A systems thinking framework for understanding rising childhood obesity in the Caribbean

Abstract Objective The aim of this study is to develop a systems thinking framework to describe the common complexities of childhood obesity in the Caribbean region and identify potential areas of intervention. Methods Group model building (GMB) is a form of systems science. Trained GMB facilitators...

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Main Authors: Leonor Guariguata (Author), Amy Burlar (Author), Natalie Greaves (Author), Heather Harewood (Author), Raveed Khan (Author), Rosa V. Rosario-Rosado (Author), Waneisha Jones (Author), Brita Roy (Author), Saria Hassan (Author)
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Published: BMC, 2024-08-01T00:00:00Z.
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042 |a dc 
100 1 0 |a Leonor Guariguata  |e author 
700 1 0 |a Amy Burlar  |e author 
700 1 0 |a Natalie Greaves  |e author 
700 1 0 |a Heather Harewood  |e author 
700 1 0 |a Raveed Khan  |e author 
700 1 0 |a Rosa V. Rosario-Rosado  |e author 
700 1 0 |a Waneisha Jones  |e author 
700 1 0 |a Brita Roy  |e author 
700 1 0 |a Saria Hassan  |e author 
245 0 0 |a A systems thinking framework for understanding rising childhood obesity in the Caribbean 
260 |b BMC,   |c 2024-08-01T00:00:00Z. 
500 |a 10.1186/s12961-024-01201-y 
500 |a 1478-4505 
520 |a Abstract Objective The aim of this study is to develop a systems thinking framework to describe the common complexities of childhood obesity in the Caribbean region and identify potential areas of intervention. Methods Group model building (GMB) is a form of systems science. Trained GMB facilitators in Puerto Rico, the US Virgin Islands, Barbados, and Trinidad and Tobago convened a group of multi-disciplinary stakeholders in a series of virtual meetings in 2021 to elaborate a hypothesis of the system driving childhood obesity represented by causal loop diagrams (CLD). Commonalities and differences between the CLDs from each island were identified and reconciled to create a synthesized CLD. Results A single explanatory CLD across the islands was developed and includes nine reinforcing loops. These loops addressed the interconnected role of schools, policy, commercial determinants, community and the personal experience of the child in rising childhood obesity rates. Conclusions Despite differences across settings, there is a core system driving childhood obesity in the Caribbean, as described by stakeholders in GMB workshops. Policy solutions to the problem must be multi-faceted and multi-level to address the interlinked reinforcing loops of the complex system and reduce rates of childhood obesity. 
546 |a EN 
690 |a Childhood obesity 
690 |a Caribbean 
690 |a Group model building 
690 |a Systems science 
690 |a Public aspects of medicine 
690 |a RA1-1270 
655 7 |a article  |2 local 
786 0 |n Health Research Policy and Systems, Vol 22, Iss 1, Pp 1-9 (2024) 
787 0 |n https://doi.org/10.1186/s12961-024-01201-y 
787 0 |n https://doaj.org/toc/1478-4505 
856 4 1 |u https://doaj.org/article/27a619d3572b4befb8e7c3e8d51d87dd  |z Connect to this object online.