دورية أكاديمية
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Systems thinking for local food environments: a participatory approach identifying leverage points and actions for healthy and sustainable transformations.

التفاصيل البيبلوغرافية
العنوان: Systems thinking for local food environments: a participatory approach identifying leverage points and actions for healthy and sustainable transformations.
المؤلفون: Wopereis TM; Chair Group Consumption and Healthy Lifestyles, Department of Social Sciences, Wageningen University, Wageningen, 6706 KN, The Netherlands., Dijkstra C; Department of Health Sciences, Amsterdam Public Health Research Institute, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands., Wierda JJ; Chair Group Consumption and Healthy Lifestyles, Department of Social Sciences, Wageningen University, Wageningen, 6706 KN, The Netherlands., Rongen FC; Chair Group Consumption and Healthy Lifestyles, Department of Social Sciences, Wageningen University, Wageningen, 6706 KN, The Netherlands., Poelman MP; Chair Group Consumption and Healthy Lifestyles, Department of Social Sciences, Wageningen University, Wageningen, 6706 KN, The Netherlands. maartje.poelman@wur.nl.
المصدر: Health research policy and systems [Health Res Policy Syst] 2024 Aug 12; Vol. 22 (1), pp. 101. Date of Electronic Publication: 2024 Aug 12.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: BioMed Central Country of Publication: England NLM ID: 101170481 Publication Model: Electronic Cited Medium: Internet ISSN: 1478-4505 (Electronic) Linking ISSN: 14784505 NLM ISO Abbreviation: Health Res Policy Syst Subsets: MEDLINE
أسماء مطبوعة: Original Publication: [London] : BioMed Central, 2003-
مواضيع طبية MeSH: Food Supply* , Systems Analysis*, Humans ; Netherlands ; Stakeholder Participation ; Sustainable Development ; Commerce ; Environment ; Diet ; Food ; Diet, Healthy ; Nutrition Policy ; Public Health ; Community Participation
مستخلص: Background: Current local food environments encourage poor diets, posing a significant threat to public and planetary health. Acknowledging and addressing its inherent complexity is vital to making meaningful improvements to the food environment. Using a participatory approach with local stakeholders, this study aims to gain insight into the factors and mechanisms underlying the local food environment and to identify leverage points and system-based actions to foster healthy and sustainable local food environments.
Methods: A systems-thinking approach was used in a Dutch municipality in 2022. Two group model building (GMB) workshops were held with community stakeholders (e.g. local policymakers, retailers and residents). During the first workshop (June 2022), factors and mechanisms influencing the local food environment were identified and visualized through a causal loop diagram (CLD). During the second workshop, leverage points and system-based actions to improve food environments were identified by the stakeholders. Four months after (October 2022), an action-implementation meeting was organized to stimulate the implementation of selected actions. Progress was monitored through brief telephone interviews 6 and 12 months after the second workshop.
Results: The CLD visualises the factors and mechanisms influencing the local food environment from the point of view of the community stakeholders. The CLD consists of 46 factors shaping the local food environment, which were categorized into four identified subsystems: societal factors, individual, socio-economic factors, commercial factors and political factors. Eight leverage points were identified within the CLD, for example, 'lobby from food industry', 'governmental food policies' and 'e-commerce and platform economy'. Stakeholders formulated 20 actions targeting the identified leverage points. During the action-implementation meeting, long-term plans were created for five actions. After 1 year, only one participant (policy advisory role) remained actively engaged in three of these actions.
Conclusions: This study yields insight into the numerous factors and mechanisms underlying the local food environment and identified system-based actions as perceived by local stakeholders to improve this food environment locally. The CLD offers stakeholders valuable insights on employing a systems approach when enhancing food environments. More research is necessary, especially into the long-term processes and effects of implementing system-oriented actions to improve local food environments.
(© 2024. The Author(s).)
References: Int J Environ Res Public Health. 2020 May 15;17(10):. (PMID: 32429183)
PLoS One. 2019 Aug 15;14(8):e0221107. (PMID: 31415644)
Health Res Policy Syst. 2018 Dec 29;16(1):126. (PMID: 30594203)
BMJ Open. 2022 Aug 8;12(8):e063638. (PMID: 35940842)
Int J Behav Nutr Phys Act. 2022 Mar 28;19(1):33. (PMID: 35346233)
Eur J Public Health. 2022 Jun 1;32(3):504-511. (PMID: 35265982)
Eur J Public Health. 2021 Apr 24;31(2):391-396. (PMID: 33608719)
BMC Public Health. 2019 Jan 3;19(1):8. (PMID: 30606173)
Front Public Health. 2023 Aug 08;11:1015492. (PMID: 37614454)
Obes Rev. 2021 Jul;22(7):e13185. (PMID: 33369045)
Lancet. 2017 Dec 9;390(10112):2602-2604. (PMID: 28622953)
PLoS One. 2019 May 14;14(5):e0216985. (PMID: 31086409)
PLoS One. 2024 Jan 24;19(1):e0292700. (PMID: 38266019)
BMJ. 2007 Oct 20;335(7624):806-8. (PMID: 17947786)
Int J Public Health. 2022 Mar 07;67:1604115. (PMID: 35321050)
Am J Community Psychol. 2008 Jun;41(3-4):327-50. (PMID: 18322790)
Public Health Nutr. 2022 Feb;25(2):471-487. (PMID: 34693899)
BMC Med Res Methodol. 2022 Mar 27;22(1):84. (PMID: 35350996)
NPJ Digit Med. 2020 Feb 19;3:22. (PMID: 32133423)
J Public Health Manag Pract. 2015 May-Jun;21 Suppl 3:S74-8. (PMID: 25828225)
PLoS One. 2015 Jul 08;10(7):e0129683. (PMID: 26153893)
Prev Med. 1999 Dec;29(6 Pt 1):563-70. (PMID: 10600438)
Int J Behav Nutr Phys Act. 2021 Jul 13;18(1):96. (PMID: 34256794)
Lancet. 2019 Feb 2;393(10170):447-492. (PMID: 30660336)
Annu Rev Public Health. 1998;19:173-202. (PMID: 9611617)
Perspect Public Health. 2022 Nov;142(6):328-337. (PMID: 33998333)
Obes Rev. 2013 Oct;14 Suppl 1:1-12. (PMID: 24074206)
Lancet. 2011 Aug 27;378(9793):804-14. (PMID: 21872749)
AJPM Focus. 2023 May 27;2(3):100111. (PMID: 37790671)
BMC Med Res Methodol. 2022 Mar 18;22(1):72. (PMID: 35300619)
Curr Obes Rep. 2014 Dec;3(4):451-8. (PMID: 25574452)
J Public Health Manag Pract. 2015 May-Jun;21 Suppl 3:S55-69. (PMID: 25828223)
J Hunger Environ Nutr. 2009 Jul;4(3-4):282-314. (PMID: 23173027)
معلومات مُعتمدة: 162135 Regio Deal Foodvalley
فهرسة مساهمة: Keywords: Complex; Group model building; Health; Local food environment; Systems thinking
تواريخ الأحداث: Date Created: 20240812 Date Completed: 20240813 Latest Revision: 20240815
رمز التحديث: 20240815
مُعرف محوري في PubMed: PMC11318250
DOI: 10.1186/s12961-024-01199-3
PMID: 39135050
قاعدة البيانات: MEDLINE
الوصف
تدمد:1478-4505
DOI:10.1186/s12961-024-01199-3