Creating a collective impact on childhood obesity: lessons from the scope initiative

Rising rates of obesity are driving the increasing burden of diseases such as type 2 diabetes, cardiovascular disease (1) and cancer. (2) Obesity and overweight during childhood are especially concerning [...]
OBJECTIVES: We describe the processes used in SCOPE, a community-based participatory research (CBPR) initiative, to achieve multisectoral engagement and collective action to prevent childhood obesity. PARTICIPANTS: SCOPE engages representatives from various sectors (local government, health, schools, recreation, local media, early childhood, community services) who influence the environments in which children live, learn and play. SETTING: SCOPE has been implemented in three communities in British Columbia (BC). INTERVENTION: SCOPE (www.live5210.ca) is a multi-setting, multi-component initiative designed to enhance a community&apos;s capacity to create and deliver localized solutions to promote healthy weights among children. SCOPE, in partnership with a local organization, engages multiple stakeholders who plan and implement actions framed by a common evidence-based health message (&apos;Live 5-2-1-0&apos;). SCOPE&apos;s central team in Vancouver, BC facilitates alignment with provincial initiatives, knowledge translation and exchange (KTE) within and across communities, and the collection, analysis and reporting of shared data. OUTCOMES: Best practice processes that have emerged from SCOPE&apos;s experience align with the principles of CBPR and the five conditions of Collective Impact--a common agenda, mutually reinforcing action, continuous communication, a backbone organization and shared measurement. SCOPE has achieved sustainable practice change framed by a common agenda (&apos;Live 5-2-1-0&apos;) leading to mutually reinforcing cross-sectoral action. CONCLUSION: A multi-pronged community-led childhood obesity prevention initiative can be achieved using CBPR principles and attending to the conditions for achieving collective impact. KEY WORDS: Pediatric obesity; prevention & control; health promotion; community-based participatory research Can J Public Health 2015;106(6):e426-e433 doi: 10.17269/CJPH.106.5114 OBJECTIFS: Nous decrivons les processus utilises par SCOPE, une initiative de recherche participative communautaire (RPC), pour obtenir une mobilisation multisectorielle et une action collective afin de prevenir l&apos;obesite juvenile. PARTICIPANTS: SCOPE recrute des representants de divers secteurs (administration municipale, sante, ecoles, loisirs, medias locaux, petite enfance, services communautaires) qui influencent les milieux de vie, d&apos;apprentissage et de jeu des enfants. LIEU: SCOPE est mise en oeuvre dans trois communautes de la ColombieBritannique (C.-B.). INTERVENTION: SCOPE (www.live5210.ca) est une initiative concertee, appliquee dans plusieurs milieux, qui vise a ameliorer la capacite d&apos;une communaute a creer et a offrir des solutions locales pour promouvoir les poids-sante chez les enfants. En partenariat avec un organisme local, SCOPE recrute plusieurs acteurs qui planifient et mettent en oeuvre des actions encadrees par un message de sante commun (<>) fonde sur des donnees probantes. L&apos;equipe centrale de SCOPE a Vancouver (C.-B.) facilite l&apos;harmonisation des actions avec les initiatives provinciales, l&apos;application et l&apos;echange des connaissances (AEC) dans et entre les communautes, ainsi que la cueillette, l&apos;analyse et la diffusion des donnees partagees. RESULTATS: Les pratiques exemplaires issues de l&apos;experience de SCOPE sont conformes aux principes de la RPC et aux <>, a savoir: un plan d&apos;action commun; des actions se soutenant mutuellement; la communication permanente; une structure de soutien; et un systeme d&apos;evaluation commun. SCOPE a obtenu des changements durables dans les pratiques, encadres par un plan d&apos;action commun (<>) qui a mene a des actions intersectorielles se soutenant mutuellement. CONCLUSION: Une initiative communautaire concertee de prevention de l&apos;obesite juvenile est possible si l&apos;on utilise les principes de la RPC et que l&apos;on porte attention aux conditions necessaires pour obtenir un impact collectif. MOTS CLES: obesite pediatrique; prevention et controle; promotion de la sante; recherche participative communautaire