A Transdisciplinary Complex Adaptive Systems (T-CAS) Approach to Developing a National School-Based Culture of Prevention for Health Improvement: the School Health Research Network (SHRN) in Wales.

A Transdisciplinary Complex Adaptive Systems (T-CAS) Approach to Developing a National School-Based Culture of Prevention for Health Improvement: the School Health Research Network (SHRN) in Wales.
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DOI:
10.1007/s11121-018-0969-3
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发表时间:
2021-01
期刊:
Prevention science : the official journal of the Society for Prevention Research
影响因子:
--
通讯作者:
Moore G
Moore G
中科院分区:
其他
文献类型:
--
作者:
Murphy S;Littlecott H;Hewitt G;MacDonald S;Roberts J;Bishop J;Roberts C;Thurston R;Bishop A;Moore L;Moore G

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本文反思了威尔士学校健康研究网络(SHRN)的跨学科复杂适应系统(T-CAS)方法的发展,以促进学校健康改善的全国性预防文化。 T-CAS 方法侧重于连续网络周期内的关键阶段和活动,以促进系统级别的变更。该理论强调了建立跨学科战略伙伴关系以识别和开发系统重新定位机会的重要性。对资源的投资和链接可以提高关键社会主体利用重新定位的系统中的中断点的能力,而参与活动则可以开发网络以促进新的社会互动和跨学科活动的机会。事实证明,关注跨学科行动研究以共同制定干预措施、产生研究证据并为政策和实践提供信息,在制定新的规范流程(对新兴系统进行自我监管)方面发挥着重要作用。最后,互惠网络效益的提供提供了关键的反馈循环,可以稳定新兴的自适应系统并促进网络循环。 SHRN 通过确保健康和教育的可持续发展资金,在国家和地区规划和招募每所符合条件的学校加入网络中发挥着关键作用,已将自己嵌入到该系统中。它已开始将该系统重新定位为证据生成(共同制作的 56 项研究)和多层次数据主导实践的机会之一。需要进一步发展能力才能利用这些。强调了复杂系统方法在解决变革障碍方面的优势,以及 T-CAS 网络方法跨环境和文化的可转移性。
The paper reflects on a transdisciplinary complex adaptive systems (T-CAS) approach to the development of a school health research network (SHRN) in Wales for a national culture of prevention for health improvement in schools. A T-CAS approach focuses on key stages and activities within a continuous network cycle to facilitate systems level change. The theory highlights the importance of establishing transdisciplinary strategic partnerships to identify and develop opportunities for system reorientation. Investment in and the linking of resources develops the capacity for key social agents to take advantage of disruption points in the re-orientated system, and engagement activities develop the network to facilitate new social interactions and opportunities for transdisciplinary activities. A focus on transdisciplinary action research to co-produce interventions, generate research evidence and inform policy and practice is shown to play an important part in developing new normative processes that act to self-regulate the emerging system. Finally, the provision of reciprocal network benefits provides critical feedback loops that stabilise the emerging adaptive system and promote the network cycle. SHRN is shown to have embedded itself in the system by securing sustainability funding from health and education, a key role in national and regional planning and recruiting every eligible school to the network. It has begun to reorient the system to one of evidence generation (56 research studies co-produced) and opportunities for data-led practice at multiple levels. Further capacity development will be required to capitalise on these. The advantages of a complex systems approach to address barriers to change and the transferability of a T-CAS network approach across settings and cultures are highlighted.
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