Breslin, Gavin; Wills, Wendy; Bartington, Suzanne; Bontoft, Charis; Fakoya, Olujoke; Freethy, Imogen; García-Iglesias, Jaime; Howlett, Neil; Jones, Julia; Lebcir, Reda; Lloyd, Nigel; Newby, Katie; Smeeton, Nigel; Wagner, Adam Zsolt; Wellings, Amander; Wellsted, David; Brown, Katherine

doi:10.1371/journal.pone.0265667

Cited by 7 publications

(17 citation statements)

References 5 publications

(6 reference statements)

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“…6 Location descriptions and population demographics are included in the study protocol, alongside further study detail. 4 Focus groups and interviews sought to explore: how stakeholders got involved with the WSA and their initial understandings of them; the process and experience of WSA implementation; enablers of and barriers to WSAs. Focus groups and interviews had been planned for three time points, with the third intended to collect data about implementation of WSA action plans.…”

Section: Methods Designmentioning

confidence: 99%

“…Whole systems approach to diet and healthy weight: a longitudinal process evaluation in East Scotland PEEr rEVIEW Peer review attempts to address this epidemic through policy and intervention, success has been limited. 4 Limited impact may be explained in part because single policies (e.g. introduction of a levy on sugary drinks) and intervention targeted at specific population segments (e.g.…”

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confidence: 99%

“…12 Therefore, there remains a need for robust longitudinal evidence to strengthen WSAs in government policy and practice. 4,10,11 In addition, there is a paucity of evidence on factors important for successful WSA set-up and implementation. The National Institute for Health Care and Excellence (NICE) commissioned an evidence review of WSAs to obesity to inform the delivery of WSAs.…”

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confidence: 99%

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Whole systems approach to diet and healthy weight: a longitudinal process evaluation in East Scotland

Breslin,

Wills,

Bontoft

et al. 2023

Perspect Public Health

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Aims: Obesity contributes to morbidity and early mortality, affecting people of all ages and sociodemographic backgrounds. Despite attempts to address obesity, efforts to date have only had limited success. Adopting a whole systems approach (WSA) may potentially address obesity and emphasise complex inter-relating factors beyond individual choice. This study aimed to assess implementation of WSA to diet and healthy weight in two council areas of Scotland, longitudinally exploring enablers and barriers. One area followed a Leeds Beckett WSA model (LBM) of implementation, while the other used a hybrid model incorporating existing working systems. Methods: To assess the process of implementing a WSA, interviews and focus groups were conducted after initiation and 1 year later. Results: Main enablers included: belief in WSA effectiveness; positive relationships between key personnel; buy-in at community and national levels; funding availability; the working group responsible for coordinating the system development comprising individuals with diverse expertise; good communication; and existing governance structures. Barriers included: insufficient funding; high staff turnover; inadequate training in WSA methodology; engaging all relevant stakeholders and reverting to ‘old ways’ of non-WSA working. The LBM provided a framework for system setup and generating an action plan. Conclusion: This study provides the first independent longitudinal process evaluation of WSAs that have incorporated Leeds Beckett methodology, and offers insights into how a WSA can be implemented to address diet and healthy weight.

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Section: Methods Designmentioning

confidence: 99%

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confidence: 99%

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confidence: 99%

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Whole systems approach to diet and healthy weight: a longitudinal process evaluation in East Scotland

Breslin,

Wills,

Bontoft

et al. 2023

Perspect Public Health

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“…Literature reviews of evaluations of system approaches to health recommend several approaches and methods; the embedded researcher approach, qualitative inquiry (process evaluation) through a systems thinking lens, systems mapping, network mapping, ripple effects mapping, and dynamic systems modelling (14,17,(21)(22)(23). Such methods are applied in evaluations of whole systems approaches ( (14,17,19,24)). However, to our knowledge, there are no existing guidelines, protocols or evaluation studies reporting on evaluating whole-systems approaches focussed on children and families.…”

