ArticlePreventing chronic disease2022
Implementing and Evaluating a Stakeholder-Driven Community Diffusion-Informed Early Childhood Intervention to Prevent Obesity, Cuyahoga County, Ohio, 2018-2020.
Article in Preventing chronic disease, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.
What it found
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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.
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Who cites it
15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 19 citations in OpenAlex.
- Participatory systems mapping: a review of population health research practice.Health research policy and systems · 2026Pooled it
- Success of community-based system dynamics in prevention interventions: A systematic review of the literature.Frontiers in public health · 2023Pooled it
- Trial
- Participatory system dynamics in implementation science practice: a scoping review of methods, contexts and outcomes.BMJ open quality · 2026Article
- Identifying Synergistic Mechanisms of Community-Led Policy, Systems, and Environmental Change for Childhood Obesity Prevention in the Multi-Site Catalyzing Communities Initiative.Journal of urban health : bulletin of the New York Academy of Medicine · 2026Article
- Article
- Causal Loop Diagrams of Food Systems, Diet, and Obesity: A Scoping Review of Methods, Contextual Factors, and Outcomes.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2025Article
- Community-led change: Progress toward policy, systems, and environmental impacts through the Catalyzing Communities initiative.PloS one · 2025Article
- Applying Community-based System Dynamics to promote child health equity: the case of healthy and fit kids in Milwaukee, WI.Frontiers in public health · 2024Article
- Changes in systems thinking and health equity considerations across four communities participating in Catalyzing Communities.PloS one · 2024Article
- The Contribution of Implementation Evaluation to the Field of Public Health.Preventing chronic disease · 2023Article
- The use of participatory systems mapping as a research method in the context of non-communicable diseases and risk factors: a scoping review.Health research policy and systems · 2023Article
- Community coalition efforts to prevent childhood obesity: two-year results of the Shape Up Under 5 study.BMC public health · 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
- Community Co-Design of Regional Actions for Children's Nutritional Health Combining Indigenous Knowledge and Systems Thinking.International journal of environmental research and public health · 2022Article
Corrections and comments
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Authors and funding
9 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
PURPOSE AND
objectivesThe purpose of this article is to demonstrate and evaluate aspects of a Stakeholder-Driven Community Diffusion (SDCD)-informed intervention with a group of stakeholders drawn from a large coalition seeking a novel approach for promoting policy, systems, and environmental-level change. The objectives were to implement an SDCD intervention, assess changes in participants' perspectives, and evaluate where the group's actions fit within the context of a systems map that the group created during the intervention. INTERVENTION APPROACH: An SDCD-informed intervention convened 12 multisector stakeholders from the Early Ages Healthy Stages coalition in Cuyahoga County, Ohio. They participated in group model building activities to promote systems thinking related to childhood obesity prevention, reviewed evidence about topics of interest to the group, and were provided with technical assistance and seed funding to guide the selection and implementation of actions prioritized by the group. EVALUATION
methodsData were collected via meeting notes and group model building outputs to demonstrate implementation and action prioritization; online surveys and qualitative interviews to measure perspective change among stakeholders; and a follow-up survey to the broader coalition assessing actions coalition members were taking.
resultsAn SDCD-informed intervention guided the development of a systems map and the selection of 4 actions: 1) develop a better understanding of the local early childcare environment; 2) assess the effectiveness and impact of Ohio Healthy Programs (OHP); 3) advocate for OHP and improved early childhood education quality; and 4) hold OHP designees accountable to high-quality programming. Data collected from surveys and interviews showed increased awareness of programs, resources, and collaboration opportunities among stakeholders. Follow-up survey results showed ongoing coalition action throughout the systems map. IMPLICATIONS FOR PUBLIC HEALTH: Using an SDCD-informed intervention among a coalition of community stakeholders provided a unique approach for implementing, assessing, and analyzing collaborative efforts to prevent childhood obesity in Cuyahoga County. Our approach can be applied to help researchers and stakeholders improve efforts to address childhood obesity in their communities.
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Registered trials
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.