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A System Dynamics and Participatory Action Research Approach to Promote Healthy Living and a Healthy Weight among 10–14-Year-Old Adolescents in Amsterdam: The LIKE Programme

Author

Listed:
  • Wilma E. Waterlander

    (Department of Public and Occupational Health, Amsterdam Public Health Research Institute, Amsterdam UMC, University of Amsterdam, Meibergdreef 9, 1105 AZ Amsterdam, The Netherlands)

  • Angie Luna Pinzon

    (Department of Public and Occupational Health, Amsterdam Public Health Research Institute, Amsterdam UMC, University of Amsterdam, Meibergdreef 9, 1105 AZ Amsterdam, The Netherlands)

  • Arnoud Verhoeff

    (Public Health Service Amsterdam, Sarphati Amsterdam, 1018 WT Amsterdam, The Netherlands
    Department of Sociology, University of Amsterdam, 1018 WV Amsterdam, The Netherlands)

  • Karen den Hertog

    (Amsterdam Healthy Weight Programme, Public Health Service Amsterdam, 1018 WT Amsterdam, The Netherlands)

  • Teatske Altenburg

    (Department of Public and Occupational Health, Amsterdam Public Health Research Institute, Amsterdam UMC, Vrije Universiteit Amsterdam, Van der Boechorststraat 7, NL-1081 BT Amsterdam, The Netherlands)

  • Coosje Dijkstra

    (Department of Health Sciences, Amsterdam Public Health Research Institute, Vrije Universiteit Amsterdam, 1081 HV Amsterdam, The Netherlands)

  • Jutka Halberstadt

    (Department of Health Sciences, Amsterdam Public Health Research Institute, Vrije Universiteit Amsterdam, 1081 HV Amsterdam, The Netherlands)

  • Roel Hermans

    (Department of Health Promotion, NUTRIM School of Nutrition and Translational Research in Metabolism, Maastricht University, 6229 ER Maastricht, The Netherlands)

  • Carry Renders

    (Department of Health Sciences, Amsterdam Public Health Research Institute, Vrije Universiteit Amsterdam, 1081 HV Amsterdam, The Netherlands)

  • Jacob Seidell

    (Department of Health Sciences, Amsterdam Public Health Research Institute, Vrije Universiteit Amsterdam, 1081 HV Amsterdam, The Netherlands)

  • Amika Singh

    (Department of Public and Occupational Health, Amsterdam Public Health Research Institute, Amsterdam UMC, Vrije Universiteit Amsterdam, Van der Boechorststraat 7, NL-1081 BT Amsterdam, The Netherlands)

  • Manou Anselma

    (Department of Public and Occupational Health, Amsterdam Public Health Research Institute, Amsterdam UMC, Vrije Universiteit Amsterdam, Van der Boechorststraat 7, NL-1081 BT Amsterdam, The Netherlands)

  • Vincent Busch

    (Public Health Service Amsterdam, Sarphati Amsterdam, 1018 WT Amsterdam, The Netherlands)

  • Helga Emke

    (Department of Public and Occupational Health, Amsterdam Public Health Research Institute, Amsterdam UMC, Vrije Universiteit Amsterdam, Van der Boechorststraat 7, NL-1081 BT Amsterdam, The Netherlands)

  • Emma van den Eynde

    (Department of Pediatric Endocrinology, Erasmus MC, University Medical Center, 3025 GD Rotterdam, The Netherlands)

  • Lieke van Houtum

    (Public Health Service Amsterdam, Sarphati Amsterdam, 1018 WT Amsterdam, The Netherlands)

  • Wilma J. Nusselder

    (Department of Public Health, Erasmus MC, University Medical Center Rotterdam, 3015 CN Rotterdam, The Netherlands)

  • Meredith Overman

    (Department of Health Promotion, NUTRIM School of Nutrition and Translational Research in Metabolism, Maastricht University, 6229 ER Maastricht, The Netherlands)

  • Susan van de Vlasakker

    (Public Health Service Amsterdam, Sarphati Amsterdam, 1018 WT Amsterdam, The Netherlands)

  • Tanja Vrijkotte

    (Department of Public and Occupational Health, Amsterdam Public Health Research Institute, Amsterdam UMC, University of Amsterdam, Meibergdreef 9, 1105 AZ Amsterdam, The Netherlands)

  • Erica van den Akker

    (Department of Pediatric Endocrinology, Erasmus MC, University Medical Center, 3025 GD Rotterdam, The Netherlands)

  • Stef P. J. Kremers

    (Department of Health Promotion, NUTRIM School of Nutrition and Translational Research in Metabolism, Maastricht University, 6229 ER Maastricht, The Netherlands)

