Using system mapping to help plan and implement city-wide action to promote physical activity
Using system mapping to help plan and implement city-wide action to promote physical activity
复制标题
DOI：
10.4081/jphr.2020.1759
复制
发表时间：
2020-01-01
影响因子：
2.3
通讯作者：
Rutter, Harry
中科院分区：
文献类型：
--
作者：
Cavill, Nick;Richardson, Debra;Rutter, Harry
背景资料：人们越来越有兴趣将公共卫生问题概念化，如缺乏身体活动是复杂系统中多种相互作用因素的结果。系统方法包括考虑干预措施的间接和直接影响、干预措施发生的背景、起作用的多种因素之间的关系以及系统适应变化的方式。这项研究涉及与利益相关者参与了一个城市范围内的体育活动促进计划在德比，英国调查是否当地的体育活动系统的概念图可以是一个有用的工具，以帮助改善规划和实施的计划。方法：我们绘制了城市中体力活动的主要可改变驱动因素的概念图草案，根据现有的文献的决定因素和相关的身体活动，然后完善他们在一系列的利益相关者会议。这些地图被用来探讨现有方案采取系统办法的方式，以及如何加强这种办法。随后与利益相关者进行了半结构化访谈，以评估他们对制图方法的贡献的看法。结果：利益相关者的反馈认为制图很有价值，特别是有助于确定该市最初采用的方法的局限性。即使是系统思维的一个非常简单的应用，也可以成为分解驱动系统的关键因素的有用工具，帮助确定值得更多关注的领域，并支持采取有效行动。
Background: There is growing interest in conceptualising public health problems such as physical inactivity as the outcome of multiple interacting factors within complex systems. A systems approach includes consideration of the indirect as well as direct impacts of interventions, the contexts within which they take place, the relations between the multiple factors at play, and the ways in which systems adapt in response to changes. This study involved working with stakeholders involved in a city-wide physical activity promotion programme in Derby, UK to investigate whether a conceptual map of the local physical activity system could be a useful tool to help improve the planning and implementation of the programme.Methods: We produced draft conceptual maps of the major modifiable drivers of physical activity in the city, based on the existing literature on determinants and correlates of physical activity, then refined them in a series of stakeholder meetings. The maps were used to explore ways in which the existing programme took a systems approach, and how it might be enhanced. Semi-structured interviews were subsequently undertaken with stakeholders to assess their views on the contribution of the mapping approach.Results: Feedback from stakeholders described the mapping as valuable, especially in helping to identify the limitations of the original approach taken in the city.Conclusions: Even a very simple application of systems thinking can be a useful tool for disaggregating the key factors driving a system, helping to identify areas that merit greater attention, and supporting effective action.