Steven Allender|Lynne Millar|Peter Hovmand|Colin Bell|Marj Moodie|Rob Carter|Boyd Swinburn|Claudia Strugnell|Janette Lowe|Kayla de la Haye|Liliana Orellana|Sue Morgan
Whole of Systems Trial of Prevention Strategies for Childhood Obesity: WHO STOPS Childhood Obesity
Deakin University|Deakin University|Deakin University|Deakin University|Deakin University|University of Auckland|Deakin University|Deakin University|University of Southern California|Deakin University
background communitybased initiatives show promise preventing childhood obesity characterized community leaders members working together address complex local drivers energy balance objectives present protocol stepped wedge cluster randomized trial ten communities great south coast region victoria australia test whether possible 1 strengthen community action childhood obesity prevention 2 measure impact increased action risk factors childhood obesity methods stops intervention involves facilitated community engagement process creates agreed systems map childhood obesity causes community identifies intervention opportunities leveraging dynamic aspects system converts understandings communitybuilt systemsoriented action plans ten communities randomized 11 intervention control year one communities included year three primary outcome childhood obesity prevalence among grade two ages 78 grade four 910 grade six 1112 students measured using established communityled monitoring system 69 school 93 student participation rate government independent schools additional group 13 external communities regions victoria specific interventions provide external comparison communities also allow us assess diffusion intervention control communities first three years trial conclusion trial test effectiveness fiveyear period communityowned supported led strategies designed address complex dynamic causes childhood obesity