Tingbjerg Changing Diabetes applies the supersetting approach.

This approach is principles-based and requires actors and groups of citizens to act coordinated, integrated and co-creating in different arenas to mobilize local resources and strengthen social networks for collective community action.

The goal is to develop and implement sustainable health-promoting activities that are adapted to the local everyday life and to those opportunities and challenges that exist locally.

Five principles act as overarching guidelines for the development and implementation of all intervention components of TCD.


Accordingly, the intervention components are complex (multi-stranded), involve several population groups, and include a variety of settings used by people in everyday life in the given community.

Supersetting approach 24.02.2020 EN lill

The supersetting approach

Integration, to ensure that activities are implemented across and in cooperation with different settings and actors


Participation, to ensure that people are motivated to take ownership of processes of developing and implementing activities


Empowerment, to ensure that people acquire skills and competencies to express and act on their visions and aspirations

Context-sensitivity, to ensure that everyday life challenges of citizens and professionals are respected and considered in developing activities

Knowledge generating and sharing, to ensure that scientific knowledge is produced from action and used to inform action

"The supersetting approach is an intervention strategy whereby coordinated activities targeting a common overall goal such as improved health in a population group are carried out in a variety of different settings and involving a variety of different stakeholders within a local community.


The supersetting approach is more than a multi-setting approach. The supersetting approach strives to attain synergistic effects from operations that are carried out in multiple settings either
simultaneously or phased but always in a coordinated manner. Furthermore, the supersetting approach cannot be implemented as a top-down model by e.g. researchers or city planners, but demands the active participation of local stakeholders. This has the advantage of bringing several community resources into play while preventing antagonistic action by opposing forces".

Bloch, P. et. al (2014) Revitalizing the setting approach – supersettings for sustainable impact in community health promotion. International Journal of Behavioral Nutrition and Physical Activity, 11:118.

Settings in health promotion:

Since its inception in 1986, the Ottawa Charter has provided an important value base in health promotion work. It was in the Ottawa Charter that the concept of setting made its breakthrough.


Based on the Ottawa Charter, WHO (1998) defines a setting as ”a place or social context in which people engage in daily activities in which environmental, organizational and personal factors interact to affect health and well-being …A setting is also where people actively use and shape the environment and thus create or solve problems relating to health”.

Supersettings in health promotion:

Settings are both the medium and the product of human social interaction and thus more than simply locations in time and space. The setting approach thus emphasises the individual, social and
structural dimensions of health promotion.

The supersetting approach builds on the setting-based approach by insisting on coordinated actions in multiple settings with multiple actors (see Bloch & Jensen, 2016).

Contact information:

Research manager Paul Bloch: +45 3091 2920

Mail: paul.bloch@regionh.dk

Project coordinator Marie Petri: +45 2117 5091

Mail: marie.petri@regionh.dk