Moving from simple to complex: Co-Creating a systems map to address obesity in Regional Queensland

Background: The prevalence of overweight and obesity is 20% higher in the regional Queensland, compared to the state and national averages. Purpose: The aim of this participatory research study was to use systems mapping to develop a multi-sectorial approach and strategy to address obesity in regional communities. Methods: Stakeholders (n=29) and community members (n=30) were recruited via emails using existing networks and snow-ball sampling. Online workshops (n=5) were conducted with stakeholders using miro software. In person workshops (n=3) were conducted with community members. After a brief introduction, participants were asked to post ‘sticky notes’ reflecting their perceptions of the determinants of obesity in their region. This was followed by a short discussion where they provided more insight into the determinants listed. Next, participants drew connection circles illustrating links between determinants. Kumo software was used to develop the collated systems map. Results: All the determinants and the causal links between them were collated to create a systems map. The main themes that emerged included lack of supportive environments for physical activity, and costs associated with better food choices and physical activity. Being time-poor was associated with less healthy lifestyle choices and participants noted that extended family support and networks could assist with improving these behaviours. Local and State governments were consistently identified as actors that should play a role in addressing various determinants. The importance of local organisations such as community groups, sports clubs, schools, and the media were highlighted. Conclusions: The systems map generated illustrates the potential actions that can be implemented by various organisations, addressing the determinants of obesity in the region. Practical Implications: The next phase includes workshops with community members to co-design interventions for the priority actions identified.

Funding: This research was funded by the Darling Downs Health Innovation and Research Collaborative and The Manna Institute, Australia