A systems-based typological framework for understanding the sustainability, scalability, and reach of childhood obesity interventions

Terry T K Huang, Brandon L Grimm, Ross A. Hammond

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

This article proposes a systems-based framework to examine 3 structural dimensions of childhood obesity interventions that can impact intervention sustainability, scalability, and reach. These 3 dimensions are the locus of intervention drivers (top-down vs. bottom-up), the locus of change effected (policy vs. individual behavior), and the public versus private sector. Interventions focused on individual behavior change often rely on bottom-up approaches and have generally been less sustainable than policy interventions. However, top-down (government or industry) support can lead to better funding and shifts in social norms. In the public sector, top-down efforts targeting individual behavior are generally also more scalable and have wider reach to diverse communities. In the private sector, behavior-change interventions tend to have greater resources and are sustained over longer periods, even when efficacy is in question; they may also be quite scalable. In a systems approach, a combination of approaches that encompass the structural dimensions in systems space will likely be needed to significantly impact childhood obesity. Next-generation childhood obesity interventions should be able to demonstrate sustainability, scalability, and reach as benchmarks of plausible success and criteria for investment.

Original languageEnglish (US)
Pages (from-to)253-266
Number of pages14
JournalChildren's Health Care
Volume40
Issue number3
DOIs
StatePublished - Jul 1 2011

Fingerprint

Pediatric Obesity
Private Sector
Benchmarking
Public Sector
Systems Analysis
Industry

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Developmental and Educational Psychology
  • Clinical Psychology

Cite this

A systems-based typological framework for understanding the sustainability, scalability, and reach of childhood obesity interventions. / Huang, Terry T K; Grimm, Brandon L; Hammond, Ross A.

In: Children's Health Care, Vol. 40, No. 3, 01.07.2011, p. 253-266.

Research output: Contribution to journalArticle

@article{7d4d2c38dabd4d47a57c2e8f0ee234b3,
title = "A systems-based typological framework for understanding the sustainability, scalability, and reach of childhood obesity interventions",
abstract = "This article proposes a systems-based framework to examine 3 structural dimensions of childhood obesity interventions that can impact intervention sustainability, scalability, and reach. These 3 dimensions are the locus of intervention drivers (top-down vs. bottom-up), the locus of change effected (policy vs. individual behavior), and the public versus private sector. Interventions focused on individual behavior change often rely on bottom-up approaches and have generally been less sustainable than policy interventions. However, top-down (government or industry) support can lead to better funding and shifts in social norms. In the public sector, top-down efforts targeting individual behavior are generally also more scalable and have wider reach to diverse communities. In the private sector, behavior-change interventions tend to have greater resources and are sustained over longer periods, even when efficacy is in question; they may also be quite scalable. In a systems approach, a combination of approaches that encompass the structural dimensions in systems space will likely be needed to significantly impact childhood obesity. Next-generation childhood obesity interventions should be able to demonstrate sustainability, scalability, and reach as benchmarks of plausible success and criteria for investment.",
author = "Huang, {Terry T K} and Grimm, {Brandon L} and Hammond, {Ross A.}",
year = "2011",
month = "7",
day = "1",
doi = "10.1080/02739615.2011.590399",
language = "English (US)",
volume = "40",
pages = "253--266",
journal = "Children's Health Care",
issn = "0273-9615",
publisher = "Routledge",
number = "3",

}

TY - JOUR

T1 - A systems-based typological framework for understanding the sustainability, scalability, and reach of childhood obesity interventions

AU - Huang, Terry T K

AU - Grimm, Brandon L

AU - Hammond, Ross A.

PY - 2011/7/1

Y1 - 2011/7/1

N2 - This article proposes a systems-based framework to examine 3 structural dimensions of childhood obesity interventions that can impact intervention sustainability, scalability, and reach. These 3 dimensions are the locus of intervention drivers (top-down vs. bottom-up), the locus of change effected (policy vs. individual behavior), and the public versus private sector. Interventions focused on individual behavior change often rely on bottom-up approaches and have generally been less sustainable than policy interventions. However, top-down (government or industry) support can lead to better funding and shifts in social norms. In the public sector, top-down efforts targeting individual behavior are generally also more scalable and have wider reach to diverse communities. In the private sector, behavior-change interventions tend to have greater resources and are sustained over longer periods, even when efficacy is in question; they may also be quite scalable. In a systems approach, a combination of approaches that encompass the structural dimensions in systems space will likely be needed to significantly impact childhood obesity. Next-generation childhood obesity interventions should be able to demonstrate sustainability, scalability, and reach as benchmarks of plausible success and criteria for investment.

AB - This article proposes a systems-based framework to examine 3 structural dimensions of childhood obesity interventions that can impact intervention sustainability, scalability, and reach. These 3 dimensions are the locus of intervention drivers (top-down vs. bottom-up), the locus of change effected (policy vs. individual behavior), and the public versus private sector. Interventions focused on individual behavior change often rely on bottom-up approaches and have generally been less sustainable than policy interventions. However, top-down (government or industry) support can lead to better funding and shifts in social norms. In the public sector, top-down efforts targeting individual behavior are generally also more scalable and have wider reach to diverse communities. In the private sector, behavior-change interventions tend to have greater resources and are sustained over longer periods, even when efficacy is in question; they may also be quite scalable. In a systems approach, a combination of approaches that encompass the structural dimensions in systems space will likely be needed to significantly impact childhood obesity. Next-generation childhood obesity interventions should be able to demonstrate sustainability, scalability, and reach as benchmarks of plausible success and criteria for investment.

UR - http://www.scopus.com/inward/record.url?scp=80052132972&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=80052132972&partnerID=8YFLogxK

U2 - 10.1080/02739615.2011.590399

DO - 10.1080/02739615.2011.590399

M3 - Article

VL - 40

SP - 253

EP - 266

JO - Children's Health Care

JF - Children's Health Care

SN - 0273-9615

IS - 3

ER -