The rise in childhood obesity is a major public health challenge and a national priority for health action. Obesity is associated with many illnesses and is directly related to increased mortality and lower life expectancy. The Children’s Plan recognises child obesity as one of the most serious challenges for children and links it to a number of poor outcomes, physical, social and psychological (Department for Children, Schools and Families 2007). ‘Can’t wait to be healthy’- Leeds Childhood Obesity Prevention and Weight Management Strategy 2006-2016 is a comprehensive, city-wide strategy setting out actions to tackle the problem of childhood obesity for all children and young people 0-19 years. The strategy reviews the evidence around prevalence, causal factors and effective interventions. There is recognition of the complexity of the issue and the need for action on multiple levels and in different sectors, including health, education, environment and leisure services. The guiding principles are based on partnership working and local leadership, the active participation of parents, carers, children and young people, and the prioritisation of prevention and early intervention. ‘Can’t wait to be healthy’ was initiated by Leeds Primary Care Trust (PCT) and Children Leeds and its implementation is being overseen by a multi agency partnership. An initial action plan was agreed that gives an outline of proposed actions (2007-2010) grouped around strands of work. There are seven core objectives that are summarised in Box 1. A robust evaluation plan and reporting framework to measure progress and outcomes resulting from the strategy is required. This is supported by recent guidance for local areas indicating the importance of local evaluation and monitoring in tracking progress and informing commissioning (Cross Government Obesity Unit 2008a).The Centre for Health Promotion Research, Leeds Metropolitan University, was commissioned to work in collaboration with the Leeds Childhood Obesity Partnership to develop a strategic approach to evaluation. A series of workshops were held in Spring 2008 to enable stakeholders to engage with the planning process and to consider how evidence would be generated. The workshops used a ‘Theory of Change’ approach to develop understanding about how and why specific activities or combinations of activities work (Connell and Kubisch 1988). This resulted in a draft evaluation plan and recommendations for ongoing evaluation which are presented here. This briefing paper includes: • Summary of national guidance on indicators for childhood obesity • Evaluation planning process and approach • Theories of change and evaluation plans for each objective and for the overall strategy • Recommendations for evaluation of ‘Can’t wait to be healthy’ and priorities for data collection
CORE (COnnecting REpositories)
CORE (COnnecting REpositories)