Preventing Childhood Obesity - Evidence Policy and Practice.pdf
Preventing Childhood Obesity - Evidence Policy and Practice.pdf
Preventing Childhood Obesity - Evidence Policy and Practice.pdf
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Chapter 22<br />
The benefits lost are substantial — active transport not<br />
only increases physical activity but also provides children<br />
with knowledge of their neighborhoods, <strong>and</strong> has<br />
positive impacts on their behavioral <strong>and</strong> cognitive<br />
development, instilling significant social, physical <strong>and</strong><br />
mental competencies.<br />
VicHealth ’ s “ Streets Ahead ” approach will enable<br />
children to become more active in their neighborhoods.<br />
The initiative aims to help communities to<br />
create supportive environments that enhance children<br />
’ s active transport not only to <strong>and</strong> from school<br />
but throughout other aspects of their community life<br />
(e.g., walking to the home of a friend in the neighborhood).<br />
The initiative is designed to be implemented<br />
on a place - based community level within targeted<br />
neighborhoods of a local government municipality.<br />
This initiative (implemented in July 2008) was<br />
informed by evidence from the Walking School Bus<br />
project in Victoria, Australia <strong>and</strong> other research findings,<br />
which identified the benefits of increased active<br />
transport for children becoming community led.<br />
Initially, the initiative will require the leadership<br />
of local council senior staff <strong>and</strong> a project steering<br />
group. From this, schools <strong>and</strong> local communities<br />
(children, parents, relevant groups/organizations) will<br />
be engaged to form their own groups to develop strategies<br />
that would work best within their communities<br />
to increase modes of transport. A key anticipated<br />
outcome of this project is the development of strategies<br />
that are locally driven but use knowledge translation<br />
processes to engage researchers, funding bodies,<br />
local governments <strong>and</strong> communities. The learning<br />
from these locally driven initiatives will then inform<br />
the knowledge translation <strong>and</strong> exchange process <strong>and</strong><br />
guide further action.<br />
Conclusion<br />
Activities to support KTE are important in all areas<br />
of public health but are particularly pertinent in an<br />
area such as childhood obesity where solutions<br />
to problems need to be addressed through partnerships<br />
incorporating communities, decision makers,<br />
researchers <strong>and</strong> practitioners. This necessitates the use<br />
of different types of knowledge: implicit <strong>and</strong> explicit.<br />
This chapter has outlined some of the core components<br />
of KTE <strong>and</strong> outlined some tools which are<br />
intended to support KTE activities in a range of set-<br />
tings. A number of strategies exist, which may help to<br />
facilitate the exchange of knowledge needed to address<br />
childhood obesity. As the field of KTE continues to<br />
develop, it will be important for all stakeholders to<br />
reflect on these strategies — whether they are working,<br />
how they are working, in what circumstances <strong>and</strong><br />
what factors are needed to facilitate these processes.<br />
References<br />
1 Sackett DL , Rosenberg WM , Gray JA , Haynes RB , Richardson<br />
WS : <strong>Evidence</strong> based medicine: what it is <strong>and</strong> what it isn ’ t .<br />
BMJ 1996 ; 312 ( 7023 ): 71 – 72 .<br />
2 Davies H , Nutley S , Walter I : Why “knowledge transfer ” is<br />
misconceived for applied social research . J Health Serv Res<br />
<strong>Policy</strong> 2008 ; 13 ( 3 ): 188 – 190 .<br />
3 Canadian Health Services Research Foundation :<br />
Conceptualizing <strong>and</strong> Combining <strong>Evidence</strong> for Health<br />
System Guidance . Ottawa : Canadian Health Services<br />
Research Foundation , 2005 .<br />
4 Ciliska D , Thomas H , Buffett C : An Introduction To<br />
<strong>Evidence</strong> - Informed Public Health <strong>and</strong> a Compendium of<br />
Critical Appraisal Tools for Public Health <strong>Practice</strong> .<br />
Hamilton, ON : National Collaborating Centre for Methods<br />
<strong>and</strong> Tools , 2008 .<br />
5 Kiefer L , Frank J , Di Ruggiero E et al: Fostering evidencebased<br />
decision - making in Canada: examining the need for a<br />
Canadian population <strong>and</strong> public health evidence centre <strong>and</strong><br />
research network . Can J Public Health 2005 ; 96 ( 3 ): Il – 40 following<br />
200.<br />
6 Canadian Institutes of Health Research : Knowledge<br />
Translation Framework . Ottawa : Canadian Institutes of<br />
Health Research , 2003 .<br />
7 Canadian Institutes of Health Research : Knowledge<br />
Translation Strategy 2004 –2009 . Ottawa : Canadian Institutes<br />
of Health Research , 2004 .<br />
8 Ar mst ron g R , Wa ters E , Rob er t s H , O l iver S , Pop ay J : T h e<br />
role <strong>and</strong> theoretical evolution of knowledge translation <strong>and</strong><br />
exchange in public health . J Public Health 2006 ; 28 ( 4 ):<br />
384 – 389 .<br />
9 The Provincial Centre of Excellence for Child <strong>and</strong> Youth<br />
Mental Health at CHEO : Knowledge Exchange: A Review of<br />
the Literature from the Perspective of Child <strong>and</strong> Youth<br />
Mental Health . Ontario, Canada : The Provincial Centre of<br />
Excellence for Child <strong>and</strong> Youth Mental Health at CHEO ,<br />
2006 .<br />
10 Graham ID , Logan J , Harrison MB et al: Lost in knowledge<br />
translation: time for a map? J Contin Educ Health Prof 2006 ;<br />
26 ( 1 ): 13 – 24 .<br />
11 Nutley SM , Walter I , Davies H : Using <strong>Evidence</strong>: How<br />
Research Can Inform Public Services . Bristol : The <strong>Policy</strong><br />
Press , 2007 .<br />
12 Lavis J , Ross S , McLeod C , Gildiner A : Measuring the impact<br />
of health research . J Health Serv Res <strong>Policy</strong> 2003 ; 8 ( 3 ):<br />
165 – 170 .<br />
190