ArticlePerspectives in public health2023
Whole systems approach to diet and healthy weight: a longitudinal process evaluation in East Scotland.
Article in Perspectives in public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Implementation evaluation of a whole systems approach (WSA) to childhood overweight and obesity in local communities: findings from the Children and Families Pilot in Wales, UK.BMC public health · 2026Article
- Involving community members in designing behavioural weight management programmes: a scoping review.BMC public health · 2026Article
- 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
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Authors and funding
10 authors.
Funding
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Abstract
aimsObesity contributes to morbidity and early mortality, affecting people of all ages and sociodemographic backgrounds. Despite attempts to address obesity, efforts to date have only had limited success. Adopting a whole systems approach (WSA) may potentially address obesity and emphasise complex inter-relating factors beyond individual choice. This study aimed to assess implementation of WSA to diet and healthy weight in two council areas of Scotland, longitudinally exploring enablers and barriers. One area followed a Leeds Beckett WSA model (LBM) of implementation, while the other used a hybrid model incorporating existing working systems.
methodsTo assess the process of implementing a WSA, interviews and focus groups were conducted after initiation and 1 year later.
resultsMain enablers included: belief in WSA effectiveness; positive relationships between key personnel; buy-in at community and national levels; funding availability; the working group responsible for coordinating the system development comprising individuals with diverse expertise; good communication; and existing governance structures. Barriers included: insufficient funding; high staff turnover; inadequate training in WSA methodology; engaging all relevant stakeholders and reverting to 'old ways' of non-WSA working. The LBM provided a framework for system setup and generating an action plan.
conclusionThis study provides the first independent longitudinal process evaluation of WSAs that have incorporated Leeds Beckett methodology, and offers insights into how a WSA can be implemented to address diet and healthy weight.
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