دورية أكاديمية
Systems thinking for local food environments: a participatory approach identifying leverage points and actions for healthy and sustainable transformations.
العنوان: | Systems thinking for local food environments: a participatory approach identifying leverage points and actions for healthy and sustainable transformations. |
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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).) |
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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 |
تدمد: | 1478-4505 |
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DOI: | 10.1186/s12961-024-01199-3 |