%0 Journal Article
%T Using Social Network Analysis to Identify Key Child Care Center Staff for Obesity Prevention Interventions: A Pilot Study
%A Jennifer Marks
%A Lisa M. Barnett
%A Chad Foulkes
%A Penelope Hawe
%A Steven Allender
%J Journal of Obesity
%D 2013
%I Hindawi Publishing Corporation
%R 10.1155/2013/919287
%X Introduction. Interest has grown in how systems thinking could be used in obesity prevention. Relationships between key actors, represented by social networks, are an important focus for considering intervention in systems. Method. Two long day care centers were selected in which previous obesity prevention programs had been implemented. Measures showed ways in which physical activity and dietary policy are conversations and actions transacted through social networks (interrelationships) within centers, via an eight item closed-ended social network questionnaire. Questionnaire data were collected from (17/20; response rate 85%) long day care center staff. Social network density and centrality statistics were calculated, using UCINET social network software, to examine the role of networks in obesity prevention. Results. ¡°Degree¡± (influence) and ¡°betweeness¡± (gatekeeper) centrality measures of staff inter-relationships about physical activity, dietary, and policy information identified key players in each center. Network density was similar and high on some relationship networks in both centers but markedly different in others, suggesting that the network tool identified unique center social dynamics. These differences could potentially be the focus of future team capacity building. Conclusion. Social network analysis is a feasible and useful method to identify existing obesity prevention networks and key personnel in long day care centers. 1. Introduction Obesity prevention efforts in childhood are needed to arrest the increasing prevalence of obesity [1¨C3] and its associated health risks [4]. Children¡¯s food preferences and eating patterns developed by early exposure to foods [5], along with physical activity and inactivity behaviors, have been shown to track from childhood into adulthood [6]. Regulated center-based childcare (such as long day care) may provide an opportune setting for promoting obesity preventing behaviors in preschool children [7, 8]. A systematic review in 2010 of interventions in childcare settings described one third of the studies as promising in improving children¡¯s dietary and/or physical activity behaviors [9], whereas a systematic review in 2011 of interventions in early childhood was critical of current intervention design concluding that social and environmental factors were not given adequate consideration within intervention design and implementation [10]. Those who critique intervention design argue that interventions to tackle childhood obesity must consider a complex system of individual, social, and environmental
%U http://www.hindawi.com/journals/jobe/2013/919287/