  • Mai Chinapaw

    (Department of Public and Occupational Health, Amsterdam Public Health Research Institute, Amsterdam UMC, Vrije Universiteit Amsterdam, Van der Boechorststraat 7, NL-1081 BT Amsterdam, The Netherlands)

  • Karien Stronks

    (Department of Public and Occupational Health, Amsterdam Public Health Research Institute, Amsterdam UMC, University of Amsterdam, Meibergdreef 9, 1105 AZ Amsterdam, The Netherlands)

Abstract

This paper describes the design of the LIKE programme, which aims to tackle the complex problem of childhood overweight and obesity in 10–14-year-old adolescents using a systems dynamics and participatory approach. The LIKE programme focuses on the transition period from 10-years-old to teenager and was implemented in collaboration with the Amsterdam Healthy Weight Programme (AHWP) in Amsterdam-East, the Netherlands. The aim is to develop, implement and evaluate an integrated action programme at the levels of family, school, neighbourhood, health care and city. Following the principles of Participatory Action Research (PAR), we worked with our population and societal stakeholders as co-creators. Applying a system lens, we first obtained a dynamic picture of the pre-existing systems that shape adolescents’ behaviour relating to diet, physical activity, sleep and screen use. The subsequent action programme development was dynamic and adaptive, including quick actions focusing on system elements (quick evaluating, adapting and possibly catalysing further action) and more long-term actions focusing on system goals and/or paradigm change. The programme is supported by a developmental systems evaluation and the Intervention Level Framework, supplemented with routinely collected data on weight status and health behaviour change over a period of five years. In the coming years, we will report how this approach has worked to provide a robust understanding of the programme’s effectiveness within a complex dynamic system. In the meantime, we hope our study design serves as a source of inspiration for other public health intervention studies in complex systems.

Suggested Citation

  • Wilma E. Waterlander & Angie Luna Pinzon & Arnoud Verhoeff & Karen den Hertog & Teatske Altenburg & Coosje Dijkstra & Jutka Halberstadt & Roel Hermans & Carry Renders & Jacob Seidell & Amika Singh & M, 2020. "A System Dynamics and Participatory Action Research Approach to Promote Healthy Living and a Healthy Weight among 10–14-Year-Old Adolescents in Amsterdam: The LIKE Programme," IJERPH, MDPI, vol. 17(14), pages 1-18, July.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:14:p:4928-:d:382016
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    References listed on IDEAS

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    1. Sarah Gerritsen & Sophia Harré & David Rees & Ana Renker-Darby & Ann E. Bartos & Wilma E. Waterlander & Boyd Swinburn, 2020. "Community Group Model Building as a Method for Engaging Participants and Mobilising Action in Public Health," IJERPH, MDPI, vol. 17(10), pages 1-12, May.
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    3. Sarah Gerritsen & Sophia Harré & Boyd Swinburn & David Rees & Ana Renker-Darby & Ann E. Bartos & Wilma E. Waterlander, 2019. "Systemic Barriers and Equitable Interventions to Improve Vegetable and Fruit Intake in Children: Interviews with National Food System Actors," IJERPH, MDPI, vol. 16(8), pages 1-19, April.
    4. Hudson, Laurel Anderson & Ozanne, Julie L, 1988. "Alternative Ways of Seeking Knowledge in Consumer Research," Journal of Consumer Research, Journal of Consumer Research Inc., vol. 14(4), pages 508-521, March.
    5. Jane South & Daniel Button & Annie Quick & Anne-Marie Bagnall & Joanne Trigwell & Jenny Woodward & Susan Coan & Kris Southby, 2019. "Complexity and Community Context: Learning from the Evaluation Design of a National Community Empowerment Programme," IJERPH, MDPI, vol. 17(1), pages 1-13, December.
    6. Johnston, L.M. & Matteson, C.L. & Finegood, D.T., 2014. "Systems science and obesity policy: A novel framework for analyzing and rethinking population-level planning," American Journal of Public Health, American Public Health Association, vol. 104(7), pages 1270-1278.
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    2. Sander M. Brink & Heleen M. Wortelboer & Cornelis H. Emmelot & Tommy L. S. Visscher & Herman A. van Wietmarschen, 2022. "Developing a Personalized Integrative Obesity-Coaching Program: A Systems Health Perspective," IJERPH, MDPI, vol. 19(2), pages 1-13, January.
    3. Grace Yeeun Lee & Ian Bernard Hickie & Jo-An Occhipinti & Yun Ju Christine Song & Salvador Camacho & Adam Skinner & Kenny Lawson & Samuel J. Hockey & Adriane Martin Hilber & Louise Freebairn, 2022. "Participatory Systems Modelling for Youth Mental Health: An Evaluation Study Applying a Comprehensive Multi-Scale Framework," IJERPH, MDPI, vol. 19(7), pages 1-18, March.

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