Julia M. Appel's research while affiliated with Furman University and other places
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Publications (7)
This case study describes the application of a theory-informed, stakeholder-driven intervention with a group of 19 multi-sector stakeholders from an existing coalition to promote whole-of-community change that supports childhood obesity prevention. The intervention applied community-based system dynamics to design and implement activities that prom...
![Stakeholder-driven Community Diffusion theory-informed intervention [21]](publication/369380795/figure/fig1/AS:11431281128429483@1679368963397/Stakeholder-driven-Community-Diffusion-theory-informed-intervention-21_Q320.jpg)
Background
Cross-sector collaborations and coalitions are promising approaches for childhood obesity prevention, yet there is little empirical evidence about how they affect change. We hypothesized that changes in knowledge of, and engagement with, childhood obesity prevention among coalition members can diffuse through social networks to influence...
Objective: Whole-of-community interventions are a promising systems-based approach to childhood obesity prevention. A theorized driver of success is "Stakeholder-Driven Community Diffusion" (SDCD): the spread of knowledge about and engagement with obesity prevention efforts from a committee of stakeholder representatives. We focus on the potential...
Purpose and objectives:
The purpose of this article is to demonstrate and evaluate aspects of a Stakeholder-Driven Community Diffusion (SDCD)-informed intervention with a group of stakeholders drawn from a large coalition seeking a novel approach for promoting policy, systems, and environmental-level change. The objectives were to implement an SDC...
Background
Whole-of-community interventions hold promise in addressing childhood obesity. The COMPACT Stakeholder-driven Community Diffusion theory posits that stakeholders’ knowledge of childhood obesity prevention efforts and engagement with the issue contribute to successful intervention implementation. Building on completed formative research a...
Objective:
To describe our process of using group model building (GMB) with the Shape Up Under 5 Committee; measure the effects on Committee members; and describe the community-wide health messaging campaign that resulted from the process.
Design:
Pilot study.
Setting:
Somerville, Massachusetts.
Participants:
Members of the Shape Up Under 5...
Shape Up Under 5 (SUU5) was a two-year early childhood obesity prevention pilot study in Somerville, Massachusetts (2015-2017) designed to test a novel conceptual framework called Stakeholder-driven Community Diffusion. For whole-of-community interventions, this framework posits that diffusion of stakeholders' knowledge about and engagement with ch...
Citations
... Network diagrams with knowledge and engagement scores were created using the R-igraph package implemented in RStudio (v1.2.5019) [46]. Analysis of potential diffusion patterns beyond the first-degree alters (e.g., further into the community networks) was conducted separately using simulation approaches and is reported in a related paper [47]. ...
... The authors presented contextual factors and processes that may be seen in the chronic disease morbidity and mortality reports more distally. Perry et al (13), who also reported on a PA program (among cancer survivors), used the Interactive Systems Framework for Dissemination and Implementation (14), which has similar elements to RE-AIM, to ...
![[object Object]](https://i1.rgstatic.net/ii/profile.image/642484501762051-1530191650491_Q64/Larissa-Calancie.jpg)
... We collected data about perceived knowledge and engagement from SUU5 Committee members. Knowledge and engagement data using the COMPACT SDCD survey; details on the development and validation of the can be found elsewhere [36][37][38]. The survey was administered at baseline and then every six months online with a total of five measurements over the two-year study period [21]. ...
... 99 Furthermore, a growing volume of literature support the need for intervention synchronicity. 50,98,[100][101][102][103][104] For example, to address social determinants of health in local urban spaces, stakeholders have needed to work across healthcare, social care, housing, education, transport, environmental sectors and have also engaged with voluntary community and social enterprises. 50,105,106 Strengths and Limitations There are several strengths and limitations to this study. ...
... The integration of psychology, economics, and public health can facilitate the identification of efficacious actions and strategies for the prevention of obesity [64]. The Shape Up Under 5 programme in the US [65] and the Amsterdam Healthy Weight Approach [66] provide illustrative examples of such programmes. Applying these multifaceted interventions will require experts from different disciplines to collaborate. ...
