ArticleBMC public health2018
Development and testing of a novel survey to assess Stakeholder-driven Community Diffusion of childhood obesity prevention efforts.
Article in BMC public health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.
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Who cites it
23 citing papers in PubMed, 2 syntheses or guidelines pooled it, 51 citations in OpenAlex.
- Measurement and evaluation of community engagement in complex, chronic medical conditions: HIV and obesity as exemplar conditions.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2025Pooled it
- Engaging Coalitions in Community-Based Childhood Obesity Prevention Interventions: A Mixed Methods Assessment.Childhood obesity (Print)Pooled it
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- Developing and implementing whole systems approaches to reduce inequalities in childhood obesity: A mixed methods study in Dundee, Scotland.Public health in practice (Oxford, England) · 2025Article
- Lived experience of participants who engaged in the co-creation of initiatives to improve children's health in a rural Australian community.The Australian journal of rural health · 2023Article
- Exploratory Analysis of Social Networks Linked to the Provision of Beverages in Costa Rican Schools.Nutrients · 2023Article
- Community coalition efforts to prevent childhood obesity: two-year results of the Shape Up Under 5 study.BMC public health · 2023Article
- Participatory System Dynamics Approach Targeting Childhood Health in a Small Danish Community (Children's Cooperation Denmark): Protocol for a Feasibility Study Design.JMIR research protocols · 2023Article
- Using Agent-Based Modeling to Extrapolate Community-Wide Impact from a Stakeholder-Driven Childhood Obesity Prevention Intervention: Shape Up Under 5.Childhood obesity (Print) · 2023Article
- Implementing a stakeholder-driven community diffusion-informed intervention to create healthier, more equitable systems: a community case study in Greenville County, South Carolina.Frontiers in public health · 2023Article
- Article
- Tracing coalition changes in knowledge in and engagement with childhood obesity prevention to improve intervention implementation.BMC public health · 2022Article
- Article
- Implementing and Evaluating a Stakeholder-Driven Community Diffusion-Informed Early Childhood Intervention to Prevent Obesity, Cuyahoga County, Ohio, 2018-2020.Preventing chronic disease · 2022Article
- Validation and refinement of the Stakeholder-driven Community Diffusion Survey for childhood obesity prevention.Implementation science : IS · 2021Article
- Rural community systems: Youth physical activity promotion through community collaboration.Preventive medicine reports · 2021Article
- Evolution of a Coalition Network during a Whole-of-Community Intervention to Prevent Early Childhood Obesity.Childhood obesity (Print) · 2021Article
- Article
- A rural community moves closer to sustainable obesity prevention - an exploration of community readiness pre and post a community-based participatory intervention.BMC public health · 2019Article
- Collaboration in Complex Systems: Multilevel Network Analysis for Community-Based Obesity Prevention Interventions.Scientific reports · 2019Article
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Authors and funding
13 authors at 7 institutions in 3 countries.
Funding
Abstract
backgroundInvolving groups of community stakeholders (e.g., steering committees) to lead community-wide health interventions appears to support multiple outcomes ranging from policy and systems change to individual biology. While numerous tools are available to measure stakeholder characteristics, many lack detail on reliability and validity, are not context specific, and may not be sensitive enough to capture change over time. This study describes the development and reliability of a novel survey to measure Stakeholder-driven Community Diffusion via assessment of stakeholders' social networks, knowledge, and engagement about childhood obesity prevention.
methodsThis study was completed in three phases. Phase 1 included conceptualization and online survey development through literature reviews and expert input. Phase 2 included a retrospective study with stakeholders from two completed whole-of-community interventions. Between May-October 2015, 21 stakeholders from the Shape Up Somerville and Romp & Chomp interventions recalled their social networks, knowledge, and engagement pre-post intervention. We also assessed one-week test-retest reliability of knowledge and engagement survey modules among Shape Up Somerville respondents. Phase 3 included survey modifications and a second prospective reliability assessment. Test-retest reliability was assessed in May 2016 among 13 stakeholders involved in ongoing interventions in Victoria, Australia.
resultsIn Phase 1, we developed a survey with 7, 20 and 50 items for the social networks, knowledge, and engagement survey modules, respectively. In the Phase 2 retrospective study, Shape Up Somerville and Romp & Chomp networks included 99 and 54 individuals. Pre-post Shape Up Somerville and Romp & Chomp mean knowledge scores increased by 3.5 points (95% CI: 0.35-6.72) and (- 0.42-7.42). Engagement scores did not change significantly (Shape Up Somerville: 1.1 points (- 0.55-2.73); Romp & Chomp: 0.7 points (- 0.43-1.73)). Intraclass correlation coefficients (ICCs) for knowledge and engagement were 0.88 (0.67-0.97) and 0.97 (0.89-0.99). In Phase 3, the modified knowledge and engagement survey modules included 18 and 25 items, respectively. Knowledge and engagement ICCs were 0.84 (0.62-0.95) and 0.58 (0.23-0.86).
conclusionsThe survey measures upstream stakeholder properties-social networks, knowledge, and engagement-with good test-retest reliability. Future research related to Stakeholder-driven Community Diffusion should focus on prospective change and survey validation for intervention effectiveness.
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