Success of community-based system dynamics in prevention interventions: A systematic review of the literature.
Success of community-based system dynamics in prevention interventions: A systematic review of the literature.
复制标题
DOI：
10.3389/fpubh.2023.1103834
复制
发表时间：
2023
影响因子：
5.2
通讯作者：
Allender, Steven
中科院分区：
文献类型：
--
作者：
Felmingham, Tiana;Backholer, Kathryn;Hoban, Elizabeth;Brown, Andrew D. D.;Nagorcka-Smith, Phoebe;Allender, Steven
越来越多地使用系统思考方法来帮助社区了解和制定预防复杂卫生问题的对策。在这些方法中，成功的特征是什么，以及影响成功的因素是什么，人们知之甚少。我们提出了一个系统的回顾，成功的概念是如何理解和评估同行评议文献的研究中使用系统思维在社区预防。我们检索了5个数据库，检索了2000年至2022年间发表的同行评议文献，检索词与系统思维、预防和社区相关。研究被纳入，如果他们；报告使用社区系统思维来预防公共卫生问题；描述了社区成员参与解决公共卫生问题并赋予其权力的情况；和，均以英文出版。从10个国家鉴定出34篇文章。21项研究旨在预防慢性疾病（如肥胖），16项研究使用特定工具衡量成功程度，其中10项采用半结构化访谈或调查。衡量成功的措施包括实施过程、文化适宜性、实施行动的数量或类型、社区行动的有效性、个人思维或心理模式的变化、人口健康结果、收集的数据或系统层面的措施。影响成功的实施因素包括吸引参与者的能力、促进者的组成和经验、协调团队的力量、资源的分配、对参与者反馈的适应、多系统方法的使用、提供时间和方法的研讨会过程以允许新的见解、灵活的交付和观点的多样性。每篇文章的研究结果表明，方法增加了一系列成果，包括社区行动、战略思考、未来规划和评估、社区参与、社区声音、贡献和领导，以及发展共同的愿景和目标，创造新的、持续的合作等等。衡量成功的方法各不相同，这表明在社区中对系统科学提出的结果进行更多的实证报告将是有价值的。虽然衡量在以社区为基础的预防工作中使用系统思维的成功程度是有限的，但我们可以借鉴一些有益的例子来衡量未来的成功程度。
Systems thinking approaches are increasingly being used to help communities understand and develop responses to preventing complex health problems. Less is known about how success is characterized and what influences success in these approaches. We present a systematic review of how concepts of success are understood and evaluated in the peer reviewed literature of studies using systems thinking in community prevention. We searched five databases for peer-reviewed literature published between 2000 and 2022, with search terms related to systems thinking, prevention and community. Studies were included if they; reported using community-based systems thinking to prevent a public health problem; described the engagement and empowerment of community members to address a public health issue; and, were published in English. Thirty-four articles were identified from 10 countries. Twenty-one aimed to prevent a chronic disease (e.g., obesity) and 16 measured success using specific tools, 10 of which used semi-structured interviews or surveys. Measures of success included implementation processes, cultural appropriateness, the number or type of actions implemented, effectiveness of community action, and changes in individual thinking or mental models, population health outcomes, data collected, or systems level measures. Implementation factors influencing success included the capacity to engage participants, composition and experience of facilitators, strength of coordination teams, allocation of resources, adaptation to participant feedback, use of multiple systems approaches, workshop process providing time and methods to allow new insights, flexible delivery, and diversity of perspectives. Findings from each of the articles indicated that approaches increased a range of outcomes including community action, strategic thinking, future planning and evaluation, community buy-in, community voice, contribution and leadership, in addition to developing shared visions and goals and creating new, ongoing collaborations, among many others. Measures of success varied, suggesting more empirical reporting of proposed outcomes of system science in communities would be valuable. While the measurement of success in the use of systems thinking in community-based prevention efforts is limited, there are helpful examples we can look to for future measurement of success.
登录
查看更多内容
DOI：
10.1016/j.ssmph.2021.100874
发表时间：
2021-09
期刊：
SSM - population health
影响因子：
--
作者：
Browne J;Walker T;Brown A;Sherriff S;Christidis R;Egan M;Versace V;Allender S;Backholer K
通讯作者：
Backholer K
影响因子：
2.3
作者：
Cavill, Nick;Richardson, Debra;Rutter, Harry
通讯作者：
Rutter, Harry
影响因子：
2.9
作者：
Carey G;Malbon E;Carey N;Joyce A;Crammond B;Carey A
通讯作者：
Carey A
影响因子：
3.7
作者：
Gerritsen, Sarah;Renker-Darby, Ana;Swinburn, Boyd
通讯作者：
Swinburn, Boyd
影响因子：
3.7
作者：
Bolton, Kristy A.;Fraser, Penny;Lowe, Janette;Moodie, Marj;Bell, Colin;Strugnell, Claudia;Hayward, Josh;McGlashan, Jaimie;Millar, Lynne;Whelan, Jillian;Brown, Andrew;Allender, Steven
通讯作者：
Allender, Steven