Section: Evaluations Of Whole-system Physical Activity Interventionsmentioning

confidence: 99%

Child and family experiences of a whole-system approach to physical activity: a citizen science evaluation protocol

Frazer

Seims

Tatterton

et al. 2022

Preprint

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Introduction: Whole systems approaches are being adopted to tackle physical inactivity. The mechanisms contributing to changes resulting from whole system approaches are not fully understood. The voices of children and families that these approaches are designed for need to be heard to understand what is working, for whom, where, and in what context. This paper describes the protocol for the children and families citizen science evaluation of the JU:MP programme, a whole systems approach to increasing physical activity in children and young people aged 5-14 years in Bradford, UK. Methods and analysis: The evaluation aims to understand the lived experiences of children and families' relationship with physical activity and participation in the JU:MP programme. The study takes a collaborative and contributory citizen science approach, including focus groups, parent-child dyad interviews and participatory research. Feedback and data will guide changes within this study and the JU:MP programme. We also aim to examine participant experience of citizen science and the suitability of a citizen science approach to evaluate a whole systems approach. Data will be analysed using Framework approach alongside iterative analysis with and by citizen scientists in the collaborative citizen science study. Ethics and dissemination: Ethical approval has been granted by The University of Bradford: Study One (E891-focus groups as part of the control trial, E982-parent-child dyad interviews), Study Two (E992). Results will be published in peer-reviewed journals and summaries will be provided to the participants, through schools or directly. The citizen scientists input to create further dissemination opportunities.

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“…Literature reviews of evaluations of system approaches to health recommend several approaches and methods: the embedded researcher approach, qualitative inquiry (process evaluation) through a systems thinking lens, systems mapping, network mapping, ripple effect mapping and dynamic systems modelling 14 17 21–23. Such methods are applied in evaluations of whole-systems approaches 14 17 19 24. However, to our knowledge, there are no existing guidelines, protocols or evaluation studies reporting on evaluating whole-systems approaches focused on children and families.…”

Section: Introductionmentioning

confidence: 99%

Child and family experiences of a whole-systems approach to physical activity in a multiethnic UK city: a citizen science evaluation protocol

et al. 2023

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IntroductionWhole-systems approaches are being adopted to tackle physical inactivity. The mechanisms contributing to changes resulting from whole-systems approaches are not fully understood. The voices of children and families that these approaches are designed for need to be heard to understand what is working, for whom, where and in what context. This paper describes the protocol for the children and families’ citizen science evaluation of the Join Us: Move, Play (JU:MP) programme, a whole-systems approach to increasing physical activity in children and young people aged 5–14 years in Bradford, UK.Methods and analysisThe evaluation aims to understand the lived experiences of children and families’ relationship with physical activity and participation in the JU:MP programme. The study takes a collaborative and contributory citizen science approach, including focus groups, parent–child dyad interviews and participatory research. Feedback and data will guide changes within this study and the JU:MP programme. We also aim to examine participant experience of citizen science and the suitability of a citizen science approach to evaluate a whole-systems approach. Data will be analysed using framework approach alongside iterative analysis with and by citizen scientists in the collaborative citizen science study.Ethics and disseminationEthical approval has been granted by the University of Bradford: study one (E891—focus groups as part of the control trial, E982—parent–child dyad interviews) and study two (E992). Results will be published in peer-reviewed journals and summaries will be provided to the participants, through schools or directly. The citizen scientists will provide input to create further dissemination opportunities.

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Evaluation of a whole system approach to diet and healthy weight in the east of Scotland: Study protocol

Cited by 7 publications

References 5 publications

Whole systems approach to diet and healthy weight: a longitudinal process evaluation in East Scotland

Whole systems approach to diet and healthy weight: a longitudinal process evaluation in East Scotland

Child and family experiences of a whole-system approach to physical activity: a citizen science evaluation protocol

Child and family experiences of a whole-systems approach to physical activity in a multiethnic UK city: a citizen science evaluation protocol

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