Exploring Nunavut Public Health System's Readiness to Implement Obesity Prevention Policies and Programs in the Canadian Arctic
BACKGROUND: Rapid changes in the food and built environments in the Canadian Arctic have contributed to a dramatic increase in the prevalence rates of obesity. The objective of this study was to explore the determinants of Nunavut public health system's commitment to implement obesity preventio...
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ftpubmed:oai:pubmedcentral.nih.gov:6532304 2023-05-15T14:55:54+02:00 Exploring Nunavut Public Health System's Readiness to Implement Obesity Prevention Policies and Programs in the Canadian Arctic Akande, Victor O. Ruiter, Robert A. C. Kremers, Stef P. J. 2019-05-09 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6532304/ http://www.ncbi.nlm.nih.gov/pubmed/31211133 https://doi.org/10.1155/2019/1584956 en eng Hindawi http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6532304/ http://www.ncbi.nlm.nih.gov/pubmed/31211133 http://dx.doi.org/10.1155/2019/1584956 Copyright © 2019 Victor O. Akande et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. CC-BY Research Article Text 2019 ftpubmed https://doi.org/10.1155/2019/1584956 2019-06-23T00:11:52Z BACKGROUND: Rapid changes in the food and built environments in the Canadian Arctic have contributed to a dramatic increase in the prevalence rates of obesity. The objective of this study was to explore the determinants of Nunavut public health system's commitment to implement obesity prevention policies and programs in the territory to reduce the burden of obesity-related diseases. METHODS: In total, 93 program managers, program officers, and policy analysts who are responsible for program and policy development and implementation within the Nunavut Department of Health (NDH) were asked to complete the validated Organizational Readiness for Implementing Change (ORIC) questionnaire. Organization-level readiness (commitment) was determined based on aggregated individual-level data using bivariate correlations and multivariate linear regression analyses. RESULTS: Of the 93 questionnaires that were distributed only 67 (72%) were returned fully completed. Organization-level commitment to implement obesity prevention policies and programs was low. Only 2.9% of respondents strongly agreed that NDH was committed to implementing obesity prevention policies and programs. The study showed a strong positive correlation between NDH's commitment and perceived value (r = .73), perceived efficacy (r = .50), and resource availability (r = .25). There was no correlation between commitment and knowledge. In the multivariate linear regression model, perceived value was the only significant predictor of NDH's commitment to implement obesity prevention policies and programs (β = 0.66). CONCLUSIONS: Successful adoption and implementation of obesity prevention policies and programs in the Canadian Arctic largely depend on the perception of value and benefits of and belief in the change efforts among employees of the Nunavut Department of Health. Convincing policy makers of the value of preventive policies and programs is an important and necessary first step towards decreasing the prevalence of obesity in the Inuit population. Text Arctic inuit Nunavut PubMed Central (PMC) Arctic Nunavut BioMed Research International 2019 1 7 |
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Research Article Akande, Victor O. Ruiter, Robert A. C. Kremers, Stef P. J. Exploring Nunavut Public Health System's Readiness to Implement Obesity Prevention Policies and Programs in the Canadian Arctic |
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Research Article |
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BACKGROUND: Rapid changes in the food and built environments in the Canadian Arctic have contributed to a dramatic increase in the prevalence rates of obesity. The objective of this study was to explore the determinants of Nunavut public health system's commitment to implement obesity prevention policies and programs in the territory to reduce the burden of obesity-related diseases. METHODS: In total, 93 program managers, program officers, and policy analysts who are responsible for program and policy development and implementation within the Nunavut Department of Health (NDH) were asked to complete the validated Organizational Readiness for Implementing Change (ORIC) questionnaire. Organization-level readiness (commitment) was determined based on aggregated individual-level data using bivariate correlations and multivariate linear regression analyses. RESULTS: Of the 93 questionnaires that were distributed only 67 (72%) were returned fully completed. Organization-level commitment to implement obesity prevention policies and programs was low. Only 2.9% of respondents strongly agreed that NDH was committed to implementing obesity prevention policies and programs. The study showed a strong positive correlation between NDH's commitment and perceived value (r = .73), perceived efficacy (r = .50), and resource availability (r = .25). There was no correlation between commitment and knowledge. In the multivariate linear regression model, perceived value was the only significant predictor of NDH's commitment to implement obesity prevention policies and programs (β = 0.66). CONCLUSIONS: Successful adoption and implementation of obesity prevention policies and programs in the Canadian Arctic largely depend on the perception of value and benefits of and belief in the change efforts among employees of the Nunavut Department of Health. Convincing policy makers of the value of preventive policies and programs is an important and necessary first step towards decreasing the prevalence of obesity in the Inuit population. |
format |
Text |
author |
Akande, Victor O. Ruiter, Robert A. C. Kremers, Stef P. J. |
author_facet |
Akande, Victor O. Ruiter, Robert A. C. Kremers, Stef P. J. |
author_sort |
Akande, Victor O. |
title |
Exploring Nunavut Public Health System's Readiness to Implement Obesity Prevention Policies and Programs in the Canadian Arctic |
title_short |
Exploring Nunavut Public Health System's Readiness to Implement Obesity Prevention Policies and Programs in the Canadian Arctic |
title_full |
Exploring Nunavut Public Health System's Readiness to Implement Obesity Prevention Policies and Programs in the Canadian Arctic |
title_fullStr |
Exploring Nunavut Public Health System's Readiness to Implement Obesity Prevention Policies and Programs in the Canadian Arctic |
title_full_unstemmed |
Exploring Nunavut Public Health System's Readiness to Implement Obesity Prevention Policies and Programs in the Canadian Arctic |
title_sort |
exploring nunavut public health system's readiness to implement obesity prevention policies and programs in the canadian arctic |
publisher |
Hindawi |
publishDate |
2019 |
url |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6532304/ http://www.ncbi.nlm.nih.gov/pubmed/31211133 https://doi.org/10.1155/2019/1584956 |
geographic |
Arctic Nunavut |
geographic_facet |
Arctic Nunavut |
genre |
Arctic inuit Nunavut |
genre_facet |
Arctic inuit Nunavut |
op_relation |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6532304/ http://www.ncbi.nlm.nih.gov/pubmed/31211133 http://dx.doi.org/10.1155/2019/1584956 |
op_rights |
Copyright © 2019 Victor O. Akande et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
op_rightsnorm |
CC-BY |
op_doi |
https://doi.org/10.1155/2019/1584956 |
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BioMed Research International |
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2019 |
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1 |
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7 |
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1766327907199746048 |