Unravelling the factors decisive to the implementation of EPODE-derived community approaches targeting childhood obesity: a longitudinal, multiple case study

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dc.contributor.authorvan der Kleij, Maria Rianne
dc.contributor.authorCrone, Mathilde
dc.contributor.authorReis, Ria
dc.contributor.authorPaulussen, Theo
dc.date.accessioned2021-10-08T07:04:19Z
dc.date.available2021-10-08T07:04:19Z
dc.date.issued2016
dc.description.abstractAbstract Background Implementation of intersectoral community approaches often fails due to a translational gap between the approach as intended and the approach as implemented in practice. Knowledge about the implementation determinants of such approaches is needed to facilitate future implementation processes. Methods The implementation of five EPODE-derived intersectoral community approaches was studied longitudinally. Semi-structured interviews were held with 189 community stakeholders from four sectors to elucidate which determinants influenced implementation, and if an to which extent determinants differed across communities, sectors and over time. A framework approach was used to analyze our data. Results Twenty-two key determinants of implementation were identified. Facilitators named were mostly proximal (stakeholder level), and barriers were mostly distal (context level). Key determinants varied greatly across sectors and over time, especially between the educational & health care sector and the private, welfare & sports sector. Only ‘perceived importance of IACO goals’ was identified as an universal implementation facilitator. Conclusions Striking differences in determinants were found across sectors and over time. Also, stakeholders expressed that possibilities to adapt the approach to the local context were needed to improve implementation. We therefore propose to develop sector- and time specific leads for implementation, which should be approved and amended (over time) by stakeholders. This so-called ‘mutual adaptation’ allows for the use of both scientific insights and practice-based knowledge, enabling program management and community stakeholders to collaboratively improve their implementation efforts.
dc.identifier.apacitationvan der Kleij, M. R., Crone, M., Reis, R., & Paulussen, T. (2016). Unravelling the factors decisive to the implementation of EPODE-derived community approaches targeting childhood obesity: a longitudinal, multiple case study. <i>International Journal of Behavioral Nutrition and Physical Activity</i>, 13(1), 174 - 177. http://hdl.handle.net/11427/34480en_ZA
dc.identifier.chicagocitationvan der Kleij, Maria Rianne, Mathilde Crone, Ria Reis, and Theo Paulussen "Unravelling the factors decisive to the implementation of EPODE-derived community approaches targeting childhood obesity: a longitudinal, multiple case study." <i>International Journal of Behavioral Nutrition and Physical Activity</i> 13, 1. (2016): 174 - 177. http://hdl.handle.net/11427/34480en_ZA
dc.identifier.citationvan der Kleij, M.R., Crone, M., Reis, R. & Paulussen, T. 2016. Unravelling the factors decisive to the implementation of EPODE-derived community approaches targeting childhood obesity: a longitudinal, multiple case study. <i>International Journal of Behavioral Nutrition and Physical Activity.</i> 13(1):174 - 177. http://hdl.handle.net/11427/34480en_ZA
dc.identifier.issn1479-5868
dc.identifier.ris TY - Journal Article AU - van der Kleij, Maria Rianne AU - Crone, Mathilde AU - Reis, Ria AU - Paulussen, Theo AB - Abstract Background Implementation of intersectoral community approaches often fails due to a translational gap between the approach as intended and the approach as implemented in practice. Knowledge about the implementation determinants of such approaches is needed to facilitate future implementation processes. Methods The implementation of five EPODE-derived intersectoral community approaches was studied longitudinally. Semi-structured interviews were held with 189 community stakeholders from four sectors to elucidate which determinants influenced implementation, and if an to which extent determinants differed across communities, sectors and over time. A framework approach was used to analyze our data. Results Twenty-two key determinants of implementation were identified. Facilitators named were mostly proximal (stakeholder level), and barriers were mostly distal (context level). Key determinants varied greatly across sectors and over time, especially between the educational & health care sector and the private, welfare & sports sector. Only ‘perceived importance of IACO goals’ was identified as an universal implementation facilitator. Conclusions Striking differences in determinants were found across sectors and over time. Also, stakeholders expressed that possibilities to adapt the approach to the local context were needed to improve implementation. We therefore propose to develop sector- and time specific leads for implementation, which should be approved and amended (over time) by stakeholders. This so-called ‘mutual adaptation’ allows for the use of both scientific insights and practice-based knowledge, enabling program management and community stakeholders to collaboratively improve their implementation efforts. DA - 2016 DB - OpenUCT DP - University of Cape Town IS - 1 J1 - International Journal of Behavioral Nutrition and Physical Activity LK - https://open.uct.ac.za PY - 2016 SM - 1479-5868 T1 - Unravelling the factors decisive to the implementation of EPODE-derived community approaches targeting childhood obesity: a longitudinal, multiple case study TI - Unravelling the factors decisive to the implementation of EPODE-derived community approaches targeting childhood obesity: a longitudinal, multiple case study UR - http://hdl.handle.net/11427/34480 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/34480
dc.identifier.vancouvercitationvan der Kleij MR, Crone M, Reis R, Paulussen T. Unravelling the factors decisive to the implementation of EPODE-derived community approaches targeting childhood obesity: a longitudinal, multiple case study. International Journal of Behavioral Nutrition and Physical Activity. 2016;13(1):174 - 177. http://hdl.handle.net/11427/34480.en_ZA
dc.language.isoeng
dc.publisher.departmentDivision of Child and Adolescent Psychiatry
dc.publisher.facultyFaculty of Health Sciences
dc.sourceInternational Journal of Behavioral Nutrition and Physical Activity
dc.source.journalissue1
dc.source.journalvolume13
dc.source.pagination174 - 177
dc.source.urihttps://dx.doi.org/10.1186/s12966-016-0423-5
dc.subject.otherGestion et management
dc.subject.otherGestion
dc.subject.othercommunauté
dc.subject.othervie
dc.subject.othersavoir
dc.subject.otherclé
dc.subject.otheravenir
dc.subject.otherprivé
dc.subject.othersports
dc.subject.othersanté
dc.subject.otherterre
dc.subject.othersciences humaines
dc.subject.otherHealth
dc.subject.otherChildren
dc.subject.otherCommunity approach
dc.subject.otherImplementation
dc.subject.otherIntersectoral collaboration
dc.subject.otherObesity prevention
dc.subject.otherProcess evaluation
dc.subject.otherHealthy for Life
dc.subject.otherHealthy Living
dc.subject.otherLife
dc.subject.otherCH - Child Health
dc.subject.otherELSS - Earth
dc.subject.otherLife and Social Sciences
dc.titleUnravelling the factors decisive to the implementation of EPODE-derived community approaches targeting childhood obesity: a longitudinal, multiple case study
dc.typeJournal Article
uct.type.publicationResearch
uct.type.resourceJournal Article
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