Obesity Prevention Policies: The Art and Science of Ending an Epidemic
Obesity Prevention Policies: The Art and Science of Ending an Epidemic
Obesity Prevention Policies: The Art and Science of Ending an Epidemic
Obesity Prevention Policies: The Art and Science of Ending an Epidemics
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Référence bibliographique [20709]
Wassef, Jacqueline. 2018. «Obesity Prevention Policies: The Art and Science of Ending an Epidemic». Thèse de doctorat, Montréal, Université de Montréal, École de santé publique.
Intentions : «Nous avons mené une étude de cas pour expliquer l’élaboration et l’adoption du plan d’action gouvernemental (PAG) sur la prévention des problèmes reliés au poids et la promotion de saines habitudes de vie, adopté en 2006 sur une durée de six ans au Québec […].» (p. i)
Questions/Hypothèses : «The research question we aim to answer is: What explains the elaboration and the adoption of the GAP [Governmental Action Plan]?» (p. 36)
2. Méthode
Échantillon/Matériau : «Nous avons mené des entrevues [avec 23] informateurs clés de divers ministères et institutions gouvernementales et non gouvernementales impliqués dans le plaidoyer et l’élaboration du PAG. Les documents relatifs à la politique ont complété nos sources de données.» (p. i) «We reviewed all policies, guidelines, position papers, press releases, scientific opinions on obesity prevention of concerned ministries and organizations.» (p. 67)
Instruments : Guide d’entretien semi-directif
Type de traitement des données : Analyse de contenu
3. Résumé
«Our findings showed that policy adoption was the result of interrelated political and contextual factors and focusing events, intertwined with policy and goal-oriented strategies that contributed to a negotiated agreement between advocacy coalitions. The whole process was influenced by systematic knowledge utilization by coalitions and learning within democratic deliberative forums that helped overcome “policy cacophony”. The advocacy of a think tank advanced the process through changing the dominant policy narrative and altering policy stakeholders’ awareness.» (p. iii) Concerning the families, «[t]here were also actions targeting improved access to integrated perinatal and early childhood services, including access to diet programs, for families living in a context of vulnerability. As such, the emphasis on environmental causes of obesity and environmental solutions was quasi absent from the MSSS strategic plan 2005-2010.» (p. 103-104) «Moreover, members drew from the tobacco example to reassert the fact that one cannot simply target the youth and leave out parents and families given that the latter are role models for their children.» (p. 249)