Framework for Policy and Environmental Change


Lead: Rodney Lyn

Successful obesity prevention is likely to be dependent upon the capacity of the nation's public health workforce to lead policy change. Yet many public health professionals have not received adequate training in the application of policy, specifically in the strategies that hold promise in facilitating the adoption by decision makers of desired policies for obesity prevention. The public health literature has yet to fully explore the complexities of the policy process.

To develop this Framework, we conducted a review of the literature across public policy and public health fields and distill key theories of policymaking to develop a framework to inform policy change efforts on obesity prevention. Beginning with a conceptual description, we focus on understanding three domains of the policy process: the problem domain, the policy domain and the political domain. We identify key activities in the policy process including: (1) identifying and framing the problem; (2) engaging and educating key individuals and groups; (3) developing evidence-based policy solutions; (4) assessing the social and political environment; (5) building public support and political will; and 6) iteratively evaluating the process. We present case studies of policy change for obesity prevention to illustrate the potential uses of the framework for practitioners.


Policy,Systems and Environmental Change for Obesity Prevention: An Advocacy Framework to Inform Local and State Action [Full Text Article]