Evidence map›Paper›PMID 34174853›Full record

ArticleBMC public health2021

Tracking implementation within a community-led whole of system approach to address childhood overweight and obesity in south west Sydney, Australia.

Nicola Maitland, Karen Wardle, Jill Whelan, Bin Jalaludin, Doug Creighton, Michael Johnstone, Josh Hayward, Steven Allender

Open access · goldAbstract read
In one paragraph

Article in BMC public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 4 pooled it
10.7field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 4 syntheses or guidelines pooled it, 47 citations in OpenAlex.

  1. Pooled it
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  3. Umbrella review of systematic reviews to inform the development and translation of community-based childhood obesity prevention interventions.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2025
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  12. Systems approaches in public health: beyond mapping the causes.The international journal of behavioral nutrition and physical activity · 2025
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  15. A system dynamics approach to understand Dutch adolescents' sleep health using a causal loop diagram.The international journal of behavioral nutrition and physical activity · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Nicola MaitlandHealth Promotion Service, Population Health, South Western Sydney Local Health District, Liverpool, New South Wales, Australia. Nicola.Maitland@health.nsw.gov.au.
Karen WardleHealth Promotion Service, Population Health, South Western Sydney Local Health District, Liverpool, New South Wales, Australia.
Jill WhelanGlobal Obesity Centre, Institute for Health Transformation, Deakin University, Geelong, Australia.
Bin JalaludinPopulation Health Intelligence, South Western Sydney Local Health District, Liverpool, New South Wales, Australia.
Doug CreightonInstitute for Intelligent Systems Research and Innovation, Deakin University, Waurn Ponds, Victoria, Australia.
Michael JohnstoneInstitute for Intelligent Systems Research and Innovation, Deakin University, Waurn Ponds, Victoria, Australia.
Josh HaywardGlobal Obesity Centre, Institute for Health Transformation, Deakin University, Geelong, Australia.
Steven AllenderGlobal Obesity Centre, Institute for Health Transformation, Deakin University, Geelong, Australia.
Deakin University · AUSouth Western Sydney Local Health District · AUIngham Institute · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundObesity is a chronic disease that contributes to additional comorbidities including diabetes, kidney disease and several cancers. Change4Campbelltown implemented a 'whole of system' approach to address childhood overweight and obesity. We present methods to track implementation and stakeholder engagement in Change4Campbelltown.

methodsChange4Campbelltown aimed to build capacity among key leaders and the broader community to apply techniques from systems thinking to develop community-led actions that address childhood obesity. Change4Campbelltown comprised development of a stakeholder-informed Causal Loop Diagram (CLD) and locally-tailored action plan, formation of key stakeholder and community working groups to prioritise and implement actions, and continuous monitoring of intervention actions. Implementation data included an action register, stakeholder engagement database and key engagement activities and were collected quarterly by the project management team over 2 years of reporting.

resultsEngagement activities increased level of community engagement amongst key leaders, the school-sector and community members. Community-led action increased as engagement increased and this action is mapped directly to the primary point of influence on the CLD. As action spread diversified across the CLD, the geographical spread of action within the community increased.

conclusionsThis paper provides a pragmatic example of the methods used to track implementation of complex interventions that are addressing childhood overweight and obesity.

Indexed as

Pediatric ObesityAustraliaChildCommunity ParticipationHumansSchoolsChildhood obesityCommunity-based interventionsImplementation scienceTracking implementationWhole of system approach

Identifiers

PMID34174853
PMCPMC8236147
OpenAlexW3173449059

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.