Evidence map›Paper›PMID 42703718›Full record

ArticleHealth promotion international2026

Understanding barriers to systems change among regional Western Australian food security initiative leaders.

Isabelle Chiera, Melissa Stoneham, Jess Doe, Amanda Devine, Stephanie L Godrich

Abstract read
In one paragraph

Article in Health promotion international, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Isabelle ChieraSchool of Medical and Health Sciences, Edith Cowan University, 270 Joondalup Dr, Perth, WA 6027, Australia.ORCID 0009-0003-8919-885X
Melissa StonehamSchool of Medical and Health Sciences, Edith Cowan University, 270 Joondalup Dr, Perth, WA 6027, Australia.ORCID 0000-0001-8745-2664
Jess DoeSchool of Medical and Health Sciences, Edith Cowan University, 270 Joondalup Dr, Perth, WA 6027, Australia.
Amanda DevineSchool of Medical and Health Sciences, Edith Cowan University, 270 Joondalup Dr, Perth, WA 6027, Australia.ORCID 0000-0001-6978-6249
Stephanie L GodrichSchool of Medical and Health Sciences, Edith Cowan University, 270 Joondalup Dr, Perth, WA 6027, Australia.ORCID 0000-0003-3067-8253

Funding

Healthway 34502
6 · The paper itself

Abstract

Food security (FS) is a complex, 'wicked' issue involving regular and reliable physical, social, and economic access to food. People living in geographically isolated areas are disproportionately affected by FS challenges and addressing these issues demands a systems-based approach. The Food Community project has implemented an adapted Systemic Innovation Lab (SIL) approach to support FS initiatives operating across rural, regional, and remote Western Australia to enhance their effectiveness. This paper aimed to identify what FS initiative leaders perceive as barriers to delivering their services, in relation to undertaking activities that align with the 36 systems change characteristics embedded within the nine Focus Areas of the SIL approach. Qualitative, semi-structured interviews were conducted between December 2022 and November 2023 with leaders of FS initiatives servicing inner regional, outer regional, and very remote townships of Western Australia. Ninety-four interviews were conducted with 101 initiative leaders. Initiative leaders were least likely to undertake activities that aligned with the systems change characteristics within Focus Areas 6-9, which relate to government-community engagement. This paper presents the barriers initiative leaders identified across the least-possessed systems change characteristics across all nine Focus Areas, with a specific focus on Focus Areas 6-9. Initiative leaders identified barriers to strategic engagement with government, including limited opportunities, a perceived lack of interest from government, and challenges to undertaking advocacy. Strengthening government-community interaction on FS requires support, such as through toolkits and guides, to build initiative leaders' advocacy skills and capacity to strategically engage with government representatives.

Indexed as

Food SecurityFood SupplyLeadershipHumansInterviews as TopicQualitative ResearchWestern Australiabarriersfood securityregionalservice provisionsystems change

Identifiers

PMID42703718
PMCPMC13547857

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.