Co-creating obesity prevention policies with youth: Policy ideas generated through the CO-CREATE project

Kaitlin Conway-Moore, Cécile Knai, Diane Finegood, Lee Johnston, Hannah Brinsden, Anaely Aguiar, Birgit Kopainsky, Furkan Önal, Arnfinn Helleve, Knut-Inge Klepp, Nanna Lien, Aleksandra Luszczynska, Ana Isabel Rito, Alfred Mestad Rønnestad, Madeleine Ulstein, Laurence Blanchard, Natalie Savona, Harry Rutter

Research output: Contribution to journalArticlepeer-review

Abstract

Despite growing recognition of the importance of applying a systems lens to action on obesity, there has only been limited analysis of the extent to which this lens has actually been applied. The CO-CREATE project used a youth-led participatory action research approach to generate policy ideas towards the reduction of adolescent overweight and obesity across Europe. In order to assess the extent to which these youth-generated policy ideas take a systems approach, we analyzed them using the Intervention Level Framework (ILF). The ILF ascribes actions to one of five system levels, from Structural Elements, the least engaged with system change, up to Paradigm, which is the system's deepest held beliefs and thus the most difficult level at which to intervene. Of the 106 policy ideas generated by young people during the CO-CREATE project, 91 (86%) were categorized at the level of Structural Elements. This emphasis on operational rather than systems level responses echoes findings from a previous study on obesity strategies. Analyzing the distribution of systems level responses using the ILF has the potential to support more effective action on obesity by allowing identification of opportunities to strengthen systems level responses overall.

Original languageEnglish
Article numbere13623
Number of pages9
JournalObesity Reviews
Volume24
Issue numberS2
Early online date27 Sept 2023
DOIs
Publication statusPublished - 30 Sept 2023

Bibliographical note

Funding Information:
The CO‐CREATE project has received funding from the European Union's Horizon 2020 research and innovation program under grant agreement No. 774210. The content of this paper reflects only the authors' views, and the European Commission is not liable for any use that may be made of the information it contains.

Keywords

  • Intervention Level Framework
  • obesity
  • systems thinking
  • youth-generated policy

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