Table 8 Case example of a ‘no use’ systems approach to scaling up

Study: Hassani et al. 2020, Implementing Appetite to Play at scale in British Columbia: Evaluation of a capacity-building intervention to promote physical activity in the early years

Intervention and scale up context: Appetite to Play, a capacity building initiative for early years providers to implement policies, practices and environments that support physical activity and healthy eating. Scaled up at the province level, in British Columbia (BC), Canada, via Child Health BC and multiple not-for-profit organisations. A train the trainer model was used for dissemination

Use of systems approach or term ‘systems’: The broader context of challenges in the childcare system were acknowledged, but a systems approach was not described or utilised. There was a focus on capacity building among childcare providers within the childcare system, and a provincial stakeholder advisory group was set up to advise the partnership group on the development of both the resource, scale-up strategy, implementation (course correction), and to create a framework for sustainability