SEA Change Portland is a systems-based approach implemented in Portland, Victoria that utilises local community resources to sustainably prevent and reduce the prevalence of childhood obesity. Action is implemented by community-led task teams with differing priority areas, and supported by a steering committee representative of four collaborating organisations. This study examines the SEA Change Portland process to identify significant events, enablers and barriers of its development and implementation to date as reported by key stakeholders involved in implementation during the first 12 months. Semi-structured interviews were conducted with eight steering group members and three community task team members. Data was collected utilising open ended interview questions to gather in-depth information regarding program implementation, and the individual attitudes, beliefs and experiences of key stakeholders. Data were analysed under three key themes: collective impact, systems thinking and asset based community development (ABCD). Participants gave perceptions of significant events; factors positively and negatively affecting the process; reasons for becoming involved in the process; perceived efficacy of task teams, principles of diversity and areas of concern. Themes emerged from participant responses allowing were categorisation of their responses into four key process stages: initial lead up; process development; establishing community ownership of the obesity system; and community action. Collective impact was a crucial element in applying the systems thinking. Strong and equitable relationships between steering organisations and topic experts provided the initiative with a sustainable foundation, and ABCD promotes community ownership and future sustainability. Understanding the process of implementing a new whole-of-community systems approach to childhood obesity prevention such as SEA Change Portland has provided vital knowledge for other communities regarding enablers and barriers of this promising approach.

中文翻译：

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澳大利亚维多利亚州西部解决社区肥胖症的全社区系统方法的过程评估。

SEA Change Portland是在维多利亚州波特兰实施的基于系统的方法，该方法利用当地社区资源来可持续地预防和减少儿童肥胖的患病率。行动由具有不同优先领域的社区领导的任务小组执行，并得到四个合作组织的指导委员会代表的支持。这项研究检查了SEA Change Portland流程，以识别迄今为止其开发和实施过程中的重要事件，促成因素和障碍，正如参与实施的前12个月的主要利益相关方所报告的那样。对八名指导小组成员和三名社区任务小组成员进行了半结构化访谈。使用开放式访谈问题收集数据，以收集有关计划实施的深入信息，以及主要利益相关者的个人态度，信念和经验。在三个主要主题下对数据进行了分析：集体影响，系统思考和基于资产的社区发展（ABCD）。与会者对重大事件有看法；对过程产生正面和负面影响的因素；参与该过程的原因；任务组的效能，多样性原则和关注领域。参与者的回答中出现了一些主题，这些主题允许将他们的回答分为四个关键过程阶段：初始准备阶段；工艺开发；建立肥胖系统的社区所有权；和社区行动。集体影响是应用系统思维的关键要素。指导组织与主题专家之间的牢固和公平关系为该计划提供了可持续的基础，ABCD促进了社区所有权和未来的可持续性。了解为预防儿童肥胖而采用新的整个社区系统方法的过程，例如SEA Change Portland，已为其他社区提供了有关这一有前途方法的推动力和障碍的重要知识。